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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by Krazy Kat on January 15, 2002, at 18:59:03
Does anyone have any suggestions re: this? As a BPII diagnosis, I know I shouldn't take an AD alone, but I want to get pregnant, and, at least for the first trimester, don't want to take anything in "Category C" if possible - that means all stabilizers, I've found out!
Prozac makes me really irritable w/o a stablizer; Celexa and Serzone were too "mild", even on their own (at least at the time).
Any thoughts appreciated.
Thanks.
- KK
Posted by JohnX2 on January 16, 2002, at 1:35:19
In reply to Best AD that Won't cause Irritability, posted by Krazy Kat on January 15, 2002, at 18:59:03
Hi Krazy,I became an uncle again today, so in the
spirit of pregnancy and getting past my manic
rage and puerile behavior, I am unbanning myself
for good.Ok,so I'm BPII and I barked up every possible tree
looking for an AD standalone to treat depression
and everytime it was a dismal failure. Only the
mood stabilizers worked. Do you really feel
that you can make it stand alone on an AD? has
this worked in the past?It seems the general trend in the ADs in terms
of agitation is:irritability------------------ >sleepiness
Prozac..Zoloft/Wellbutrin......Celexa..Remeron..Paxil..Serzone
Again, this is just my observation and everyone's
individual experience may very.So you may try Zoloft for starters. It may be
a little more tame than Prozac. It is stimulating,
but I think in general a little less so than
Prozac.BUT, here is another idea, how about adding
Zyprexa et, al to the Prozac ?
The Zyprexa will get rid of the Prozac
irritability and it is approved for
bipolar disorder (good substitute for the
anticonvulsant).regards,
john
> Does anyone have any suggestions re: this? As a BPII diagnosis, I know I shouldn't take an AD alone, but I want to get pregnant, and, at least for the first trimester, don't want to take anything in "Category C" if possible - that means all stabilizers, I've found out!
>
> Prozac makes me really irritable w/o a stablizer; Celexa and Serzone were too "mild", even on their own (at least at the time).
>
> Any thoughts appreciated.
>
> Thanks.
>
> - KK
Posted by cindylou on January 16, 2002, at 5:43:10
In reply to Re: Best AD that Won't cause Irritability » Krazy Kat, posted by JohnX2 on January 16, 2002, at 1:35:19
>
Hi Kat,
I was on Zoloft for a few years (back when I was better able to tolerate meds), and it helped my depression but made me VERY TIRED. No agitation whatsoever (in fact, I wished for some agitation just for the energy part of it).It may be worth a try. Good luck in your pregnancy endeavors!
cindy> Hi Krazy,
>
> I became an uncle again today, so in the
> spirit of pregnancy and getting past my manic
> rage and puerile behavior, I am unbanning myself
> for good.
>
> Ok,so I'm BPII and I barked up every possible tree
> looking for an AD standalone to treat depression
> and everytime it was a dismal failure. Only the
> mood stabilizers worked. Do you really feel
> that you can make it stand alone on an AD? has
> this worked in the past?
>
> It seems the general trend in the ADs in terms
> of agitation is:
>
> irritability------------------ >sleepiness
>
> Prozac..Zoloft/Wellbutrin......Celexa..Remeron..Paxil..Serzone
>
> Again, this is just my observation and everyone's
> individual experience may very.
>
> So you may try Zoloft for starters. It may be
> a little more tame than Prozac. It is stimulating,
> but I think in general a little less so than
> Prozac.
>
> BUT, here is another idea, how about adding
> Zyprexa et, al to the Prozac ?
> The Zyprexa will get rid of the Prozac
> irritability and it is approved for
> bipolar disorder (good substitute for the
> anticonvulsant).
>
> regards,
> john
>
>
> > Does anyone have any suggestions re: this? As a BPII diagnosis, I know I shouldn't take an AD alone, but I want to get pregnant, and, at least for the first trimester, don't want to take anything in "Category C" if possible - that means all stabilizers, I've found out!
> >
> > Prozac makes me really irritable w/o a stablizer; Celexa and Serzone were too "mild", even on their own (at least at the time).
> >
> > Any thoughts appreciated.
> >
> > Thanks.
> >
> > - KK
Posted by kylie on January 16, 2002, at 11:21:05
In reply to Best AD that Won't cause Irritability, posted by Krazy Kat on January 15, 2002, at 18:59:03
> Does anyone have any suggestions re: this? As a BPII diagnosis, I know I shouldn't take an AD alone, but I want to get pregnant, and, at least for the first trimester, don't want to take anything in "Category C" if possible - that means all stabilizers, I've found out!
>
> Prozac makes me really irritable w/o a stablizer; Celexa and Serzone were too "mild", even on their own (at least at the time).
>
> Any thoughts appreciated.
>
> Thanks.
>
> - KKI took Remeron when I was pregnant. The whole time, I believe it is a Category C..My baby girl was born July 5, 2000. She was perfectly healthy, although they do not know of any long term possibilities.
Posted by Krazy Kat on January 16, 2002, at 11:39:51
In reply to Re: Best AD that Won't cause Irritability » Krazy Kat, posted by JohnX2 on January 16, 2002, at 1:35:19
John:
I'm glad you unbanned yourself. :)
Thanks for the suggestions - my pdoc had suggeted Zyprexa as well. It's a tough choice.
- KK
Posted by Krazy Kat on January 16, 2002, at 11:41:03
In reply to Re: Best AD that Won't cause Irritability » JohnX2, posted by cindylou on January 16, 2002, at 5:43:10
Cindy:
Zoloft is exactly what I'm considering - thanks for your input. If it makes me tired, though, I'll have to try something else.
