this post was submitted on 19 Jun 2023
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Bipolar Disorder
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Thank you for such an insightful comment! Lots of great info here.
Definitely agree. I may add a link to some antidepressant research in this post for educational purposes.
I feel this so much. I'm so lucky to have my psychiatrist who sees me holistically. I also have ADHD and take dextroamphetamine. My life changed in an instant when I started on stimulants, I actually could function. They have not triggered any manic episodes; I'm also on lamotrigine, and it keeps me pretty stable.
A lot of the references I can link to are pubmed and are pretty technical in the speculation of how serotonergic drugs essentially “activate” episodes in populations who are predisposed if anyone wants to see them. For now though, I think just looking at package insert can be helpful to the average patient as these are usually given to the patient with each refill and can be updated. For examples purposes I pulled up citalopram (Celexa) which is just a regular nothing special SSRI and the leaflet mentions 2.2 SCREEN FOR BIPOLAR DISORDER PRIOR TO STARTING CITALOPRAM TABLETS Prior to initiating treatment with citalopram tablets or another antidepressant, screen patients for a personal or family history of bipolar disorder, mania, or hypomania
If you would like to lookup your medications, here is the NLM website. Just type in the drug, select any form (tablet, capsule, etc) and look for package insert information.
I recently did this with lamictal as I’ve been on it since 2016 and found it to have a new black box warning about heart issues that I wish had been known before I had said heart issues.
Hope this helps someone!
Love that website for searching drug info, going to include it in the meds post. I also did not know lamictal had that warning!