Posted by Sad Panda on April 23, 2004, at 14:29:47
In reply to Re: Which AD's are most and least agitating » King Vultan, posted by Mr. Scott on April 23, 2004, at 13:55:46
> Thanks for sharing!
> I find Effexor drives me up the wall and gives me anxiety, agitation, and dysphoria after a couple hours of true antidepressant relief. It's very strange. I tend to be highly anxious and depressed, but everyone's got me convinced I have some "strange bipolar variant" and that these feelings are actually a mixed state? I'm not so sure because I just sought a second opinion and he said I should go the tricyclic rought even though I mentioned I had been labeled bipolar II. He asked me if I ever blew all my money on a new boat or took off to a foreign country on a whim. I said no, and he said well then don't worry about bipolar try the tricyclics if the SSRI/Effexors don't work for you anymore. I'm scared I'll go nuts though as I've heard they are bad for bipolars.
>
> Rambling...Thanks...
>
> ScottHi all,
This is a very interesting thread & proves how much we are all different. I have been lucky so far. Prozac was a total disaster for me & I found it to be agitating in the extreme, OTOH, Effexor has been pretty good for me & is only mildy agitating during the first week of a doseage increase. Valium for a week or two leaves my in a pleasant mild hypomanic state & by week 3 after an dosage increase everything is smooth sailing. I also take Remeron.
If a couple of SSRI's & Effexor have failed & you have tried each for atleast 4 weeks, then it's possibly time for a TCA like Clomipramine or maybe an MAOI like Nardil. Other TCA's may be worth a trial too. SSRI's are more likely to drive you into mania if you are BP, so I wouldn't worry about taking TCA's or MAOI's
Cheers,
Panda.
poster:Sad Panda
thread:339005
URL: http://www.dr-bob.org/babble/20040423/msgs/339204.html