Question:

Lately there has been a bunch of crap being posted on here about the SSRIs, such as Prozac and Paxil. Keep in mind that most of this information being posted is being posted by those  with a dx of hardcore bipolar manic depression. This is  a fundamentally different psychiatric illness than unipolar major depression. Many of these bipolar manic depressives trash SSRIs left and right every chance they get, making these drugs outto be the devil’s drugs or something. However the specifics are being left out in many of these bipolar’s posts which denigrate the SSRIs. Anytime you read something, especially when claims are made aboutsomething, you should ask yourself "who is this person who wrote this?"  You need to find out who they are, what their personal biases and slants are. So their posts can be taken in context of that person’s experiences. First of all, its a well known general rule in psychiatry that hardcore manic depressives do best to stay away from SSRIs if at all possible…ESPECIALLY Prozac. Its well established in the psychiatric literature that SSRIs can easily activate mania or hypomania in individuals with bipolar manic diagnosis. Prozac in particular is extremely dangerous for those with bipolar dx. This is due to Prozac’s extremely long half life…it takes forever for all of the Prozac to be excreted outof your body if you discontinue it. Oftentimes up to five weeks…sometimes more if the Prozac dose was  a large dose. If the Prozac activates mania or psychosis in a bipolar person, this means that the person must wait weeks or months before the Prozac is out of their system thus prolonging mania/psychosis/hypomania…Prozac can very much complicate a bipolar person’s life. Its best avoided  if you have a hardcore bipolar dx. However the same goes for all the SSRIs, Paxil, Zoloft…whatever. These drugs can all activate mania in susceptible individuals (bipolar).  What irritates me is when these bipolar people come onto a NG mainly oriented for unipolar depression and trash the SSRIs left and right, making these drugs to  sound as if they are totally evil and worthless for nothing. That might be true if you are a manic depressive, but its hardly true if  your dx is unipolar major depression or if you have a anxiety disorder like panic attacks, OCD, etc. The preferred "core" meds used for the bipolar manic spectrum mainly revolve around mood stabilizers like lithium, depakote, Topomax, Tegretol, etc. As well as various anti-psychotic medications. These are the meat and potatoes meds for those diagnosed with bipolar. If an antidepressant is needed Wellbutrin is the preferred AD as it has a reputation for having a low incidence of activing mania or psychosis. Sometimes bipolar folks do go on SSRIs or Effexor, with varying results. Sometimes it results in activation of mania/hypomania and sometimes that results in being hospitalized. So these bipolar people hanging out on ASDM lately they need to be much more specific in their posts. Sure, SSRIs might have been the absolute worst drug for THEM, but  keep  in mind what their diagnosis was to begin with. I mean what the fuck do you expect when your dx is bipolar manic depression and you go on an SSRI and  you subsequently flip out and activate into mania/psychosis. Surprise surprise surprise…actually no surprise at all its predictable. For those of us who are unipolar and not bipolar, these terrible things that happen with SSRIs with bipolar folks simply do not happen…sorry but you people need to be more honest in your posts and be more honest with you who are…bipolar manic depressives and your needs and requirements DO  NOT apply to those of us with unipolar depression. Please be more specific in your posts from now on. Such as saying, "yeah, SSRIs activated severe mania in me but then again what do you expect cause Im a bipolar manic depressive." Eric Steroids caused my depression…prednisone should be used conservatively http://groups.yahoo.com/group/FactsAndFallaciesOfDepression MIBS (Minimally Invasive Brain Stimulation) http://www.musc.edu/psychiatry/fnrd/tms.htm

Response:

