Posted by JohnL on September 27, 1999, at 6:05:08
In reply to Re: Wellbutrin--question for John, posted by Noa on September 26, 1999, at 11:42:51
> John, I guess I am surprised that you think of weelbutrin as a good choice for someone with bipolar disorder, because I have always understood it to be one of the meds that causes nervousness, agitation, possibly hypomanic irritability.
I've read about its manic safety lots of places. I know it sounds ironic. The same for psychostimulants. As for Wellbutrin side effects, not everyone gets them. They are generalizations. Wellbutrin is a miracle to some. It is no more and no less effective than anything else. The only way to know if it is right is a personal trial. For all we know at this point, the Paxil in a particular person may cause more nervousness than Wellbutrin. Wellbutrin actually makes some people sleepy. Depends on the person. An anxiety type antidepressant like Remeron is a great adjunct to counter any insomnia or anxiety. Again though, I was just hesitant about Lithium as a first choice and assumed depression was the primary problem. I was pondering a more benign first-line treatment under the assumption that the bipolar condition was predominantly depressive with low risk of true mania. If this assumption is wrong, then a mood stabilizer like Lamictal would be a preferred first choice in my non-professional opinion.
poster:JohnL
thread:12039
URL: http://www.dr-bob.org/babble/19990914/msgs/12114.html