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Re: Zyprexa for bipolar » judy1

Posted by SLS on February 27, 2003, at 7:37:54

In reply to Re: Zyprexa for bipolar » White Stone, posted by judy1 on February 26, 2003, at 23:22:54

> technically, med-induced hypomania is often referred to as bp3. it IS common for people with bipolar disorder to get manic on unopposed ADs, in my case Prozac landed me in the hospital with a manic episode. but that was after several documented manic episodes that occurred w/o the presence of ADs, and I got the bp1 label. Did you stop taking zoloft and still had symptoms? I just don't like the over-prescribing of APs (I see several threads here). hope you feel better- judy


Hi Judy.

Yes, I am BP III. This designation appeared as early as 1986. My only manic episodes, which were severe and psychotic, occurred only during drug treatment. I seem to be vulnerable to this when:

1. I add Parnate after pretreatment with a TCA.
2. Discontinue Nardil abruptly.
3. I discontinue a TCA abruptly while maintaining Nardil.

It is no secret that some antipsychotics have the potential to induce mania in vulnerable individuals. Both Zyprexa and Geodon come to mind first, but I believe that Risperdal and Stelazine can do this as well. I look forward with great curiosity to see if Abilify has a greater or lesser rate of drug-induced mania than Zyprexa.

I became somewhat hypomanic when I added Zyprexa 10mg to Lamictal 300mg + Parnate 60mg + imipramine 300mg. Much to my dismay, it faded after a few days. I wouldn't have minded staying there. It is definitely a better place than where I am now.


- Scott

 

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