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Re: Want to try Viibryd and Lithium Carbonate(Dr: No!)

Posted by SLS on January 14, 2016, at 6:02:12

In reply to Re: Want to try Viibryd and Lithium Carbonate(Dr: No!), posted by Lamdage22 on January 14, 2016, at 5:22:44

Wellbutrin is an interesting drug in that it has a reduced rate of inducing mania, despite its effects on dopamine and norepinephrine. Since you do not have a bipolar component to your illness as you describe, this would not apply to you. In other words, Wellbutrin might still have a tendency to produce anxiety, agitation, anger, and perhaps psychosis. It would be hard to predict with you.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2811866/

I understand your reluctance to try anything for which psychosis has been reported. Perhaps you could increase your dosage of Zyprexa temporarily before adding the Wellbutrin. If you do not have a psychotic reaction, then you can then try to reduce the Zyprexa. I REALLY hate to disqualify any possible treatment from consideration in TRD. However, I do have some experience with severe manic psychosis. I have an appreciation for its intensity.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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poster:SLS thread:1085357
URL: http://www.dr-bob.org/babble/20151225/msgs/1085384.html