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SSRIs

Selective Serotonin Reuptake Inhibitors

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Tag: Anti Depressants

Question:

> I’m going to add welbutrin to a low dose of tofranil.  Will I be gaining > weight? > Suzy

You will grow hair on your feets! Get all hyped up – and then they put you on SSRIs and you become all messed up!

Response:

– Hide quoted text — Show quoted text ->> I’m going to add wellbutrin to a low dose of tofranil.  Will I be gaining >> weight? >> Suey >You will grow hair on your feats! >Get all hyped up – and then they put you on SSRIs and you become all messed >up! > No, she’ll just have seizures..

Yes… like my ex-wife and now a *documented* Child abuser and psychiatrist, Ingrid Eve Runden, MD. > Seriously though yes you may lose weight on Wellbutrin.

Runden did.. > Another > reason that I am upset with my current pdoc is that Anorexia can be > caused or set off by Wellbutrin and Wellbutrin should not be given to > anorexics.

You should have told that to Psychiatrist Runden. > I was quickly approaching anorexia and my pdoc was aware of that when > he prescribed Wellbutrin for me. > To make matters worse he had me take Wellbutrin for over a year and I > would still be on it if he had his way.  The new pdoc that I had a > consultation with last week and the majority of pdocs feel that > someone with bipolar should not take an anti depressants for more than > a few weeks!

Hmm… was Runden bipolar? Nope.. not at first anyway.. Just "depressed" – she started on Wellbutrin, then "did the rounds" of everything…. Standard… I should post the "family medical history" and ALL THE SCRIPTS "for the family" – nearly ALL OF IT WAS HER… > u

http://groups.google.com/groups?hl=en&lr=&safe=off&ic=1&th=77c90bd999… seekd=947843002#947843002

Response:

grow up you sorry ass excuse for a human – Hide quoted text — Show quoted text -> I’m going to add welbutrin to a low dose of tofranil.  Will I be gaining > weight? > Suzy > You will grow hair on your feets! > Get all hyped up – and then they put you on SSRIs and you become all messed > up!

Response:

Question:

Hello All, I’ve been on Prozac for a while now and I feel that I’m not happy.  I’m on 60 mgs. a day, after a recent 20mg increase and have been on it for a couple years at lower doses. I also take1000 mgs of Depakote twice a day and .175 mg of Synthroid. I have everything to be thankful for and I can’t even get a real smile out. My sex drive sucks big time and I’m basically facing each day with no emotions. Has anyone experienced anything similar to this ? Can anyone offer any suggestions on how to cope with this besides changing medications ? Any help will be greatly appreciated. TIA

Response:

>I have everything to be thankful for and I can’t even get a real smile out. >My sex drive sucks big time and I’m basically facing each day with no >emotions.

There are many substances used to counteract SSRI induced sexual disfunction. Ginko Biloba is one that has a good reputation with delayed orgasm or impotency. Try about 200mg/day for a couple of weeks then titrate up or down as needed. Yohimbe helps with desire. Try 2,000mgs only as needed and CAUTIOUSLY increase the dose if needed…Yohimbe can be too energizing for some people. You also might want to look into a different type of AD. Many people find that SSRIs act more as mood anaesthetics than as anti depressants…ask about Effexor, Wellbutrin, Remeron…

Response:

I sure feel less, as i complained in other posts…but, I do feel anger and being upset (and yes, sometimes a little happy)…i seem to be less crying, and to be able to ‘controll’ my anger more As i write this down, it’s like i’m happy with the prozac-result…but i’m not: i still feel down and the negative feelings still have the upper hand , only the sharp edges are rounded, and i guess it’s easier to live with me (as i’m more in controll) i’m having so many ambivalent thoughts on this prozac-cure…i expected ‘more’ of it late – Hide quoted text — Show quoted text ->Hello All, >I’ve been on Prozac for a while now and I feel that I’m not happy.  I’m on >60 mgs. a day, after a recent 20mg increase and have been on it for a couple >years at lower doses. I also take1000 mgs of Depakote twice a day and .175 >mg of Synthroid. >I have everything to be thankful for and I can’t even get a real smile out. >My sex drive sucks big time and I’m basically facing each day with no >emotions. >Has anyone experienced anything similar to this ? Can anyone offer any >suggestions on how to cope with this besides changing medications ? Any help >will be greatly appreciated. >TIA

