Posted by linkadge on May 13, 2010, at 14:39:44
In reply to Re: How do you get them to prescribe the med you want? » conundrum, posted by bulldog2 on May 13, 2010, at 14:25:54
Somtimes the noradrenergic / dopaminergic drugs can actually help bipolar disorder more than SSRI's.
Bipolars apparently have hypoactive prefrontal cortex and medications that increase metabolism here can help curb impulsivity.
There are (more than one) case reports of amphetamines halting manic episodes for instance.
SSRI's can make bipolar impulsivity worse in that they tend to decrease prefrontal metabolism (fluoxetine being the exception).
Linkadge
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URL: http://www.dr-bob.org/babble/20100504/msgs/947353.html