Posted by azalea on October 4, 2008, at 22:50:16
In reply to SSRIs and BPII, posted by qbsbrown on October 1, 2008, at 22:03:55
Came across an excerpt that may be of interest . . .
The audience is psychiatrists, but it is useful from a patient perspective as well.From Current Psychiatry, June 2007:
Very little evidence exists on treating adult ADHD/BD; bupropion is the only medication studied in this population. For adult ADHD alone, clinical trials have showed varying effiacy with bupropion, atomoxetine, venlafaxine, desipramine, methylphenidate, mixed amphetamine salts, and guanfacine. Whether these treatments can be generalized as safe and efficacious for comorbid adult ADHD/BD is unclear. Nonetheless, we suggest using bupropion first, followed by atomoxetine or guanfacine before you consider amphetamine stimulants.> I know the newer stigma about ssris inducing mania and instability.
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> I have BPII and ADHD. I've begun Lexapro+Depakote+Dexedrine.
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> The ssri helps me with socialability (like my normal self), but seems to add or cause more mood instability.
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> Plus I can only sleep regularly on an SSSRI.
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> But I have also noticed that I need about twice as much of the stimulant if using an ssri.
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> Lamictal is an exhausted option for me (insomnia, anxeity, naseau/headaches)
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> If it's just depakote/dexedrine, i don't feel depressed, but im not social. I'll hyperfocus and just do my own thing, plus sleep is crap.
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> So there's my dilema and crossroads.
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> I'd appreciate some help/advice/suggestions.
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> You guys are the best.
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> Depakote+Provigil I was very social on, but I still couldn't concentrate on the job (plus depakote makes me stupid)
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> It it too much to have Provigil+Dexedrine+Depakote?
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> I'll stop now
poster:azalea
thread:855207
URL: http://www.dr-bob.org/babble/20080926/msgs/855803.html