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Old Sep 10, 2019, 08:25 PM
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BeyondtheRainbow BeyondtheRainbow is offline
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Member Since: Apr 2015
Location: US
Posts: 10,210
I've been on ADs from all classes. I won't list them all because it would be huge. I'm not remembering everything but here's a sample list.

SSRIs are a sure trip to mania.

Wellbutrin made me sick and I lost 30 lbs in 6 weeks.

Remeron worked until it didn't but I think it had a stabilizing effect on me for at least a while.

Effexor was good but I never could reach a high enough dose before maxing out. It also increased my blood pressure.

Tricyclics have been mixed; two didn't work at doses I could tolerate. Imipramine did work for me for a while but only because it comes in 10 mg pills and we could adjust my dose up and down weekly if needed. I would range from 50-90 mg. Eventually that became impossible because I was needing more but not handling it well and that's when I went on the MAOI, Emsam.

I made a post about Emsam but I've been on it 10 years now and while we do have to adjust the dose sometimes it doesn't seem to cause mania. If I head up into hypo I have to watch and sometimes lower my dose briefly but it's easy to manage, especially with being on it and gaining experience for so long. It also is balanced by my AP.

If I ever have to stop Emsam I'd try another MAOI. I'm not sure if I would try other ADs; there are a bunch of new ones since I tried anything besides imimpramine or Emsam but the effects would be hard to predict.
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Bipolar 1, PTSD, GAD, OCD.
Clozapine 250 mg, Emsam 12 mg/day patch, topamax 25 mg, ,Gabapentin 1600 mg & 100-2 PRN,. 2.5 mg clonazepam., 75 mg Seroquel and 12.5 mg PRNx2 daily
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