Posted by SLS on June 25, 2013, at 15:45:55
In reply to Re: Bipolar DX based only on SSRI hypomanic response? » polarbear206, posted by antennastoheaven on June 25, 2013, at 13:09:13
> > I think you are missing my point. Wellbutrin is not a strong enough AD for most with mod to severe depression. I think if you were on the right AD with the right mood stabilizer you would get a therapeutic respone. IF I'm correct, you were taking abilify and wellbutrin when you trialed lamictal? If so, I would consider this not a good idea to be on 2 mood dtabilizers at once with Wellbutrin. Ii had SSRI induced just as you. I am depression dominated. On Lamictal and Effexor for a very long time and works great.
>
> Wellbutrin keeps me going to work, and addresses my motivation concerns. I'm not happy though. It doens't make me manic or hypomanic; just productive. I have no intention of stopping it unless I take another MAOI. Wellbutrin can be taken with other antidepressants so I could try other things.
Wellbutrin can also be taken with a MAOI, despite official labeling to the contrary. Combining Nardil with Wellbutrin would offer you the possibility to adequately treat anhedonia. I will say that Wellbutrin makes a good adjunct to Pristiq.Regarding Lamictal, a sizable percentage of people experience cognitive side effects with it. Common complaints are related to memory impairment and brain fog. It seems to me unusual that Lamictal should produce a biologically induced state of suicidality as might a drug like Prozac. Perhaps the brain fog and lack of positive effect frustrates and demoralizes you to the point of precipitating a psychogenic suicidal state. This might indicate a need for some form of psychotherapy.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1045773
URL: http://www.dr-bob.org/babble/20130617/msgs/1045876.html