A very small dose (10 mg) of Celexa seems to do it for me, although it didn't prevent the breakthrough depression I went through in December. My pdoc won't let me take more because it does switch me into hypomania at a 20 mg dose, and he'd rather I not take an AD at all. But I tried withdrawing last summer and that did NOT go well, so back on it I went.
I started out with Prozac, then was on Paxil for years. I switched to Wellbutrin when it stopped working. BIG mistake---that stuff made me totally manic, and it wasn't a fun type of mania either.
Bottom line, a BPer and his/her psychiatrist have to be very careful when considering an antidepressant. Currently, I take Lamictal 250 mg along with the Celexa and 1 mg of Ativan at night, and this is keeping me in pretty good balance right now. Good luck to you!
__________________
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
|