How can this be??

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

TryingHard7
New Member


Date Joined Jun 2008
Total Posts : 8
   Posted 6/29/2008 10:06 PM (GMT -7)   
I just went to a link provided by one of the moderators in another post
 
And (to my surprise) read this-
 
Antidepressants have traditionally been used to treat episodes of bipolar depression. However, mounting evidence suggests that they aren’t effective. A major study funded by the National Institutes of Mental Health concluded that antidepressants don’t work any better than sugar pills in treating the symptoms of bipolar depression. If you are taking a mood stabilizer, there is no treatment benefit to adding an antidepressant during a depressive episode. (!!!!!)

There are also serious safety concerns regarding the use of antidepressants for bipolar disorder treatment. First, antidepressants can trigger mania in people with bipolar disorder. Second, there is evidence that antidepressants may worsen the course of bipolar disorder over the long-term. Many experts believe that over time, antidepressant use in people with bipolar disorder has a mood destabilizing effect, increasing the frequency of manic and depressive episodes.

Because of the risks, antidepressant therapy for bipolar disorder should be limited. If an antidepressant is prescribed for a severe episode of depression, it should be discontinued once symptoms are under control. Antidepressants are not recommended for maintenance therapy.

That is shocking to me. I have been suffering with bipolar for 7 yrs now and am constantly trying to stay knowledgable about this stuff, but this is the first I have ever heard that antidepressants don’t work any better than sugar pills in treating the symptoms of bipolar depression. If you are taking a mood stabilizer, there is no treatment benefit to adding an antidepressant during a depressive episode.

Well when IS there a benefit to using an antidepressant if not during depression??!!! Then further down that is contradicted when it goes on to say -Because of the risks, antidepressant therapy for bipolar disorder should be limited. If an antidepressant is prescribed for a severe episode of depression, it should be discontinued once symptoms are under control. Antidepressants are not recommended for maintenance therapy.

But if as it said before that that-antidepressants don’t work any better than sugar pills in treating the symptoms of bipolar depression. If you are taking a mood stabilizer, there is no treatment benefit to adding an antidepressant during a depressive episode.

No wonder there is so much trial and error involved w/ getting better!!

 


serafena
Veteran Member


Date Joined May 2007
Total Posts : 3715
   Posted 6/30/2008 6:07 PM (GMT -7)   
Antidepressants can stimulate mania, so docs typically don't want us on them more than we have to be. I hadn't heard that there was no benefit during a depressive incident, and you could've fooled me and my head, but whatever. I take online info with a giant grain of salt. I usually trust the specifics of drugs to my doc.
Serafena
Co-Moderator, Bipolar Forum
Bipolar II


missflip
Regular Member


Date Joined May 2008
Total Posts : 163
   Posted 7/1/2008 6:21 AM (GMT -7)   
All that I know is that I can't take antidepressants because I am a rapid cycler and they make me cycle more rather than help me at all. Rapid cyclers cycle rapidly enough as it is so antidepressants just make people like me worse. I had never heard what they are saying above though. I agree with Serafena, don't believe everything you hear and talk with your doctor first. I keep up with information too and I hadn't heard or read that yet.

Missflip
"I'm not crazy; I'm just a little unwell."  Matchbox Twenty


mogli
Veteran Member


Date Joined Mar 2006
Total Posts : 1191
   Posted 7/1/2008 2:25 PM (GMT -7)   

I've known about this for quite some time from my pdoc and the books that I have.  It's frustrating.  I'm taking Trazodone at night for sleep and I also believe its anti depressant properties have in fact stablized me somewhat with the Lamictal.  I do worry however, the longer I take the Trazodone the more I may be putting myself at risk.  My pdoc feels this way but I just can't give it up b/c I'm close to stable in the here and now.  The Trazodone is only 50 mg, but who knows???

 

 


Mogs
 
Bipolar II, Anxiety/Panic Disorder
Clonazepam .5mg as needed, Trazodone 50mg/day & Lamictal 250 mg/day


M73
Regular Member


Date Joined Jul 2008
Total Posts : 88
   Posted 7/3/2008 5:46 AM (GMT -7)   
I can see how that could be.

I always thought I was just a person with panic disorder and OCD and continued taking SSRIs with relief only in the social anxiety aspect and the OCD aspect.

However, the SSRIs left me either hypomanic or extremely irritable depending on the hour. It got so frequent that I would have a different mood per 20 minutes sometimes.

My new psych. is trying to get me up to a level of lamictal and then decrease the SSRI.

I feel great on the lamictal and klonopin that I take, then a few hours after I take my SSRI I feel like everything is coming apart.

Thing is, you have to wean yourself so slowly off the SSRIs because of the weirdo jolty feelings and headaches.

TryingHard7
New Member


Date Joined Jun 2008
Total Posts : 8
   Posted 7/3/2008 9:33 AM (GMT -7)   
When I initially made this post I felt really disillusioned with meds & trying to get info to help myself. I feel like there is a lot of speculation and contradictory info. out there. It's literally tiring trying to sort through it all sometimes.
Thanks posters for taking the time to share your experiences and thoughts.
 
Tania
New Topic Post Reply Printable Version
Forum Information
Currently it is Monday, December 05, 2016 5:59 PM (GMT -7)
There are a total of 2,733,260 posts in 301,097 threads.
View Active Threads


Who's Online
This forum has 151238 registered members. Please welcome our newest member, ejc61.
339 Guest(s), 4 Registered Member(s) are currently online.  Details
Scaredy Cat, smlafleur, jabele, Anniesea


Follow HealingWell.com on Facebook  Follow HealingWell.com on Twitter  Follow HealingWell.com on Pinterest
Advertisement
Advertisement

©1996-2016 HealingWell.com LLC  All rights reserved.

Advertise | Privacy Policy & Disclaimer