– Hide quoted text — Show quoted text -> Lately there has been a bunch of crap being posted on here about the SSRIs, > such as Prozac and Paxil. Keep in mind that most of this information being > posted is being posted by those  with a dx of hardcore bipolar manic > depression. This is  a fundamentally different psychiatric illness than > unipolar major depression. Many of these bipolar manic depressives trash SSRIs > left and right every chance they get, making these drugs outto be the devil’s > drugs or something. However the specifics are being left out in many of these > bipolar’s posts which denigrate the SSRIs. > Anytime you read something, especially when claims are made aboutsomething, you > should ask yourself "who is this person who wrote this?"  You need to find out > who they are, what their personal biases and slants are. So their posts can be > taken in context of that person’s experiences. > First of all, its a well known general rule in psychiatry that hardcore manic > depressives do best to stay away from SSRIs if at all

possible…ESPECIALLY – Hide quoted text — Show quoted text -> Prozac. Its well established in the psychiatric literature that SSRIs can > easily activate mania or hypomania in individuals with bipolar manic diagnosis. > Prozac in particular is extremely dangerous for those with bipolar dx. This is > due to Prozac’s extremely long half life…it takes forever for all of the > Prozac to be excreted outof your body if you discontinue it. Oftentimes up to > five weeks…sometimes more if the Prozac dose was  a large dose. If the Prozac > activates mania or psychosis in a bipolar person, this means that the person > must wait weeks or months before the Prozac is out of their system thus > prolonging mania/psychosis/hypomania…Prozac can very much complicate a > bipolar person’s life. Its best avoided  if you have a hardcore bipolar dx. > However the same goes for all the SSRIs, Paxil, Zoloft…whatever. These drugs > can all activate mania in susceptible individuals (bipolar).  What irritates me > is when these bipolar people come onto a NG mainly oriented for unipolar > depression and trash the SSRIs left and right, making these drugs to sound as > if they are totally evil and worthless for nothing. That might be true if you > are a manic depressive, but its hardly true if  your dx is unipolar major > depression or if you have a anxiety disorder like panic attacks, OCD, etc. > The preferred "core" meds used for the bipolar manic spectrum mainly revolve > around mood stabilizers like lithium, depakote, Topomax, Tegretol, etc. As well > as various anti-psychotic medications. These are the meat and potatoes meds for > those diagnosed with bipolar. If an antidepressant is needed Wellbutrin is the > preferred AD as it has a reputation for having a low incidence of activing > mania or psychosis. Sometimes bipolar folks do go on SSRIs or Effexor, with > varying results. Sometimes it results in activation of mania/hypomania and > sometimes that results in being hospitalized. > So these bipolar people hanging out on ASDM lately they need to be much more > specific in their posts. Sure, SSRIs might have been the absolute worst drug > for THEM, but  keep  in mind what their diagnosis was to begin with. I mean > what the fuck do you expect when your dx is bipolar manic depression and you go > on an SSRI and  you subsequently flip out and activate into mania/psychosis. > Surprise surprise surprise…actually no surprise at all its predictable. > For those of us who are unipolar and not bipolar, these terrible things that > happen with SSRIs with bipolar folks simply do not happen…sorry but you > people need to be more honest in your posts and be more honest with you who > are…bipolar manic depressives and your needs and requirements DO  NOT apply > to those of us with unipolar depression. > Please be more specific in your posts from now on. Such as saying, "yeah, SSRIs > activated severe mania in me but then again what do you expect cause Im a > bipolar manic depressive."

Even you were 100% correct and SSRIs only activate homocidal mania in bipolars.. How do you explain the "normal" test subjects becoming suicidally depressed? regards, Bob ps Hope your feeling better and your changes help.. – Hide quoted text — Show quoted text -> Eric > Steroids caused my depression…prednisone should be used conservatively > http://groups.yahoo.com/group/FactsAndFallaciesOfDepression > MIBS (Minimally Invasive Brain Stimulation) > http://www.musc.edu/psychiatry/fnrd/tms.htm

Response:

<< Even you were 100% correct and SSRIs only activate homocidal mania in bipolars.. Yes I am right about SSRIs activating mania in bipolar manic depressives. Its well established that SSRIs do this to the bipolar people. VERY WELL ESTABLISHED. Prozac is usually contraindicated in bipolar. Anyone who has a strong bipolar history and messes with SSRIs is asking for it. This is well known in psychiatry. The antidepressant of choice for bipolar is Wellbutrin, preferably the extended release form of it Wellbutrin SR. Bipolars mostly stick to mood stabilizers and anti-psychotics as their "meat and potatoes" drugs…antidepressants for bipolar is usually not the most important drug. >How do you explain the "normal" test subjects becoming suicidally depressed?