Response:

- Hide quoted text — Show quoted text – > I sure feel less, as i complained in other posts…but, I do feel anger > and being upset (and yes, sometimes a little happy)…i seem to be less > crying, and to be able to ‘controll’ my anger more > As i write this down, it’s like i’m happy with the prozac-result…but i’m > not: i still feel down and the negative feelings still have the upper hand > , only the sharp edges are rounded, and i guess it’s easier to live with > me (as i’m more in controll) > i’m having so many ambivalent thoughts on this prozac-cure…i expected > ‘more’ of it > late > says… >Hello All, >I’ve been on Prozac for a while now and I feel that I’m not happy.  I’m >on 60 mgs. a day, after a recent 20mg increase and have been on it for a >couple years at lower doses. I also take1000 mgs of Depakote twice a day >and .175 mg of Synthroid. >I have everything to be thankful for and I can’t even get a real smile >out. My sex drive sucks big time and I’m basically facing each day with >no emotions. >Has anyone experienced anything similar to this ? Can anyone offer any >suggestions on how to cope with this besides changing medications ? Any >help will be greatly appreciated. >TIA

Damn, I thought I was depressed until I started reading here!  I’m not even sure I wanna take this crap.  I just started about 5 days ago and feel rather "dull" myself….anyone ever have good results using it or is it always just a dead end street?  I dont want to end up thinking about killing my boss (Well maybe later ;-) ) and I guess I’m happy sometimes at least a little while every day……  

Response:

Question:

Dear Sarah — Welcome to the group. . . it certainly sounds like you have been going through a rough bit for the past while. I must say that your choice of Erik Satie and the tea sounds like a perfect way to get some relaxation for the spirit … Satie’s music is full of wondrous creativity. It is ironic that he went completely mad at the end of his life due to a brain tumour that caused a tremendous amount of inter-cranial pressure … he is know by many classical musicians as the master of the absurd for his inventiveness and creative ingenuity. Much of what you describe "sounds familiar" as being classic behaviour of mania, mania with psychosis, or, in extreme cases, even hypo-mania (I have done some of what you described and I have never been fully manic. . . as far as I know <grin>). This is definitely a group where you will fit in — as well, compulsive disorders are often things that accompany bipolar affective disorder. Some of the anti-depressants, specifically those in the SSRI’s target obsessive behaviour (sertraline is one — Zoloft, fluoxitine is another — Paxil) — however, before taking an SSRI be sure that you are on a mood stabilizer as these drugs can also precipitate manic episodes and be very destabilizing for people with bipolar disorder. As to your question regarding addiction — it is often found, and I have found this true in my life, that people with bipolar disorder have "addictive disorders" and can easily fall into the traps that are out there. I know many bp’s who are recovering addicts and recovering alcoholics. There is no shame in this — it is something to overcome on the road to stability. Self-medication is often the first-course of treatment, and sometimes the only line of treatment that many bp’s will experience. Hemingway used alcohol — and eventually took his life. . . so, is medication better? Many will argue against it — but it has saved many lives, and many people are living lives with a much better level of quality to it because of medication than if they were going untreated. Anyway, welcome again to our little corner of craziness. . . and watch out for the trolls — Phoenix, Fred, SSRIHater. . . they are pretty easy to spot after a few minutes. Take care, Peter — Amsel The ingeniously CrazyComposer They say that genius and insanity are closely related. . . . So, who are "they" anyway?

