Posted by bleauberry on April 26, 2008, at 18:46:27
In reply to Crazy On You - Heart, posted by twinch42085 on April 26, 2008, at 1:26:06
Stimulants...hard to say, every person has their own favorite. For me, Ritalin reliably lifts my mood and energy, and then reliably gives me a strange mix of strong anxiety plus fatigue about 4 hours later after it is wearing off. Ritalin to me is effective, but it is a roller coaster ride requiring multiple daytime doses and possibly some kind of relaxant to come down gently in the evening.
Adderall sent me into a vicious depression about 2 hours after I took it. Scared me. Hands shaking, hypersensitive, depressed. But, most people I think prefer Adderall to Ritalin. I found them to be completely different. Ritalin is a friend when I need it, Adderall is not.
Wellbutrin is said to be the safest AD to take with bipolar. I think Zoloft is friendly too, at low doses (12.5mg-25mg). Some clinicians claim that SSRIs actually make good mood stabilizers themselves, that the snris are the dangerous ones for bipolar. In my own experience, I kind of agree with that.
If it were me, I would try Wellbutrin first since it is monotherapy. If no good, add Zoloft. If no good, ditch Wellbutrin, keep Zoloft, add Ritalin. But, that's just me.
poster:bleauberry
thread:825546
URL: http://www.dr-bob.org/babble/20080420/msgs/825637.html