Hi, Linda - welcome to HW. Regulars not too active today, but they usually are here most every day, so don't think nobody is responding, OK?
I understand you're afraid, it is a very serious illness. I have no idea about Canada, but doesn't socialized medicine apply to everybody? Yes, the meds tend to be on the pricey side, but lith is effective and dirt cheap. Paxil - no comment on that med.
Your doc is right about taking things as they come. you start simply and add as needed. You can read my post to Troy about the "perfect cocktail" to get more info. How are you doing at this point in time?
BP brings new meaning to Life's Little Ups and Downs
Hi, Linda -
if you are shallow, than i am too! I died when I started Depakote, also notorious for massive weight gain, and gained 30 pounds in 2.5 months! So, my pdoc put me on Trileptal, which doesnt have that lovely feature, and it works very well for me. I lost all the weight, because i am very vain (you will be too when you turn 40 if you aren't already, lol) and I do work out a lot when I'm not depressed. I couldn't work out when I first started it because i was in a depressive episode and could barely make it to the toilet, much less even take a worthless walk!
Ask your pdoc about trying something else if you start gaining weight and can't control it, besides lith and depakote, there is Trileptal of course, Abilify and Topamax, none of which have the weight gain issue before it gets bad. Good luck!
Sorry I can't help you on the therapy groups, i feel the exact same way you do.
Hi, Troy, just thought i would pop in and tell you my thoughts on Paxil, so you wouldn't be mystified, lol.
SSRIs in general are NOT a good idea for BPs, period. Paxil and Effexor tend to REALLY cause episodes, or extreme anxiety/panic attacks. We dont' react the same way to anti Ds as other people. I see it almost every time someone writes in here how they are not getting stable, or are having episodes, they are almost ALWAYS on an SSRI. SSRIs now come with a warning for docs to screen each patient they see for depression for bipolar disorder before prescribing. Yet so many do. Lamictal is an excellent stabilizer with antidepressant effect for BPs, it works for almost all of us, and doens't cause episodes. Wellbutrin is also a good choice, it doesn't act on serotonin like the SSRIs do that cause the episodes. The combination of the two is often a really great livesaver. Wellbutrin CAN cause agitation, too but not practically guaranteed, like SSRI meds.
If the Paxil isn't agreeing with you, ask your doc about the other two.
So there you have it, partly my opinion and most fact. I hope you're doing well, other than staring at bobbleheads for 15 mintues, lol