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Re: MAOI-Bipolar » christophrejmc

Posted by Ritch on March 4, 2002, at 23:23:37

In reply to Re: MAOI-Bipolar, posted by christophrejmc on March 4, 2002, at 12:42:08

> Ritch,
>
> MAOIs are supposedly the ADs least likely to induce mania (save for Wellbutrin, maybe). Is your doctor MAOI-phobic, or is he worried about a [hypo]manic switch? Have you had similar problems before with antidepressants? Also, are you sure that your work screens for amphetamine? I didn't think this was a standard test (because many things can cause false positives)...
>
> -Chris
>
> > The reason why your doc won't prescribe MAOI's like Nardil is because you are bipolar and could induce a manic state. Have you given lithium a try? -Jason911

Chris,

To go by what meds generally (on the med grapevine)may cause the *least* hypomania in bipolars can be VERY deceiving. Wellbutrin triggered about as much or more hypomania than anything else. SSRI's in "usual" doses trigger far worse hypomania for me than TCA's ever have. Thus far stimulants have had the least hypomania associated with them, but they provoke a lot of anxiety. Oh, you betya work screens for amphetamines of any shape or color. If you stub your toe and ask the nurse for a bandaid-it gets written up and you get hauled for a piss test. If I am taking *anything* that is going to result in *any* possibility of "illegal" metabolites showing up in my urine/blood for *whatever* reason I want my ass covered with my doc's script.

Mitch


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poster:Ritch thread:96141
URL: http://www.dr-bob.org/babble/20020301/msgs/96437.html