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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by linkadge on June 9, 2004, at 15:00:22
I've heard that MAOI's are particularky good for bipolar depression. These are the antdepressants that are the most likely to cause mania are they not ??
What's the deal ??
Linkadge
Posted by harryp on June 9, 2004, at 17:03:18
In reply to why are MAOI's good for bipolar depression ??, posted by linkadge on June 9, 2004, at 15:00:22
One needs to be cautious in using any AD with BP disorder, but I don't think the MAOI's are any more likely to provoke mania than other AD's. (I get the impression, but am not sure, that the SSRI's are actually the worst for provoking mania--sometimes in people who are not BP at all.)
AD's can often be used for BP if combined with lithium. Lithium is such an effective augmenting agent for the MAOI's (which are already among the best AD's)--that they probably have developed a good reputation for BP with a severe depressive component.
MAOI's also have an odd tendency to wear off and kick it quickly with dose adjustments. I have heard of one BP patient who took a MAOI and avoided mania by cutting back on the MAOI when she felt a possible manic episode coming on, and then resumed the normal dose when she felt the depressive cycle return--funky!
Posted by cybercafe on June 13, 2004, at 15:38:56
In reply to why are MAOI's good for bipolar depression ??, posted by linkadge on June 9, 2004, at 15:00:22
> I've heard that MAOI's are particularky good for bipolar depression. These are the antdepressants that are the most likely to cause mania are they not ??
>
> What's the deal ??
>
> Linkadgeno they are the least likely to cause mania from what i have read... i believe the study was Heimloch et al or some name similiar (there havn't been a lot of studies, should be easy to find)
Posted by cybercafe on June 13, 2004, at 15:40:16
In reply to why are MAOI's good for bipolar depression ??, posted by linkadge on June 9, 2004, at 15:00:22
> I've heard that MAOI's are particularky good for bipolar depression. These are the antdepressants that are the most likely to cause mania are they not ??
>
> What's the deal ??
>
> Linkadge
oh they are also the least likely to cause mania from my personal experience.... the amount of abilify i am taking is just incredably low... i feel really creative, even felt manic for a short adjustment period, but feel really stable now and have for a while....
This is the end of the thread.
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