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Re: Cymbalta from a BP-II - dose question

Posted by Ritch on February 25, 2005, at 21:46:31

In reply to Re: Cymbalta from a BP-II - dose question, posted by barbaracat on February 25, 2005, at 20:54:15

> I'm up to 4 pellets - whoo whee - and still getting a very positive response. I recall how teeny those tabs of acid were and guess it doesn't take much.
>
> I thought Straterra was a pstim for ADD? How does that figure into your AD/bipolar strategy? I no longer do well on stimulants although my unwell bipolar symptoms leave me feeling very disorganized with signs of ADD.
>
> >
> > That doesn't surprise me at all. My Cymbalta trial pellet history goes as thus: 1) 30 pellets/day for 21 days, worsening...sx 2) Reduction from 20-12 pellets/day over the next 30 days (felt better), 3) Stopped altogether and switched back to 5mg Stratterra/day. (felt better). Not taking Stratterra now though BTW. Don't need to. Bottom line I defintely found that a little Celexa + Stratterra or Effexor worked better for me than Cymbalta. Really dissapointed.
>
>

We were hoping that Cymbalta would be the ADD/anxiety/depression (all-in-one) med to accompany Depakote as an antimanic agent. Conventional psychostimulants (such as Ritalin and Adderall, Dexedrine, etc) have *always* worked beter than *anything else* for my bipolar depressions(is it an "add" depression?). Stratterra isn't a conventional psychostimulant.. it is like reboxetine, in that it is a relatively selective norepinephrine reuptake inhibitor. Classical stims would *work the best* (short term), but would tend to have deterioriating response histories with panic kicking in. NRI's like Stratterra would work not as well, BUT would have an anti*panic* effect that the stims didn't provide (or worsened)....I've got panic disorder with bipolar.... it's complicated.


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