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Re: SSRIs for bipolar or anxiety » spike4848

Posted by Elizabeth on February 9, 2002, at 0:18:57

In reply to Yes Puzzle! » Elizabeth, posted by spike4848 on February 8, 2002, at 1:13:02

> Cause if you give a patient an SSRI who you think has severe anxiety and it turns out they really are bipolar .... things get ulgy fast .... mania, depression, cycling, suicide, etc. It would be nice to know the difference before.

I think you should be cautious with SSRIs (and TCAs too) if you're very anxious *or* if you're bipolar. SSRIs tend to make anxiety worse (at least, at first). This is especially true in panic disorder, but also somewhat for other anxious people. Starting at a really low dose (about 5 mg of Prozac or equivalent) is safest.

-e


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poster:Elizabeth thread:92727
URL: http://www.dr-bob.org/babble/20020208/msgs/93378.html