I'm on citalopram and in the list of side effects it states that it could cause mania.
Some people decide go to hospital , maybe because they feel they can't cope with how they are feeling. Others are taken to hospital as they are out of control or a danger to themselves and/or people around them.
I'm sorry that it's a choice between your meds and your travel , I hope you can find a way to do both......I'm praying for you.
My husband wasn't really given a choice the 2nd or 3rd time he was hospitalized. It was either go to the Psych ward or be arrested. He would become very violent and abusive to me with the mania. He would threaten other people also such as the neighbors. Then, a severe depression would rapidly follow. I had to call 911 several times and they would send deputies out. THis is very embarrassing, but we both survived his mania last year. Mania can also get people killed through reckless driving. I feel so sorry for prisoners who killed or harmed when in a manic state. They aren't all actually diagnosed, of course.
I am thankful to be alive and that Joe is so much better and nearly stable. Best wishes.
after the great advice the others have given you abour bp and how they are dealing with it, i'd like to help you with some of the "how" concerning meds and traveling.
knowing how you plan to travel is important in determining the best solution. for example, if you plan to backpack accross the yucatan peninsula the solution would be different from you flying to l.a. and surfing (i did this about 45 yrs ago - one of the highlights of my life ).
i take percocet and morthine for chronic pain as well as welbutrin and lithium for bp, so i have a real mix of chemicals to deal with. my chronic pain doc is in alabama. my wife, cat, and i live in texas and are in the procerss of selling our house downhera and moving closer to our daughter up there. my pain management doc can only rx a one month supply of narcotics at a time and must use a special form for the prescriptions. also, i am the only one who can pick up the form and teh rx, unless the person picking them up has a note from me authorizing them this privilage. difficult to travel? not really. i take less of the pain meds than prescribed so am able to stretch a one montj rx into at least two months.
you don't have these problems with the meds for bp. i get a 6 month rx from my pdoc and take the rx to wal-mart (i hate that store!!!!!) in the city where the kids live in alabama. when my wife and i travel and i need more meds we go to a wal-mart on our way, i take in the rx bottle, the local wal-mart looks it up on their computer (big brother is everywhere) smd they fill my prescriptoins. easy.
another factor is the length of your journey. i believe that my dr told me that he is limited by law to writing a rx for only a six month supply. wen my wife and i were full time in our recreational vehicle before setteling here in texas i would find a dr along the way, take my rx bottles, and ask the dr to refill the prescriptions. this is before i started on the heavy duty narcotic pain relievers. ii never found a dr who would not renew my prescriptions.
hope this hel[s you with some of the practicalities. and don't let anything stop you from traveling. i left a dysfunctional and abusive home when i was 18 and have been traveling ever since. i;'ve been in every state except alaske and hawaii and i to most of the wesern european countries. i've liven in germany and england. i may not have much money and this old body may be wearing out, but, believe me, i have some of the greatest memories and expieiences in the worol. i wouldn't trade my travels for all the money in the world. don't let an illness stop you.
hope this helps.