Response:

You sound manic-depressive, Sarah, with some OCD symptomatology — not uncommon in bipolars (actually up to a 35% comorbidity rate).  You also sound like you’re getting your head back together, but you need to achieve stability. Keep up the good work, and keep posting.  It’s nice to hear from someone coherent once in a while.  =) Viscount – Hide quoted text — Show quoted text – >Hey its just started softly snowing here, I’m trying to listening to Erik >Satie drinking Jasmine Green Tea while trying to stay calm after 4 weeks >with no proper sleep and rapid cycling oh yeah and a mere week of complete >psychosis…unfortunately during the week joined AA and NA and decided  to >take all the twelve steps in one week with lots of different sponsors!!!, >Made lots of new friends with compulsive acting out behaviour… I can >recommend it!–Started driving lessons and bought myself a book learn to >drive in two weeks …!!!! scared to go out or to pick up the phone… as >God knows what I’ll next start joining… taking second Master’s degree >(Why?) became obsessed with texting everyone I know!!! Hundreds of times >during day and night even when they were at work or sleeping…just to say >sorry for keep texting them!!!! Sort of stalking by text. Started lots of >new really heavy intense relationships and even managed to resurrected a few >old ones!!!! Became obsessed with spirituality although previously being an >atheist, became a vegetarian boarding on being a vegan….Rang all my family >to apologise for pissing them off ,then got pissed off with them all again >and fell out with them all in my head!!!! The only hope of not being >sectioned is if I get snowed in and all my means of communication all fail >at once so I can’t keep getting high on People, Places and Things!!!! >Does any of this sound at all familiar to anyone or am I in the wrong >newsgroup!!!??? >Does anyone else here worry if they have drug or alcohol problems? Self >abuse through debt, relationships, food in fact everything you can get your >hands on!!!!!Does anyone ever try to self medicate and then abuse their >meds???? >Am I an addict or MD or both???? Where do I belong????? >Does anyone here have uncontrollable compulsive behaviour? Compulsive >washing, tidying, talking, eating not eating,,,, you name it I can never >just be!!!! >Apart from that everything’s fine!!!!!

"Fex urbis, lex orbis" [Dregs of the city, law of the world] — St. Jerome

Response:

Hey its just started softly snowing here, I’m trying to listening to Erik Satie drinking Jasmine Green Tea while trying to stay calm after 4 weeks with no proper sleep and rapid cycling oh yeah and a mere week of complete psychosis…unfortunately during the week joined AA and NA and decided  to take all the twelve steps in one week with lots of different sponsors!!!, Made lots of new friends with compulsive acting out behaviour… I can recommend it!–Started driving lessons and bought myself a book learn to drive in two weeks …!!!! scared to go out or to pick up the phone… as God knows what I’ll next start joining… taking second Master’s degree (Why?) became obsessed with texting everyone I know!!! Hundreds of times during day and night even when they were at work or sleeping…just to say sorry for keep texting them!!!! Sort of stalking by text. Started lots of new really heavy intense relationships and even managed to resurrected a few old ones!!!! Became obsessed with spirituality although previously being an atheist, became a vegetarian boarding on being a vegan….Rang all my family to apologise for pissing them off ,then got pissed off with them all again and fell out with them all in my head!!!! The only hope of not being sectioned is if I get snowed in and all my means of communication all fail at once so I can’t keep getting high on People, Places and Things!!!! Does any of this sound at all familiar to anyone or am I in the wrong newsgroup!!!??? Does anyone else here worry if they have drug or alcohol problems? Self abuse through debt, relationships, food in fact everything you can get your hands on!!!!!Does anyone ever try to self medicate and then abuse their meds???? Am I an addict or MD or both???? Where do I belong????? Does anyone here have uncontrollable compulsive behaviour? Compulsive washing, tidying, talking, eating not eating,,,, you name it I can never just be!!!! Apart from that everything’s fine!!!!!

