Slower Physically & Mentally - Side Effect?
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Q:  Slower Physically & Mentally - Side Effect?

My husband has been diagnosed bipolar. He had an aneurysm in the brain  19  months ago. Was given venlafaxine 150mg per day. This made him  manic. We  then  changed doctors and he has been on priadel and zispin  30mg.  since, I feel he  has become alot slower physically and mentally,  is this  possible, is it a side  effect?  He needs to be able to function  more sharper for his  business.  Please advise.
Thank you

Dear Ms. A' -- 
For U.S. readers, priadel is a form of lithium; and zispin is mirtazapine (U.S.: "Remeron").  

Which one of these could be causing the slowing?  Unfortunately, it could be either.  Fortunately, there are good alternatives to both:  other mood stabilizers besides lithium; and many other antidepressants (plus, some doctors would proceed to try to avoid the antidepressants, so it should not be assumed that the antidepressant has to be replaced, if it looks like that's a big part of the problem).  

Dr. Phelps

Published November, 2004


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