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Old Dec 24, 2024, 05:27 PM
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JaneOnceMore JaneOnceMore is offline
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My doctor just prescribed a nasal spray with costicosteroids for my runny nose. I seem to remember some chatter about costicosteroids here a while back. Was it June08? I searched online for it and it said it is a hazard for bipolar, that it can trigger mania. My doctor said it was "safe" but it was just an exchange over a portal and he might have forgotten i have bipolar. Can anyone shed some light on costicosteroids and bipolar?

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  #2  
Old Dec 24, 2024, 06:19 PM
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CANDC CANDC is offline
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Hi @JaneOnceMore. I know nothing about it but this article at healthline says it can trigger responses that mimic mania Do Corticosteroids Cause or Worsen Bipolar Disorder?

I can live with a runny nose. I have seen the devastation in the life of my partner when they went into mania. For me I weigh the advantages and the possible side affects and what really matters to me.

It is your decision if you think it is worth the risk.

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  #3  
Old Dec 24, 2024, 06:39 PM
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I had to take a dose of decadron when having an allergic reaction in the ER last Thursday. Don’t remember being manic or even hypomanic.
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Old Dec 24, 2024, 06:49 PM
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Wow-great memory! I had mentioned a doctor prescribed one to me for my POTs symptoms. Because of bad side effects, I ended up only taking half a dose once though so I'm not sure if it would have triggered bipolar symptoms for me.

My pdoc had said I could cautiously try it, but that there was the risk for it to rigger my symptoms, especially because prednisone causes me to experience hypomania.

What I was prescribed was a pill-I don't know if it makes a difference if it's a nasal spray vs a pill.
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Old Dec 25, 2024, 11:13 PM
Tart Cherry Jam Tart Cherry Jam is offline
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I would not worry about Flonase. I have been on and off of it, for years, with no change in symptoms of bipolar. It is systemic corticosteroids (a pill, an injection) I would worry about.
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  #6  
Old Dec 26, 2024, 07:50 PM
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Agree with TCJ -- the nasal stuff is not absorbed into the body, according to the folks who make it.

Or you could use Nasalcrom, which is a non-steroidal spray.
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