Doctor insights on:
Mirtazapine And Bipolar Disorder
Terminology: There are a number of conditions that fall under the spectrum of bipolar disorder. Essentially, bipolar disorder encompasses periods of low energy, low mood and other impairments (depression) as well as periods of high energy & increased mood (mania or hypomania). The term bipolar depression is referring to only the depressive cycle that is part of a bipolar disorder. ...Read more
Mirtazepine (remeron) is a noradrenergic/specific serotonergic antidepressant [nassa]. It is used for major depressive d/o, various anxiety disorders, chronic pain, and others. In some, it can help ssri-induced sexual dysfunction & "poop out." it can be sedating and also increase appetite -- good for some ...Read more
BPD = general term: There are several kinds of bipolar disorder. Bipolar depression is the depressed phase of the two extreme poles. All people have moods, however, normally the variation is not extreme. To be labelled bipolar, a person needs to have had at least one past manic episode.A website, www.Bipolar.Com is a good reference for more specific distinctions between the different variations of bpd. ...Read more
Your ? Is unclear: Celexa (citalopram) shows no evidence of being effective in schizoaffective or bipolar disorder. No antidepressant is approved for either of these conditions on its own. Having said that, I am going to say antidepressant medication is frequently used in these conditions, sometimes successfully, but often not. Given the amount of time that people with these conditions spend in depression, it is not surprising people are often given antidepressants in the hope that they may be one of those lucky people who will respond beneficially to their effects. ...Read more
Definitions: Dysthymia is a type of mood disorder -- chronic depression lasting for at least 2 years. There are disturbances in appetite, sleep, and energy; low self-esteem, poor concentration, difficulty making decisions, etc. Mood disorders include both depression and mania -- euphoric or irritable mood (bipolar d/o). Adjustment d/o w/anxiety = clinically significant anxiety in response to clear stressor(s). ...Read moreSee 1 more doctor answer
Mood: They are related in that they are both mood disorders. In other words, both affect emotions or moods. Treatment, however, is different in terms of medication. Bipolar usually requires a mood stabilizer; whereas, depression is usually treated with an antidepressant. Some times an antidepressant is added to a mood stabilizer, but it's uncommon for bipolar to be treated solely with an antidepressan. ...Read moreSee 3 more doctor answers
Can OCD and major depression disorder treated with Prozac (fluoxetine) and Lorazepam, cause halucinations?
NOT USUALLY: Hallucinations are typically an indication of a psychotic process or maybe less serious if it happens upon falling asleep or waking up. OCD does not involve hallucinations as a symptom. Antidepressants do not typically cause hallucinations either. If the is some connection then the diagnosis may need to be reconsider like possibly bipolar disorder. Speak with your doctor. ...Read moreSee 1 more doctor answer
Can I have obsessive-compulsive disorder, major depressive disorder, borderline personality disorder and generalized anxiety disorder?
Which is better for borderline personality disorder n mood swings?Prozac, topamax, paxil, effexor, (venlafaxine) lexaproor wellbutrin?
I've depression + manic episodes postnatal depression generalised anxiety which meds best fluoxetine quetipine olanzapine or mirtazapine?
PostNatal Depression: Because patients' responses to these drugs, singly or in combination, are varied and dependent on each patient's specific condition, it is best to defer to your managing physician who will monitor your condition and response to treatment closely and titrate the doses of these drugs accordingly for optimum effect. Good luck! ...Read more
Completely different: Effexor is directly an antidepressant, and is fda indicated for this disorder & generalized anxiety, etc. Abilify (aripiprazole) is an antipsychotic, but is also sometimes used to augment antidepressant effect. If you have bipolar depression, being on an antidepressant alone is unwise due to possible triggering of hypomania or mania. In manic situations, Abilify (aripiprazole) may be used to contain these symptoms. ...Read more
Mood vs disorder: We all have depressive mood from time to time. I.E. -my goldfish dies and i feel sad. However a major depressive disorder is a minumum of a two week period of feeling low which is associated with things like changes in sleep pattern or appetite. It can effect self esteem, motivation levels, ability to feel joy. One might feel helpless or hopeless or even have thoughts of suicide. ...Read more
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I have bipolar disorder, social anxiety disorder and chronic pain. Is it dangerous to mix Tramadol and Seroquel (quetiapine)?
Yes: In general this combination is fine. If you are also taking an antidepressant or any other medication that could increase serotonin you could possibly get serotonin syndrome. So I would recommend that you pay attention to symptoms such as increased anxiety, agitation/irritability, muscle stiffness, sweating, headache, fever or seizures. ...Read more
How effective is the wellbutrin (bupropion) lithium combination over seroquel lithium for BPD and major depressive disorder?
That is quite: individual. Each person responds differently to medications and medication combinations. It can't be exactly predicted how well you will respond to one of the medication regimens compared to the other when treating your depression and borderline personality disorder. Take care. ...Read more
Though depression is not required for diagnosis most people have both manic and depressive episodes and may have mixed episodes with features of both. Length of episodes vary, but are separated by "normal" periods of emotion and behavior. See my answers to similar ...Read more