Response:

Question:

I don’t know about you but my wife is having a pretty difficult time with coming to terms that I have arthritis at the age of 35! I am currently off work, infact I have been for the last four years. My daily role is walking my youngest son to school and tidying up the house while my wife goes to work. More recently I have been sleeping a lot in the day, something my wife cannot get to grips with. I am also on anti-depressants (Paroxetine) because of my employment situation and my arthritis. I recently found out that my wife had been ringing some guy she met at a food and drink show way back in November. Although she has explained to me that there is nothing going on and she just needed an ‘outsider’ to talk to. I am not a jealous type of person and I understand that you can have a relationship with someone of the opposite sex. However, this guy is some years younger than me and a lot less fitter! Initially I flew off the handle when I heard about this ’secret’ relationship but have since wrote to the guy and apologised for getting the wrong end of the stick. I still can’t help but feel a slight sense of betrayal and put a lot of it down to me having too much time on my own during the day. Admittedly, I don’t do too much around the house – peeling potatoes is a pretty hard task. Anyway, how have your partners come to grips with your impairments? Have they been supportive? Have any relationships broken down because of your impairments? I just need to know that I’m not alone on this one. Bob

Response:

(Snipped) > I don’t know about you but my wife is having a pretty difficult time with > coming to terms that I have arthritis at the age of 35! > I recently found out that my wife had been ringing some guy she met at a > food and drink show way back in November. Although she has explained to me > that there is nothing going on and she just needed an ‘outsider’ to talk to. > I still can’t help but feel a slight sense of betrayal and put a lot of it > down to me having too much time on my own during the day. Admittedly, I > don’t do too much around the house – peeling potatoes is a pretty hard task.

Hmmmm. I don’t like the sound of that, Bob. I’m sure it is all quite innocent, but the truth is, it hurts you. I don’t think you need to bend over backwards to accommodate your wife’s new friendship. I’d let her know that, even though you understand it is platonic, you still feel left out. (I assume she’s spending more time on this new friendship than is comfortable for you.) Does she spend less time talking to you? If so, then her new relationship isn’t helping your marriage, IMHO. Can you see a counselor? Maybe marriage counseling would help, not only with this problem but it might help your wife come to grips with your arthritis. I hope she will be considerate of your feelings. Love and hugs, Cat

Response:

- Hide quoted text — Show quoted text – > I don’t know about you but my wife is having a pretty difficult time with > coming to terms that I have arthritis at the age of 35! > I am currently off work, infact I have been for the last four years. My daily > role is walking my youngest son to school and tidying up the house while my > wife goes to work. > More recently I have been sleeping a lot in the day, something my wife cannot > get to grips with. I am also on anti-depressants (Paroxetine) because of my > employment situation and my arthritis. > I recently found out that my wife had been ringing some guy she met at a food > and drink show way back in November. Although she has explained to me that > there is nothing going on and she just needed an ‘outsider’ to talk to. > I am not a jealous type of person and I understand that you can have a > relationship with someone of the opposite sex. However, this guy is some years > younger than me and a lot less fitter! > Initially I flew off the handle when I heard about this ’secret’ relationship > but have since wrote to the guy and apologised for getting the wrong end of > the stick. > I still can’t help but feel a slight sense of betrayal and put a lot of it > down to me having too much time on my own during the day. Admittedly, I don’t > do too much around the house – peeling potatoes is a pretty hard task. > Anyway, how have your partners come to grips with your impairments? Have they > been supportive? Have any relationships broken down because of your > impairments? > I just need to know that I’m not alone on this one. > Bob

Marriage is a partnership… and if she’s keeping the relationship a secret and not including you in their activities, then she’s not being a very good partner. Not to say anything wrong is going on… just that she should be putting you first in her life and be more considerate of your feelings… since she made a few vows to do just that. I wonder how she would feel if you started hanging out with another women and didn’t tell her or include her??? Will

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Question:

I’ve had ECT a lot (at least 30 times in the past 3 years) and I agree it’s useful sometimes. Of course it’s a last resort for the treatment resistant or the suicidal in imminent danger (I was the former). I didn’t find it "torture" although I was terrified the first time, and I bit my tongue once and that hurt like hell. The doc doing it was great. Anything that snaps you out of a particularly long or particularly nasty depression is worthwhile in my book.