- KK
Posted by IsoM on January 16, 2002, at 13:07:51
In reply to Re: Best AD that Won't cause Irritability » cindylou, posted by Krazy Kat on January 16, 2002, at 11:41:03
Don't forget how tired pregnancy alone can make one. I'd have 2 or 3 naps a day. Never could figure how someone could work full-time through pregnancy. So it may not just be the Zoloft making you sleepy.
> Cindy:
>
> Zoloft is exactly what I'm considering - thanks for your input. If it makes me tired, though, I'll have to try something else.
>
> - KK
Posted by TSA West on January 16, 2002, at 22:12:36
In reply to Best AD that Won't cause Irritability, posted by Krazy Kat on January 15, 2002, at 18:59:03
Howdy
Olanzapine is a novel mood-stabilizer that may get rid of irritability by serotonergic mechanism, and is safe for pregnancy and breast-feeding:
Journal of Clinical Psychopharmacology, August 2000:
"...The early experience with olanzapine use in pregnancy and lactation is encouraging in that no obvious added risk to the fetus or infant was observed..."
Moi
Posted by JohnX2 on January 16, 2002, at 22:51:00
In reply to Re: Best AD that Won't cause Irritability » JohnX2, posted by cindylou on January 16, 2002, at 5:43:10
Insomnia is the more frequent side effect
on Zoloft. Every is differentt however
(default disclaimer.. yada ).
It seems that Krazy is getting the typical
responses though, which is why Zoloft may be
good. I still feel a low dose anti-psyhotic
addition is more likely to work out for bp ii
however. risperdal/zyprexa/geodon being the
front runners.regards,
john> >
> Hi Kat,
> I was on Zoloft for a few years (back when I was better able to tolerate meds), and it helped my depression but made me VERY TIRED. No agitation whatsoever (in fact, I wished for some agitation just for the energy part of it).
>
> It may be worth a try. Good luck in your pregnancy endeavors!
> cindy
>
> > Hi Krazy,
> >
> > I became an uncle again today, so in the
> > spirit of pregnancy and getting past my manic
> > rage and puerile behavior, I am unbanning myself
> > for good.
> >
> > Ok,so I'm BPII and I barked up every possible tree
> > looking for an AD standalone to treat depression
> > and everytime it was a dismal failure. Only the
> > mood stabilizers worked. Do you really feel
> > that you can make it stand alone on an AD? has
> > this worked in the past?
> >
> > It seems the general trend in the ADs in terms
> > of agitation is:
> >
> > irritability------------------ >sleepiness
> >
> > Prozac..Zoloft/Wellbutrin......Celexa..Remeron..Paxil..Serzone
> >
> > Again, this is just my observation and everyone's
> > individual experience may very.
> >
> > So you may try Zoloft for starters. It may be
> > a little more tame than Prozac. It is stimulating,
> > but I think in general a little less so than
> > Prozac.
> >
> > BUT, here is another idea, how about adding
> > Zyprexa et, al to the Prozac ?
> > The Zyprexa will get rid of the Prozac
> > irritability and it is approved for
> > bipolar disorder (good substitute for the
> > anticonvulsant).
> >
> > regards,
> > john
> >
> >
> > > Does anyone have any suggestions re: this? As a BPII diagnosis, I know I shouldn't take an AD alone, but I want to get pregnant, and, at least for the first trimester, don't want to take anything in "Category C" if possible - that means all stabilizers, I've found out!
> > >
> > > Prozac makes me really irritable w/o a stablizer; Celexa and Serzone were too "mild", even on their own (at least at the time).
> > >
> > > Any thoughts appreciated.
> > >
> > > Thanks.
> > >
> > > - KK
Posted by Krazy Kat on January 17, 2002, at 9:57:20
In reply to Re: Best AD that Won't cause Irritability, posted by JohnX2 on January 16, 2002, at 22:51:00
Thanks again, John. I will definitely keep the anti-psychotics in mind for after the pregnancy - at this point, I want to avoid any Category C meds unless it becomes absolutely necessary.
I gained a lot of weight on Zyprexa - have you found that?
- KK
Posted by JohnX2 on January 19, 2002, at 22:36:36
In reply to Re: Best AD that Won't cause Irritability » JohnX2, posted by Krazy Kat on January 17, 2002, at 9:57:20
Unfortunatly I have fallen pray to
Zyprexa weight gain. Not anywhere near
as bad as Paxil or Serzone. Just 10 pds or
so. I've been on Topamax and tapering klonopin.
The process has killed my appetite and made me
racy, but I'm still a bit chunky. I thought
during these weeks I may shed a few of those
Zyprexa pounds, but nope. I'm personally
hoping I can dump the Zyprexa and just take
Topamax and Lamictal. Less is more anways.Btw, My klonopin tapering is going really
well; I'm down to 2.5 mg starting from 6 mg.
A lot of (hypo)mania though (not that I miss
the depression LOL)... A couple of work related
conspiracy theories, manic outrage on psycho
babble, 4 or 5 nutty business plans, and
a few other weird things I wouldn't even post.
I need to talk about this with the pdoc on
wednesday. (I'm slowing down the klonopin tapering
meanwhile)Good luck,
John
> Thanks again, John. I will definitely keep the anti-psychotics in mind for after the pregnancy - at this point, I want to avoid any Category C meds unless it becomes absolutely necessary.
>
> I gained a lot of weight on Zyprexa - have you found that?
>
> - KK
This is the end of the thread.
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