this post was submitted on 19 Jun 2023
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Bipolar Disorder

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[–] ickplant 3 points 2 years ago (1 children)

Thank you for such an insightful comment! Lots of great info here.

Drugs affecting serotonin should be used with extreme caution. These primarily include SSRIs SNRIs but also some drugs you might not expect.

Definitely agree. I may add a link to some antidepressant research in this post for educational purposes.

My opinion that is purely anecdotal to my experiences trying to find the right treatment is that providers only seem to care about preventing mania and rarely seem concerned about all the other facets of mental health once the BD is slapped on my chart.

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.

[–] PepeSilvia 3 points 2 years ago (1 children)

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!

[–] ickplant 3 points 2 years ago

Love that website for searching drug info, going to include it in the meds post. I also did not know lamictal had that warning!