Fluoxetine, a selective serotonin reuptake inhibitor, is gaining increased acceptance in the treatment of adolescent depression. Generally safe and well tolerated by adults, fluoxetine has been reported to induce mania.
Can too much antidepressant make you manic?
Conclusions. In people with unipolar depression, antidepressant treatment is associated with an increased risk of subsequent mania/bipolar disorder.
Which antidepressants are most likely to induce mania?
Of all medications, tricyclic antidepressants and fluoxetine carry the highest risk of manic induction, while bupropion and paroxetine are considered to have the lowest risk (Goldberg 2003).
Can SSRIs trigger mania?
In the analysis of data from patients treated at a mental health service in the U.K., taking either selective serotonin reuptake inhibitors (SSRIs) or venlafaxine (Effexor) was associated with a significantly increased incidence of mania, Rashmi Patel, MD, of King’s College London, and colleagues reported in BMJ Open.
Can you have a manic episode and not be bipolar?
What are mania and hypomania? Mania and hypomania are symptoms that can occur with bipolar disorder. They can also occur in people who don’t have bipolar disorder.
Can Prozac help with mania?
Previous reports of fluoxetine-induced mania/hypomania have been mostly in patients with depression. It can be argued that these cases had natural manic episodes of bipolar disorder. On the contrary, fluoxetine has been argued to be useful in bipolar II disorder.
Why is it bad to be manic?
Mania, in particular, can result in potentially fatal risk-taking behaviors. Research has shown that young people with signs of mania were more likely to be sexually active and engage in high-risk sexual behavior, such as unprotected sex, when compared to individuals with other psychiatric illnesses.
What does a manic episode look like?
In the manic phase of bipolar disorder, it’s common to experience feelings of heightened energy, creativity, and euphoria. If you’re experiencing a manic episode, you may talk a mile a minute, sleep very little, and be hyperactive. You may also feel like you’re all-powerful, invincible, or destined for greatness.
How do you tell if you’re in a manic episode?
Both a manic and a hypomanic episode include three or more of these symptoms:
- Abnormally upbeat, jumpy or wired.
- Increased activity, energy or agitation.
- Exaggerated sense of well-being and self-confidence (euphoria)
- Decreased need for sleep.
- Unusual talkativeness.
- Racing thoughts.
How can I find out if I am bipolar?
To get a diagnosis of bipolar disorder, you must have had at least one manic or hypomanic experience. Signs of manic behavior include: Your mood isn’t comfortable. It might feel good at first, especially after depression.
What happens if you take bipolar medication if you’re not bipolar?
Taking an antidepressant without a mood stabilizer is likely to trigger a manic episode. Antidepressants can increase mood cycling. Many experts believe that over time, antidepressant use in people with bipolar disorder has a mood destabilizing effect, increasing the frequency of manic and depressive episodes.
What is rapid cycling in bipolar?
Rapid cycling is a pattern of frequent, distinct episodes in bipolar disorder. In rapid cycling, a person with the disorder experiences four or more episodes of mania or depression in one year.