Chocolate Heartache Posted March 30, 2012 Share Posted March 30, 2012 I didn't know whether to put this in the med section or the Bipolar section, because it's about how the two react, so I used the one with the most traffic. If this is wrong, can a smart person move it for me please? I'm wondering whether anyone here has experience with Venlafaxine in Bipolar disorder? I've always had a fairly antidepressant-heavy cocktail, but two days ago I switched from escitalopram 20mg to venlafaxine (alongside carbamazapine, quetiapine, and a whole bunch of physical meds) and I feel... wrong. Like I'm full of twisty creepy things, and I'm sort of alternating between wanting to curl up still in the dark with my eyes closed and wanting to run around like a hamster on a wheel. Lots of panic attacks, bigger and scarier than my 'normal' PTSD-related panic attacks, which are themselves fairly weighty. I've tried lots of totally illogical things that don't help, like hiding in the bottom of the wardrobe, and (TW): I'm having rather unhelpful thoughts about cutting myself open to let the twisty things out. I can sort of stand back a bit and see that that's insane, but there's another part of me that thinks it'd help, and I don't think it's the same bit of me as usually self-harms. On the plus side, I've also done more housework in the last 24 hours than I had in the last four months. I had a gradually-increasing-but-functional hypomania through October and November, a really horrible peak with mixed features in December, then a depressive crash in January which has trailed on long enough for my pdoc to want to switch meds again. The patient information leaflet and the BNF were relatively unhelpful, and some other resources suggested that venlafaxine shouldn't be used in Bipolar. That said, psychiatrists fairly frequently prescribe things they're not supposed to, because that's how psychiatry works, and I don't know whether it's a relative contraindication or a total contraindication, because the resources weren't that helpful (my best psych texts are all piled up in my office at that job I haven't been going to.) Has anyone here tried venlafaxine, and how did you get on with it? I'm trying to work out whether these are normal side effects that'll subside, or the beginning of an unpleasant episode that's going to get worse. I've put a call in to the Crisis team, and they're going to pop in to see me tomorrow, but I'd rather not go into hospital if I don't have to, although I was in recently and I'll go if they think it's really necessary. Link to comment Share on other sites More sharing options...
This topic is now archived and is closed to further replies.