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Re: Are MAOIs more effective for most BPDers...

Posted by med_empowered on April 8, 2007, at 23:47:46

In reply to Are MAOIs more effective for most BPDers..., posted by Colleen D. on April 8, 2007, at 21:08:28

I think it has more to do with the depression "type," not so much Bipolar vs Unipolar. "Anergic" depression--similar to "atypical depression"--is common in bipolar, especially BP II. Wellbutrin, MAOIs, and selective stimulant use are all good options (alone or in some sort of combo) for this sort of depression. If you have BP II, you ***MIGHT*** be able to do OK with just an antidepressant. Supposedly, MAOIs have a lower "switch rate" than some other meds (like the tricyclics), but...any antidepressant can cause switching or straight-up med-induced mania/psychosis, so its always an issue.

Have you tried Provigil?


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