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Re: Medication Treatment of Bipolar Disorder 2000 » Cam W.

Posted by Ritch on March 5, 2002, at 10:21:49

In reply to Medication Treatment of Bipolar Disorder 2000, posted by Cam W. on March 5, 2002, at 1:21:18

> The Guidelines are very good, but they have to be interpreted with caution. Anyone wanna critique it's short comings and praise it's strong points?
> Have fun - Cam

Hi Cam, Thanks for that one. The strong points? Well, it is consistent with my experience especially with regard to antidepressants and their effect on aggravating hypomania (generally).

The weak points? It is a consensus of opinions. It is very generalized. When it comes to BPII you will see a lot of variance with some treatment option scenarios. It doesn't address treatment intolerance effectively. The bizarro thing is how they seem to rate bupropion so high for not triggering hypomania, yet stimulants are rated down with TCA's for being very likely to trigger hypomania. Bupropion was worse in my case. You get the feeling that *all* symptoms are directly springing from the bipolar disorder. They seem to look at comorbidities as some sort of mirage (mistakenly in my opinion).

Mitch


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poster:Ritch thread:96446
URL: http://www.dr-bob.org/babble/20020301/msgs/96493.html