[StillLeftBehind]

I use 400 seroquel for seeing things and 250 lamitcial for a mood stabilizer. I am using 20 Lexapro(switched from 40 citalipram a week ago) for an AD. I seem to be depression bias but I an not getting any traction from the AD it seems. Can I ask the pdoc to perscribe an NSRI? Do I have that leeway?

[IndieVisible]

You may want to try bupropion (Wellbutrin) it acts totally different then any types of AD. It concentrates on dopamine! And is actually a mild stimulant. I find it works best with a SSRI in addition. For me it;s wellbutrin and zoloft with serquel to top it off nicely. Here is a good LINK.

[StillLeftBehind]

Thanks for the input. I am not sure how my pdoc will react when I tell how but we will see

How rapid are your mood changes? Its always advisable to trust the pdocs, but more and more they are proving to not have all the answers. How many SSRI's have you tried? Lexapro is not all that good and in my experience only works for very mild depression. There are far better SSRI's out there.

[BipolaRNurse]

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.

[Victoria'smom]

I tried both ssri and snri now I'm on viibryd

[vans1974]

Originally Posted by StillLeftBehind

I use 400 seroquel for seeing things and 250 lamitcial for a mood stabilizer. I am using 20 Lexapro(switched from 40 citalipram a week ago) for an AD. I seem to be depression bias but I an not getting any traction from the AD it seems. Can I ask the pdoc to perscribe an NSRI? Do I have that leeway?

ADs typically cause rapid cycling, and SSRIs generally induce hypomania/mania! Lexapro is the best SSRI in my opinion, since it's the most potent, weight neutral and has the fewest side effects. Your Lamictal dose is on the lower end for BP stability. Your Seroquel dose is high and you're probably hungry and tired most of the time. The only AAP I'd take is Latuda. Latuda is also a miracle drug for BP depression and is weight neutral! Best of luck!

[StillLeftBehind]

Originally Posted by Supanova

How rapid are your mood changes? Its always advisable to trust the pdocs, but more and more they are proving to not have all the answers. How many SSRI's have you tried? Lexapro is not all that good and in my experience only works for very mild depression. There are far better SSRI's out there.

I swing every 2 months or so. I have been on Celexa and then Lexapro. I will question my pdoc to ensure that I am prescribed the right AD. Thanks for the input.

I hope you can find one that works for you soon for me personally SSRI's like paroxitine, fluoxitine and setraline have been most beneficial. But everyone is different.