Thank you for the medicine list. Yes, these medicines work via these neurotransmitters, but whether you continue to need medicine is a complex decision. It would be unusual that someone with bipolar disease on several different medicines can have all of the medicines stopped, particularly if you are still having symptoms of mania, but your doctor may be able to simplify the medicine regimen.
Yes, mania is often associated with a decrease in appetite.
You are correct that none of these medicines are appetite suppressive drugs. However, with many antidepressants
, either a decreased appetite or an increased appetite can occur as a side effect. For Effexor, the risk of appetite suppression is about 15%, with about 5% losing a significant amount of weight. The likelihood of weight gain with Effexor is about 2%.
The antidepressant that is associated with the greatest likelihood of an increase in appetite is mirtazapine
. Once you have insurance and can see your doctor, you can discuss whether trying mirtazapine would be reasonable. If you are primarily having difficulty with mania when you see your doctor, then the doctor may prefer to first consider changing the mood stabilizer than the antidepressant.