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#1
Oct 12, 2014, 09:35 PM
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I have been on Mirtazapine 15 mg for about 2 months without any problems.....until my pdoc upped my dosage to 30 mg and I became hypomanic in a week. I do not have a mood disorder any other time not on anti-depressants. This happened to me 18 years ago on a similar anti-depressant. I have now noticed that I get anti-depressant induced mania.
The other antidepressant was Doxepin. It is an older generation tricyclic AD. Mirtazapine is a tetracyclic antidepressant and they are similar except for a slight difference in their chemical makeup. Has anyone else had this type of experience? MDD GAD ADHD? |
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#2
Oct 12, 2014, 11:22 PM
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I think many antidepressants can cause mania in people prone to it. So, they are very cautiously given to people like me who have bipolar. However, I am currently taking Wellbutrin, Trazodone, and Cymbalta, in relatively small doses, with no problem.
I can't remember what antidepressant I took 14 years ago that kicked me into mania. It could have been Remeron. I only remember that it caused me to gain a whole lot of weight, so I wouldn't touch it now with a ten-foot celery stick. 
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 sideblinded
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#3
Oct 13, 2014, 12:09 AM
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Quote:
I also have to take small doses of meds. I am actually dreading telling my pdoc that the remeron did this to me. I am afraid he will think it is bipolar. I really don't think that I have bipolar but who knows. I am up late and I don't like to wind down and go to bed. It could just be that I am a night owl as I worked the graveyard shift many years. |
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#4
Oct 13, 2014, 02:23 PM
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Only once with my current AD Fetzima. it made me hypomanic for two months. I didn't care as it was better than the severe depression. It wasn't negative mania but not really a euphoric mania either. It went away after two months and Fetzima has been very effective for me.
I am surprised Remeron would cause it.
__________________
The "paradox" is only a conflict between reality and your feeling of what reality "ought to be." -- Richard Feynman Major Depressive Disorder Anxiety Disorder with some paranoid delusions thrown in for fun. Recovering Alcoholic and Addict Possibly on low end of bi polar spectrum...trying to decide. Male, 50 Fetzima 80mg Lamictal 100mg Remeron 30mg for sleep Klonopin .5mg twice a day, cutting this back |
| sideblinded
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#5
Oct 13, 2014, 09:42 PM
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#6
Oct 13, 2014, 10:23 PM
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I take 30 for sleep and if works great. I used to take 45 for depression and it didn't work. That was before it was even approved in the US. We had to get an FDA waiver.
Sent from my iPhone using Tapatalk
__________________
The "paradox" is only a conflict between reality and your feeling of what reality "ought to be." -- Richard Feynman Major Depressive Disorder Anxiety Disorder with some paranoid delusions thrown in for fun. Recovering Alcoholic and Addict Possibly on low end of bi polar spectrum...trying to decide. Male, 50 Fetzima 80mg Lamictal 100mg Remeron 30mg for sleep Klonopin .5mg twice a day, cutting this back |
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#7
Oct 13, 2014, 10:37 PM
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Wait that's not right. The FDA waiver was for Reboxotine. I don't know whatever happened to that drug.
Sent from my iPhone using Tapatalk
__________________
The "paradox" is only a conflict between reality and your feeling of what reality "ought to be." -- Richard Feynman Major Depressive Disorder Anxiety Disorder with some paranoid delusions thrown in for fun. Recovering Alcoholic and Addict Possibly on low end of bi polar spectrum...trying to decide. Male, 50 Fetzima 80mg Lamictal 100mg Remeron 30mg for sleep Klonopin .5mg twice a day, cutting this back |
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#8
Oct 14, 2014, 12:31 AM
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Uhm, you can NOT diagnose most mental illnesses if symptoms were experienced under the influence of drugs, so its complete and total horse hockey to say that experiencing mania while under the influence of psychiatric medication means that you are bipolar!
I experienced psychosis while under the influence of an over the counter medication, and as such could not be diagnosed with anything unless the psychosis returned sans drugs. No more psychosis, ever, so no disorder. That would be like saying crack cocaine makes you psychotic so you have a mental disorder, even though when you are not on the drug you never experience psychosis. The psychiatric world never ceases to amaze me! |
| AncientMelody
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#9
Oct 14, 2014, 07:46 AM
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Actually the DSM V now says if you have AD induced mania you may have a type of bi polar. Like switched mania or something. Something on the low end under bi polar II. I forget. I would have to look it up. Not saying I agree with that just remember reading it.
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__________________
The "paradox" is only a conflict between reality and your feeling of what reality "ought to be." -- Richard Feynman Major Depressive Disorder Anxiety Disorder with some paranoid delusions thrown in for fun. Recovering Alcoholic and Addict Possibly on low end of bi polar spectrum...trying to decide. Male, 50 Fetzima 80mg Lamictal 100mg Remeron 30mg for sleep Klonopin .5mg twice a day, cutting this back |
| sideblinded
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#10
Oct 15, 2014, 10:35 PM
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Older research in this link suggesting putting AD induced mania as bipolar dx in DSM V: http://psychcentral.com/news/2011/10...der/30300.html Newer research stating DSM V addition: http://www.psychiatrictimes.com/bipo...ntidepressants MDD? Last edited by sideblinded; Oct 15, 2014 at 10:59 PM. |
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