Bipolar Disorder Dysphoric Mania:Just work through it Julie!

I’m here in my office using all the ideas I can think of from my books! I have an article due- it’s going well- but getting the work done is literally physically painful! My brain feels like it’s going to explode and my body is very uncomfortable- it’s a mild form of dysphoric mania where my mood is mildly down but my energy is agitated. I’m definitely having trouble concentrating. Dysphoric mania is the opposite of euphoric mania (where things feels good!) –psychosis is often a part of dysphoric mania,though I’m not feeling any psychotic symptoms. When I start seeing things- then I’ll worry about psychosis. This all has to make me laugh a bit. I’m so used to these mood swings- and so used to writing about bipolar disorder that I am no longer even scared of the odd symptoms-

How I will get my work done:

Set an extremely specific goal [ Read More ]





FDA Approved Bipolar Disorder Drugs

Here is an interesting list- the FDA (federal drug administration) has to ok a drug for use with bipolar disorder before a drug company can advertise that the drug can be used for bipolar disorder. Here is a list of the approved drugs with their initiation dates. I will write more on this topic in the next few days:

FDA:Acute Mania        *   1970:  Lithium       *   1973:  Thorazine        *   1995:  Depakote       *   2000:  Zyprexa           *   2003:  Risperdal         *   2004:  Seroquel       *   2004:  Abilify       *   2005:  Geodon       *   2005:  Equetro (Tegretol)     FDA:Acute Bipolar Depression             *  2004:Symbyax                  (Prozac-Zyprexa combo)          *  2007:Seroquel

FDA:Maintenance (for use in managing bipolar disorder in general)                *  1974:  Lithium:both          *  2003:  Lamictal:                         depression          *  2004:  Zyprexa:both          *  2005:  Abilify:both

This list can be a bit confusing- especially [ Read More ]





Bipolar Disorder Medications:What is Zyprexa? (Olanzapine)

 Zyprexa,also known as Olanzapine is an anti psychotic drug (also known as a neuroleptic) used to treat psychosis and psychotic mania.

It’s called an atypical antipsychotic as it is a new class of drugs with less side effects that the old anti-psychotics such as Thorazine and Haldol. Zyprexa is known for weight gain- an average of 20 pounds per person,but I definitely know people who don’t gain weight at all.

Zyprexa is used to treat bipolar disorder mania and psychosis – (and schizophrenia.)

I have seen it work miracles on people who are very ill.  It’s hard to find a balance between the benefits of the drug and the side effects- but for many,the benefits are what matters. I have a friend who was on the drug for two years to keep her mania and psychosis in check. It definitely kept her out of the hospital- but she felt over drugged and [ Read More ]





Bipolar Disorder and Pristiq (desvenlafaxine):a new antidepressant

I recently opened a magazine and saw an antidepressant (Pristiq) I had never heard of- so I asked my coauthor Dr. John Preston to explain the mistique of Pristiq!

Hi…Pristiq (desvenlafaxine)is a clone of Effexor…I like it because the starting dose is often the therapeutic dose (50 mg)…with Effexor you had to start low (37.5 mg) and gradually increase the dose (often up to 150-300 mg)…also Pristiq has somewhat less nausea than Effexor….but like all antidepressants is absolutely can cause mania…John 

**And as we all know…people with bipolar disorder can’t take antidepressants alone- and if they do take them- it needs to be in combination with a mood stabilizer such as lithium,depakote or tegretol!  Pristiq sounds like a resort! Who names these things!  Julie  

PS:If you view this blog from amazon.com,you can see the whole blog at www.bipolarhappens.com/bhblog

[ Read More ]





Bipolar Disorder and Medications:Lithium,Zoloft,Celexa,Lamictal

Here are some stories that illustrate a fact:bipolar disorder medication efficacy can change over time.

Lithium:My dear friend Sherri- who has bipolar I-  took Lithium successfully for over eight years.  Two years ago she had a severe manic/psychotic episode without a major trigger. My coauthor Dr. John Preston calls them breakthrough mood swings. She spent the past two years on Lithium and Zyprexa. It was a tough two years,but she is doing SO well. I just talked with her today and I said,“It’s so great to have Sherri back!” She said that her husband feels the same. People do get better!

Zoloft:Another friend was on Zoloft for ten years. It stopped working effectively. She then tried Celexa. It worked for a while,but not as well as Zoloft. So she’s going back on the Zoloft! It’s an art to find out what drug works for you. It is a lifelong [ Read More ]