Wellbutrin Best AD for Bipolar Disorder?
[Home] [Bipolar News] [Bipolar Disorder] [Medications] [Treatments] [Bipolar Disorder/Job/School] [Disabilities] [Ask the Doctor] [Ask David] [Self-Injury] [Personal Stories] [Graham's Column] [Steven's Column] [Storm's Column] [Columnist Archives] [Suicide] [Community Support] [Family Members] [Expressions] [Greeting Cards] [Books] [Awards] [Links & Rings] [About Us] [Contact Us]

 


Q:  Wellbutrin Best AD for Bipolar Disorder?


Has your experience with Wellbutrin been negative for the most part?  I have heard other doctors say it is the best AD for bipolar disorder.

Dear Ms. S'
I would agree, amongst the antidepressants Wellbutrin does seem to have distinguished itself for two reasons: first, it does seem less likely than others to precipitate rapid cycling, mixed states, and manic states (but it definitely can do this, especially when used without a mood stabilizer); and secondly, because bipolar depression is very frequently an extremely low-energy state, the energizing/stimulant-like properties of Wellbutrin are particularly valuable.  Low doses can be sufficient, e.g. 1/2 of a 75mg generic tablet; usually I use the 100mg generic and go up weekly by 50mg steps, looking for the absolute lowest dose that addresses symptoms, as higher doses are almost certainly going to have more pro-manic influence.  If your doctor starts higher, or goes up faster, I've included this bit of info' on dosing so that you could discuss it with her/him.  

Dr. Phelps



Published January, 2002
 

 

Bipolar World   1998, 1999, 2000, 2001, 2002, 2003, 2004, 2005, 2006, 2007, 2008, 2009, 2010, 2011, 2012, 2013, 2014
Owners: 
Allie Bloom, David Schafer, M.Ed. (Blackdog)
Partners:  John Haeckel, Judith (Duff) 
Founder:  Colleen Sullivan
 

Email Us at Bipolar World

 

About Us  Add a Link  Advance Directives  Alternative Treatments  Ask the Doctor   Ask Dr. Plyler about Bipolar Disorder   Ask The Doctor/ Topic Archives  Awards  Benny the Bipolar Puppy  Bipolar Chat  Bipolar Children  Bipolar Disorder News  Bipolar Help Contract  Bipolar World Forums  Book Reviews  Bookstore  BP & Other mental Illness   Clinical Research Trials & FDA Drug Approval   Community Support   Contact Us  The Continuum of Mania and Depression   Coping   Criteria    Criteria and Diagnosis  Criteria-World Health Disabilities,  DSMV-IV   Dual Diagnosis  eGroups  Expressions (Poetry, Inspiration, Humor, Art Gallery, Memorials  Family Members   Getting Help for a Loved One who Refuses Treatment  Greeting Cards  History of Mental Illness  Indigo  Job and School  Links  Manage Your Medications  Medications   Medication and Weight Gain    News of the Day  Parent Chat  Pay for Meds  Personal Stories  Self Help  Self Injury  Significant Others  Stigma and Mental Health Law  Storm's Column  Suicide!!!  The Suicide Wall  Table of Contents   Treatments  Treatment Compliance  US Disability  Veteran's Chat  What's New?