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drugs and manic switches judy1

Posted by beardedlady on June 10, 2002, at 10:01:51

In reply to Re: p.s. beardedlady, posted by judy1 on June 8, 2002, at 23:46:54

Judy:

> Just some notes- serzone is similar to remeron, both AD's that at very low levels are sedating. Do you get too tolerant on benzos? (most people do for sedation but not anxiety)

My pdoc said he rarely prescribes even low doses of remeron for women because they have all (in his experience) had severe weight gain. Xanax did not help me sleep; in fact, when it wore off, I felt extremely anxious. Serzone is fine for me. Some say it's weight neutral, but I have trouble losing the weight I've gained since I've been on it. My metabolism is slow. At a higher dose, I believe Serzone has an AD effect on me, rather than simply an anti-anxiety effect.

> I tend to feel bipolar disorder is extremely over-diagnosed. When there is a manic switch on an AD, that is considered
> drug induced and not true bipolar disorder (although Akiskal would term it BP3)

So in a case like Wendy's, for example, when she was on Zoloft for awhile and was then diagnosed with bipolar? In your opinion, does that mean Zoloft had a manic switch, and maybe it was caused by the drug? I really thought it was hereditary and that you sort of had it all your life--it didn't just show up one day. (That's only because the folks I know who had it had parents with it.)

Thanks!

beardy : )>


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poster:beardedlady thread:232
URL: http://www.dr-bob.org/babble/psycho/20020516/msgs/288.html