I would be very leery of SSNRIs if you have a lot of trouble with mania. Wellbutrin threw me into my first manic/psychotic episode ever and opened a gateway of sorts that I still believe turned a subclinical case of bipolar into full-blown disease. I've never been the same since.
It obviously does a lot of people good or it wouldn't be on the market, but it and Effexor can really do a number on some people. I would just be very cautious about asking for it, is all.
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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
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