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Re: Bipolar DX based only on SSRI hypomanic response? » creepy

Posted by antennastoheaven on June 25, 2013, at 0:21:09

In reply to Re: Bipolar DX based only on SSRI hypomanic response?, posted by creepy on June 24, 2013, at 23:49:59

> Lamictal never got to 200mg+, right? below that point its mostly an antidepressant not much of a mood stabilizer. Id bet you went mixed / agitated on it before you got to a stabilizing dosage. Titrating up on lamictal can be very difficult. Anxiety, agitation, etc. Maybe adding a benzo or an AAP during titration might help?

The only effect I ever felt on lamictal was numbness - constant boredom and severe anhedonia that made me suicidal - at 100 mg, never took more. No anxiety or agitation at any dose and no other notable side effects. I was on Abilify at the time and taking Xanax as needed (which wasn't often)

> You might also consider the atypical antipsychotics. Antagonizing serotonin receptors might give benefit without triggering hypomania.

What would an AAP/antagonist do for depressive symptoms in those who do not have manic/hypomanic symptoms to control? Benefits of agonists make sense, in the case of Abilify for example.

 

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