Q: Over-talkative a Side Effect?
My wife is using 30 mg of PAXIL daily.
Initially, I thought PAXIL was a life saver, she was very depressed about her
loss of job, and even considered suicide. Luckily I convinced my wife to see a
doctor and they prescribed PAXIL. For over 2 months, Paxil was great, but now
she seems very very talkative and her friends often ask her to be quiet or shut
Is Over-Talkative a sign of being under or over medicated with Paxil?
I love my wife, but even I have a hard time with her constant talking. When she
see's the doctor she is probably a little more calm, because they said she was
cured and didn't need to see anyone anymore. However both her friends and
family are worried about the talking and giddiness. Any suggestions?
Dear John --
Well, looks like you have your suspicions, being here on BipolarWorld.net
to ask that question. You're right to have that suspicion, all right. It's very
clear that taking a medication like Paxil (or virtually any other
antidepressant) can cause manic symptoms.
However, if she's sleeping just fine; if she's
not irritable or agitated; if she's not running around doing far more now than
she used to before she became depressed; if she's not spending too much money
(ooh, tricky one there, be careful); if she's not much more sexually active now
than she used to be before the depression; and if she doesn't have any family
members with severe depression, or a bunch of family members with alcohol
problems, or any family member who's ever been diagnosed as "bipolar"
-- if she doesn't have any of those things, then you may just have to wonder
about this a while longer.
On the other hand, you could just report your
observation of the over-talkativeness to her doctor (ask to leave voicemail and
be brief) and your concern that this might represent a "bipolar-like"
symptom, and see what she/he does with that input. It's really her
responsibility to monitor your wife for this kind of problem, but lots of doc's
don't know how to watch or how concerned to be -- so you could boost that a bit
by passing along your concern, and let go of some of the responsibility
yourself, which is sometimes good for relationships. The list of things to
watch for, plus a few more, can be found on the "Mood Disorders
Questionnaire" at the end of the "Diagnosis" section of my
website, in the
on bipolar II (read "How can I tell if I have if for sure?").
Whatever you choose to do, I'd recommend that
you move on it right away, though. As you can probably tell from the rest of
what I write, my level of concern, along the lines you're already suggesting,
would be quite high.
Published January, 2004