I dont know. I suspect that the extreme SSRI activation that SSRIs can cause early in starting an SSRI scares some patients, especially ones with prominent anxiety. Perhaps this activation with increased anxiety that SSRIs cause can make some depressives more depressed for a few weeks, I do agree that SSRIs oftentimes make you feel actually worse for a week or two when you first start taking them. This is probably where it comes from. I do agree the pharmaceutical companies…and doctors also….should do a better job of informing people who are going to take SSRIs of the early onset adjustment side effects of these meds, the "SSRI activation" especially as it can be quite scary for some who do not understand what is going on. The key to the SSRIs is to realize they make you feel shittier in the beginning but once the body adjusts after a few weeks you begin feeling much better. Eric regards, Bob ps Hope your feeling better and your changes help.. Steroids caused my depression…prednisone should be used conservatively http://groups.yahoo.com/group/FactsAndFallaciesOfDepression MIBS (Minimally Invasive Brain Stimulation) http://www.musc.edu/psychiatry/fnrd/tms.htm

Response:

– Hide quoted text — Show quoted text -> << Even you were 100% correct and SSRIs only > activate homocidal mania in bipolars.. > Yes I am right about SSRIs activating mania in bipolar manic depressives. Its > well established that SSRIs do this to the bipolar people. VERY WELL > ESTABLISHED. Prozac is usually contraindicated in bipolar. Anyone who has a > strong bipolar history and messes with SSRIs is asking for it. This is well > known in psychiatry. > The antidepressant of choice for bipolar is Wellbutrin, preferably the extended > release form of it Wellbutrin SR. Bipolars mostly stick to mood stabilizers and > anti-psychotics as their "meat and potatoes" drugs…antidepressants for > bipolar is usually not the most important drug. >How do you explain the "normal" test subjects becoming suicidally depressed? > I dont know. I suspect that the extreme SSRI activation that SSRIs can cause > early in starting an SSRI scares some patients, especially ones with prominent > anxiety. Perhaps this activation with increased anxiety that SSRIs cause can > make some depressives more depressed for a few weeks, I do agree that SSRIs > oftentimes make you feel actually worse for a week or two when you first start > taking them. This is probably where it comes from. > I do agree the pharmaceutical companies…and doctors also….should do a > better job of informing people who are going to take SSRIs of the early onset > adjustment side effects of these meds, the "SSRI activation" especially as it > can be quite scary for some who do not understand what is going on. > The key to the SSRIs is to realize they make you feel shittier in the beginning > but once the body adjusts after a few weeks you begin feeling much better.

Well in that case just prescribing them and sending people away verges on criminal irresponsibity.. and there should be some prosecutions to go along with the SSRI horror stories. regards, Bob – Hide quoted text — Show quoted text -> Eric > regards, > Bob > ps Hope your feeling better and your changes help.. > Steroids caused my depression…prednisone should be used conservatively > http://groups.yahoo.com/group/FactsAndFallaciesOfDepression > MIBS (Minimally Invasive Brain Stimulation) > http://www.musc.edu/psychiatry/fnrd/tms.htm

Response:

>First of all, its a well known general rule in psychiatry that hardcore manic >depressives do best to stay away from SSRIs if at all possible…ESPECIALLY >Prozac.

I was treated with ssri’s for years, after being dx’ed bipolar, you need a ms……duh. Remove the **** from my address for email replies…. —–= Posted via Newsfeeds.Com, Uncensored Usenet News =—– http://www.newsfeeds.com – The #1 Newsgroup Service in the World! —–==  Over 80,000 Newsgroups – 16 Different Servers! =—–

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