Response:

I witnessed a friend’s ECT first hand, daily. The doctors WERE torturing her, not trying to help. Because they could. And to my eternal shame, because I let them. They knew it. It was nothing less than human experimentation. I’m glad you had good results, but if you ask ANYONE IN THE ENTIRE MEDICAL FIELD, they will tell you that they have no idea why ECT works when it does and how it works if it does. If you cannot repeat the experiment and get the same results, it isn’t science. I’s less than voodoo. My friend STILL had to take anti-depressants after the ECT.  So which one worked? Jim "Must the breathing pay for those who breathe in and don’t breathe out? There’d be no game brother, if no one’d play…" Don Van Vliet (aka Captain Beefheart) "Petrified Forest" from "Lick Off My Decals Baby"

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I`ve had ECT in ten series, each serie for about 5-6 treatments.  They are tremendously effective on my deep depressions. Now I eat Neurontin and Lamictal and I feel well stabilised so far. Thank you James ! Sorry for my bad English. — regards Josef zero.spam_m8639.abc.se_zero.spam To mail please remove "_zero.spam_"

> I don’t agree.  I had ect last nov. and it helped me

tremendously

Response:

> I witnessed a friend’s ECT first hand, daily. The doctors WERE torturing her, > not trying to help. Because they could.

I witnessed a friend of mine who was studying to be a literary critic being turned into a retard by frivolous use of ECT. The same doctor who was abusing me at the time took exception to something he told her and decided to destroy his brain. He died not too long ago, actually, after struggling for about five years. Whenever someone says ECT does anything good, I think of him and want to punch their face in. — –Qliphoth Evilbastard * Listowner, Esoteric-Emotions (http://www.onelist.com/subscribe.cgi/esoteric-emotions) "The ability to speak does not make you intelligent…" (Qui-Gon Jinn)

Response:

> > I witnessed a friend’s ECT first hand, daily. The doctors WERE torturing her, > not trying to help. Because they could.

Hi, I have to disagree with the negative opinions on ECT.  Like I’ve said before, I work in the Psychiatry department of a large teaching hospital, and I can think of a number of patients who have gotten MUCH better after ECT.  Of course, purposely inducing a seizure in someone sounds terrible, and the idea of it clearly has evoked a strong emotional response in a lot of people – but perhaps a look at some scientific facts would be preferable.  Fact 1) patients receiving ECT are given muscle relaxants and anesthesia.  If you observe someone receiving ECT, basically you see a motionless person lying asleep on a table. They DO NOT have the stereotypical tonic/clonic movements typically associated with seizures, and they have no memory of the ECT. It’s not clear to me how a motionless sleeping person would look tortured.  2) Its true that scientists don’t really know how or why it works – the idea to try it came from an empirical observation that patients with seizure disorders and comorbid psychiatric problems often experienced a lessening of those symptoms following a seizure.  Nobody knows how Lithium works either, its use is also empirically based rather than hypothesis-driven.  (An example of a hypothesis driven treatment would be an SSRI like fluoxetine or sertraline).  In short, we use it because it works. 3) ECT has practically no side affects, except for some short-term memory loss which clears up.  Compare this with some of the wretched side effects we’ve probably all experienced at some point – nausea, diarrhea, tremor, sedation, hair loss, etc.  In fact a recent paper has even demonstrated its utility in treating depression in elderly patients with dementia.  These types of patients are always particularly prone to side effects from meds, but when given ECT, most were improved and suffered no long-term cognitive effects. 4) ECT has been around a long time (since at least the fifties, and experimentally even before). Does that mean it’s outdated? Maybe… What it definitely means is that there is TONS of data on its safety and efficacy.  That kind of long-term data just doesn’t exist on new drugs like lamotrigine or gabapentin.  What are the long-term (20 years or more) effects of taking these drugs? It’s a big question mark.  The recent "Redux" debacle is a prime example of the fact that even the most extensive pre-approval trials can’t predict everything that could possibly happen in the future when a new drug is put on the market. In short, there is MUCH to be said for treatments that are "tried and true". Jeannie Before you buy.

