Posted by PsychoSage on March 14, 2004, at 13:48:59
In reply to Re: Expert Opinions Please on My ADD/BPII Med Cocktail, posted by PsychoSage on March 14, 2004, at 9:52:03
here is an excerpt from something that reminded me of your thread:
For years, the dogma was that stimulants should be avoided for bipolar patients because they will cause mania. Although mood charting sometimes reveals that stimulants will promote cycling, they may occasionally be quite effective in bipolar depression as an adjunct to a mood stabilizer regimen. Some patients, perhaps especially those with comorbid ADD, will in fact have a mood stabilizing effect from stimulants; there are cases in the literature of acute mania responding to stimulants extremely rapidly (see. e.g., Bschor et al). More often, a bipolar II patient with prominent depression will benefit from the addition of a stimulant with diminished anergy; of course, monitoring for a destabilizing effect is necessary, and mood charting here will be useful. Careful and close follow-up of response to stimulants is clearly warranted, but they should not be absolutely shunned, either in depressed or manic phases.
i found the link above at this link: