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-   -   I have a question... (https://www.neurotalk.org/bipolar-disorder/49956-question.html)

houghchrst 07-15-2008 08:55 PM

I really hate to say this but if your doctor came right our and said that she does not have the skills to diagnose and prescribe the right medicine how on earth did she give you antidepressants. Someone who is taking antidepressants with undiagnosed Bipolar disease can be thrown into a manic phase and that can be very dangerous. She should have at least tried lowering your dose.

Please if it gets any worse or if you really feel as though you are coming unglued then I think you should go to the ER.

There are those here who probably know a lot more than me hopefully they can come with some good advice.

Abbie 07-15-2008 09:33 PM

My MD has cut my Cymbalta by 2/3rds of what I was originally taking. That was a few weeks or so back... I can't imagine what I may be like if I were still on the high doses. With the lower dose... my depression is worse and really black.

She's a newer (young) doctor. She's not the one who originally started me on the Cymbalta. My original doctor left his practice so I had to find a new doc.

Thank you for reminding me that if things get worse to get to the er... :) I know with my scrambled mind right now I didn't think of that...

:hug:
Abbie

Mari 07-15-2008 09:51 PM

Thank you all.

Bizi... My doctor said she doesn't know exactly what I need to be on and doesn't have the necessary skills to diagnose and prescribe the required medicine. Told me NOT to stop taking the meds as it would do more harm than taking them for the next two weeks.

Hi, Abasaki,
Christina is right.

And your doc is wrong. So wrong. (stupid docs :mad:)

Mania can be waaaaaaay more dangerous than depression.

If that doc is prescribing the meds for you, then she is responsible for you.
She needs to get you into a pdoc soon -- sometime this week.

Mari

Mari 07-15-2008 10:00 PM

Dear Abasaki,

I'm sorry that you are stuck right now in depression and the other stuff that is going on.

A good pdoc can give you a mood stabilizer that will help with depression.
What I am trying to say is that Anti-depressants are not your only choice. Mood stabilzers can do the job too.
Also, mood stabilzers kind of keep the anti-depressant under control -- keeps the patient from getting manic but still lets the patient benefit from the antidepressants.
I'm not sure it that made sense.
Know that we are trying to help.

The problem with waiting to go to the ER when you are already in crisis, is that when a person is in mania, they do not think clearly -- they do not know that they are having a problem.
The timing is tricky.

M.

Dmom3005 07-15-2008 10:11 PM

Abby

I am thinking of you. And hoping things start to calm back down for
you. I am not sure if you take the drugs both in the evening or
just the amtrypiline. But I would even consider just adjusting the
times you take the meds.

Because that might help.

I did that when I was getting very confused, it did wonders.

Donna

Abbie 07-15-2008 10:32 PM

Thank you all so very much!!

I can't explain how much your help means to me!!!

Mari... Thank you... mood stabilizer.... that's the word I was trying to remember. Tdoc was talking about this yesterday. She works with my Pdoc and was going to make sure that the doc had all of her info on me.


My best friend is going to go with me to the pdoc. She's very good at telling the docs what is going on with me.... I tend to forget details and clam up when stressed.


Donna... Thank you... I do take both meds at night. It's too late tonight to split them up... I will do that tomorrow... take one earlier to see if that helps.

:hug:
Abbie

Dmom3005 07-15-2008 10:47 PM

Also you might want to consider taking cymbalta in the morning. Or even
half in the morning and half in the evening.

I take cymbalta. And I just by a fluke when I was in the hospital at
christmas, the nurses not realizing it was all at bedtime. Split my
dosage and for some reason it made me do better and feel better.

So I ask my primary, because she is who prescribes that. And she
said: Sure go ahead and give this a try this is one that can be done
that way.

Now this is only something that works for me.

Donna

bizi 07-15-2008 11:25 PM

Dear Abbie,
I take lamictal as my mood stabilzer and it has anti depressant qualities to it as well as being a a mood stabilizer.
this works for me.
This may work for you too.
Ask your therapist what she thinks about the lamictal as a first choice option to try.
((((HUGS))))
bizi

Dmom3005 07-17-2008 11:04 AM

That is a good idea because lamictal also makes you sleepy, or at least
it does Derrick. So it is also at times a good medicine for putting
you to sleep when you don't want to go to sleep. Or in some cases
it can help you go to sleep at night.

Donna

bizi 07-17-2008 11:15 AM

i take my lamictal at night.
bizi


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