So, I'm bipolar, type 2. I tend to live in depression and only occasionally get the kind of manic you could replicate with a good caffeine high. I've been on Sertraline for over a year. I can't actually remember how long. I'm currently at 150 mg once daily, and I have been since October of last year. I also take Trileptal, recently reduced from 300 mg twice a day to 150 mg twice a day at my request. I requested the decrease in Trileptal because my pdoc said that it was the more likely cause of my persistent brain fog and exhaustion. I've been on that for a long time. 4 years? 5? Around there. The reduction in Trileptal doesn't seem to have made any difference.
I can't think straight anymore. I'm making mistakes at work, and my last mistake caused a minor injury. I'm tired from the moment I wake up until I finally pass out at the end of the day. But getting to sleep is difficult. No matter how tired I am, it takes forever to sleep. And then I tend to sleep lightly. I'm forgetting things. Important things. But not interpersonal things- just work things. I can remember the details about a coworker's date last week or what my boyfriend said about something two months ago, but conversations my boss has had with me about what she wants? Gone. Either I'm being gaslit (possible, she's known to think she had conversations with people that never happened, but this is happening more and more often) or I've got some big holes opening up in my head. And it's concerning.
One of my coworkers is also bipolar, and when we talked, she suggested that it's from having been on sertraline for as long as I have. Anyone had that happen? On sertraline or anything else?
I also take allegra for my allergies, vitamin b complex as well as a vitamin d supplement. Aside from a vitamin D deficiency, my bloodwork always comes back damn near perfect, though with COVID I haven't gotten it done this year. I tend to be very very sensitive to sedating medications- klonopin and benadryl both leave me groggy for at least a day afterwards and when I was on venlafaxine I couldn't stay awake. Wellbutrin xl gave me massive stomach cramps, and I got the lamotrigine rash.
Both are second-generation SSRIs, both exhibit minimal drug interactions via Cytochrome P450, both are the most prescribed SSRIs and are considered first line antidepressants. Who's been taking both and what were your experiences? (How did they compare to each other?). I am looking forward to read your experiences...
Which one did you like more?
Sertraline standalone makes many people somewhat apathetic, indifferent and unmotivated, and that's why doctor Gillman suggests augmenting it with Nortriptyline OR alternatively taking Clomipramine standalone for the full SNRI effect...
Did anyone here try both combos? I am getting back on antidepressants and not sure how to proceed... but if I had to choose, I would preferably go for one of the two possibilities.
My brief period (6 months) on Sertraline has been that it sapped my creativity and basically made me not want to do anything, not feel anything. I just sit at the computer and watch videos and occasionally walk around, or eat, or go to the bathroom. I just don't have any drive to really do very much of anything, except what is needed for continued survival. I don’t even want to watch movies and series!
Is that normal?
So I was manic for 8 weeks. I am now severely depressed and my pdoc took me of fluoxetine when i was manic, but now she has put me back on fluoxetine 20 mg. I'm worried I will become manic again. I had a very bad manic episode this time and don't want a reccurance.
If you became manic on an antidepressant how long did it take for you to become manic. Was it gradual or sudden? I wonder could I recognize symptoms quickly and go off it.