I take a very small dose (10 mg) of Celexa every day along with Lamictal. It wasn't quite enough to stop me from slipping into a depression in December, but much of it was situational and cleared up after the holidays were over. The thing that frustrates me is that 10 mg isn't really enough, but 20 tends to switch me into hypomania and my pdoc knows it. So he won't let me take any more than 10 mg (and he really wanted me off the AD entirely, but when we tried that it was a disaster), but he did increase the Lamictal, and that's made a difference.
It really is a crapshoot when you're talking antidepressants and bipolar....some people can be helped by ADs, while others can't even get near them. And what works well for one person can launch another into outer space (Wellbutrin is the only reason why the term "psychotic" is in my medical record). I'm just glad my pdoc is open to prescribing an AD, as reluctant as he is to do so, and as strict as he is with my dosage.
Just for the heck of it---and because I was sliding into my usual seasonal gloom---I asked him recently if I could increase the dose, for the winter only, and his reaction was actually kind of funny: "I know what you want, and NO!!" He knows I love my hypomania just a little too much.
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DX: Bipolar 1
Anxiety
Tardive dyskinesia
Mild cognitive impairment
RX: Celexa 20 mg
Gabapentin 1200 mg
Geodon 40 mg AM, 60 mg PM
Klonopin 0.5 mg PRN
Lamictal 500 mg
Levothyroxine 125 mcg (rx'd for depression)
Trazodone 150 mg
Zyprexa 7.5 mg
Please come visit me @ http://bpnurse.com