Posted by dove on September 27, 1999, at 8:50:37
In reply to Re: Wellbutrin--question for John, posted by JohnL on September 27, 1999, at 6:05:08
My psych-doc mentioned that wellbutrin is the least likely of all antidepressants (including TCA's, MAOI's and SSRI's)to cause mania in bipolar's. He also said that you could combine wellbutrin, a psycho-stimulant and a mood stabilizer for an effective treatment of severe depression with a history of mild mania (i.e. hypomania.)My daughter went total manic on SSRI's opposed to Wellbutrin and BuSpar, which relieved the anxiousness and depression with no mania. She is very stable now on only BuSpar.
The Paxil was the absolute worst for the mania. She literaly bounced off the walls, spent a lot of time looking for high places to jump from, tried to make her own parachute so she could base-jump. I would think it would be better to use an antidepressant that doesn't have such a high profile for causing mania and take out the heavy-hitter (i.e. Lithium) for the mood stabilizer using something a little more friendly. I'm not a doc though, this is just my humble opinion.
Take care.
dove
poster:dove
thread:12039
URL: http://www.dr-bob.org/babble/19990914/msgs/12119.html