Response:

I don’t agree.  I had ect last nov. and it helped me tremendously.  I had short term memory loss for a few weeks but after that everything was fine.  I would recommend it to anyone.  I had 6 treatments in a matter of 2 weeks.  Last year I was hospitalized 3 times, the last time being for 6 weeks.  This year I have only been there once and that was only for 6 days and it was my fault I landed in there.  Have you had ect? fuzz

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and psychiatrists who continue to use it are out of control. Jim "Must the breathing pay for those who breathe in and don’t breathe out? There’d be no game brother, if no one’d play…" Don Van Vliet (aka Captain Beefheart) "Petrified Forest" from "Lick Off My Decals Baby"

Response:

When I was in the hospital I used to look thru a small window and watch them do ECT all day long on tuesdays and wendsdays. I always talked to the people right after it,  they seemed to be ok after it.  and they were discharged sooner than those of us that did not get ECT treatments It was only used on people that  were very,  very depressed. All  I know is this,  I was very afraid of ECT at the time, I did not ever want to get it, so I figured that if anyone ever asked me if i was depressed I would say Hell no I feel fine and it worked I never got depressed

– Hide quoted text — Show quoted text ->and psychiatrists who continue to use it are out of control. >Jim >"Must the breathing pay for those who breathe in and don’t breathe out? >There’d be no game brother, if no one’d play…" >Don Van Vliet (aka Captain Beefheart) >"Petrified Forest" from "Lick Off My Decals Baby"

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Question:

My heart goes out to you and your fiance. Anti-depressants can trigger a manic episode, particularly the SSRIs (Paxil, Zoloft, et al). They also may induce or aggravate rapid cycling – moving from the highest high to the lowest low several times in a given time period (which varies from doc to doc. Stress causes me to have manic episodes. My dad died unexpectedly in April, and I acted like a complete nut. Yelling, crying, assuming everyone was out to get me…all this at my father’s funeral. I viewed every new depression as a failure.  That’s because I thought I could make myself stop having them.  Seems wacky now but as you know us BP’s are a creativelot! My doc took me off Paxil, substituted Wellbutrin, and gradually introduced Zoloft. I have been on mood stablizers throughout (Lithium and Depakote).  I haven’t had a manic or depressive episode since November. The biggest thing for me is knowing that people love me even when I don’t. These are the people who remind me that the clouds will lift and life is worth living since my illness has been diagnosed and treated. This is too long, but I’m not going to edit it. If your fiance has a psychiatrist, she should share what you shared here, exploring ways to handle stress.  Good luck! Before you buy.

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YES!!! Paxil and zoloft both did it for me and it has happened bot with and without a mood tabilizer…

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Sorry to hear about your troubles. Anti-depressants without a stabilizer sent me into a hypomanic ride last year. I ended up in the hospital for a month suffering major depression.  They started me on Effexor and I went hypomanic…they refused to put me back on it and tried Wellbutrin with Lithium, Neurontin and Depakote. I was fine for several months then got depressed went back in the hospital and begged them to try Effexor again since it was the only med that turned on the lights in my head. My docs did and I was fine since I had stabilizers. I was off meds for 6 months recently and headed towards trouble. I am now back on Effexor XR with Lithium and Neurontin daily. I feel fine and have been on this regime for 2 months. Sorry for the lengthy story here…We’re all different but my I’ve heard that rapid cycling and mixed state bipolar is the touchiest to treat with a.d’s because they can loft one towards mania. Hope things get better for your loved one. – Hide quoted text — Show quoted text -> hi. > been here before about 8 months ago . my girlfriend was diagnosed bi-polar > then and went through a 2 week / then 8 week spell in hospital . she ended > up being on 1000mg of pridal (litium ) and not sure the mg of effexor . > now she is back in hospital again . Could the effexor have been a > contributing factor ? . > 2nd Q .. > we were due to get married the last time it happened but couldn’t because of > the attack… We were going to my brothers wedding this time and even though > she went through the weekend fine (actually on a bit of a high), a few days > later this happened .  Seeing as she had a 6 year run without an episode > until last march and again now , is it possible that without major events to > trigger the disorder that she can have a relatively normal life or am i just > grabbing at straws? > thanking you > david o mahony

