It is unusual (tho it seems to be a bug going around, coz it bit me too) to have increased agitation when decreasing or due to skipping an AD. indeed, skipping just a single dose is unlikely to produce any reaction. but if it did, one would expect reduced agitation.

i agree with Mari to talk to your pdoc ASAP - i.e. call the office, and if he is not available right then, get them to have him call you back.

My suspicion is there is a coincidence here. That the skipped dose is fortuitous and that the manic-side sx are still on the increase, despite the dose adjustments. Am i right though in "hearing" that you are feeling less depressed? it was the "wonderwoman on speed" phrase that made me think that, but i'm not sure... wonderwoman could be feeling cruddy and on speed, i suppose.

you may also be having a paradoxical reaction to one of your meds.

Would you like to share what meds you are on?

Could you try to describe how you feel overall... i don't know if you can; i realize it is tough.

in any event. please call pdoc asap, ok?



~ waves ~