A member asked:

On 30mg mirtazapine and 100 pristique for 1year, recntly hve hypomania symptms, now psychiatrist wants to wean me off the pristique, why? no diag yet

A doctor has provided 1 answer
Dr. Edward Kuhnley answered

Specializes in Child Psychiatry

Antidedpressants: such as mirtazapine and pristique may induce a manic switch which may resemble bipolar disorder or even indicate emerging bipolar disorder. Your psychiatrist knows your clinical history and can discuss plan with treatment alternatives that are right for you. Lifestyle measures (nutrition, sleep, exercise) are important. Therapy may help with self-regulation, coping. Best regards for good health.

Answered 5/7/2017

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