Response:

David, I don’t know the answer to your first question.  I suspect that most antidepressants have the capability of sending BiPolars into mania, but I will leave it to the pros to give you the final say on that one. As far as your girlfriend living a "normal" life between emotional upsets, it’s hard to say.  Even if it were possible to remain stable when things are ducky, how could you or her forsee or stop potential upheaval?  I think your best bet is to arm yourself with as much knowledge as you can about her illness…and her particular patterns…each one of us is different.   If you marry you must be prepared to deal with her illness. Then you must be willing to stick with her even when theings get out of control.  The last thing she needs is her husband abandoning her during a critical episode of depression or mania.   If you are unable to imagine the worst,and still stand by her then I commend you.  If    you can’t than you will be doing a great disservice to the both of  you.  The best of everything and good luck.

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hi. been here before about 8 months ago . my girlfriend was diagnosed bi-polar then and went through a 2 week / then 8 week spell in hospital . she ended up being on 1000mg of pridal (litium ) and not sure the mg of effexor . now she is back in hospital again . Could the effexor have been a contributing factor ? . 2nd Q .. we were due to get married the last time it happened but couldn’t because of the attack… We were going to my brothers wedding this time and even though she went through the weekend fine (actually on a bit of a high), a few days later this happened .  Seeing as she had a 6 year run without an episode until last march and again now , is it possible that without major events to trigger the disorder that she can have a relatively normal life or am i just grabbing at straws? thanking you david o mahony

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Question:

Does smoking dope cause problems when on the anti-depressant Zoloft 50mg (Sertraline-HC1)? KM

Response:

Zoloft & marijuana combination never bothered me.  YMMV. Tesa

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Question:

I’ve always understood that anti-depressants were bad for bipolars because it would cause mania…Prozac, especially.  Am I wrong?

Response:

I had a  manic episode when my dosage of zoloft was too high(150mg) Once it was lowered to 100mg and I was also put on Lithium my moods seemed to even out a bit. – Hide quoted text — Show quoted text – > I’ve always understood that anti-depressants were bad for bipolars because it > would cause mania…Prozac, especially.  Am I wrong?

Response:

My doc says jitters are "a side effect unnecessary to the antidepressant effect" & takes someone off Prozac if they have jitters at all.  As a general rule, my doc is against using a drug to cover up / alleviate the side effect of another drug. According to my doc, SSRI’s (Prozac "family" of drugs) can be classified by how quickly they cause serotonin to be released.  Prozac causes the quickest release & jitters in many people, while a drug like Serzone causes a slow release, which has a calming effect for some. There are now many SSRI’s to choose from.  Prozac was the first, but is not always the best.                        - fwiw

Response:

> My doc says jitters are "a side effect unnecessary to the antidepressant > effect" & takes someone off Prozac if they have jitters at all.  As a > general rule, my doc is against using a drug to cover up / alleviate the > side effect of another drug. > According to my doc, SSRI’s (Prozac "family" of drugs) can be classified > by how quickly they cause serotonin to be released.  Prozac causes the > quickest release & jitters in many people, while a drug like Serzone > causes a slow release, which has a calming effect for some.

I don’t like to contradict doctors but that isn’t how SSRIs work. They do not increase the release of serotonin – they allow it to hang around and do its job for longer, hence the name: selective serotonin re-uptake inhibitiors. They slow down the body’s rate of absorption, in effect. Doctors, eh? What *are* they like? ;) > There are now many SSRI’s to choose from.  Prozac was the first, but is > not always the best.                        - fwiw

That bits true :) — Gary Cooper

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