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Dr. Bob is Robert Hsiung, MD,
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Posted by TrishP on November 7, 2006, at 6:42:41
What are the best meds for someone that is a depressed bipolar?
What antidepressants work best?
Posted by polarbear206 on November 7, 2006, at 8:15:04
In reply to Best meds for Bipolar Depression?, posted by TrishP on November 7, 2006, at 6:42:41
Trish,My bipolar is depression dominated. The best AD hands down for me has been effexor. Past AD's I trialed have been imipramine, prozac, paxil, desipramine, wellbutrin, parnate, remeron. Lithium as a mood stabilizer made me too flat. The best relief I got was combining and ssri with a tca along with a mood stabilizer, then effexor came out which targets seretonin and norepinephrine. Monotherapy with an ssri or a tca made me cycle too much. Effexor works great for me.
Polarbear
Effexor 300 mg.
Lamictal 200mg.
Posted by Phillipa on November 7, 2006, at 12:00:48
In reply to Re: Best meds for Bipolar Depression?, posted by polarbear206 on November 7, 2006, at 8:15:04
Always thought wellbutrin worked the best but we're all individual and I don't think I'm bipolar although with the new categories it's been hinted at. Love Phillipa Good luck Trish
Posted by fca on November 7, 2006, at 13:46:01
In reply to Re: Best meds for Bipolar Depression? » polarbear206, posted by Phillipa on November 7, 2006, at 12:00:48
I don't think that question can be answered. BP is very idiosyncratic to the person. The average person is on three to five different drug trials before achieving reasonable symptomatic relief and then is on an average of 3-5 drugs for ongoing stabilization. My understanding is that it takes a bit longer to find a therapeutic regime for the depressive component versus the mania. Good Luck.
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