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Dr. Bob is Robert Hsiung, MD,
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Posted by Ima on August 28, 2003, at 14:52:25
As I read this and other similar sites, I have found a high percentage of people who feel that BPs dont do well on SSRIs.
Can someone help me with this question? Is this is anecdotal or is there research to support it?
I believe I am BP probably 2 and the only SSRI Ive taken did make me more manic.
Ive had that response with Tramadol also.(the tramadol I take for pain)
If I take tramadol to late in the day I cant sleep.
If BPs should not take SSRIs, then Im thinking I should probably discontinue the Tramadol.
What do you think?
I also have bouts of anxiety. I dont see that listed under symptoms of BP.
Should that be treated as a seperate condition?
Is it possible one med could deal with both?
Sorry so many questions at once.
thanx
peace
Ima
Posted by Ponder on August 31, 2003, at 14:36:44
In reply to BP AND SSRIs/ Some say BAD combo, any ideas?, posted by Ima on August 28, 2003, at 14:52:25
Ima,
Yes, there is research supporting the dangers of bipolars being on SSRI's. The current thinking seems to be that SSRIs are OK if you are also on a mood-stabilizer at the same time, but not a good choice as monotherapy.It is very common for anxiety to be a component of the bipolar constellation of symptoms. As I understand it, the anxiety can be a separate pathological entity, OR it can be a part of the bipolar. The way to tell is to notice if the anxiety fluctuates in concert with your cycles. If so, then getting the cycling under control should also reduce the anxiety. Either way, if you have anxiety, it makes sense to treat it somehow. Anxiety is bad for the body and increases the risk for depression.
BTW, I'm not a doctor or pharmacist. This is just what I have read.
This is the end of the thread.
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