Posted by Keith Talent on January 28, 2004, at 18:46:18
In reply to Re: I'm probably going against my pdoc's advice..., posted by holymama on January 28, 2004, at 16:12:23
I say stop the escitalopram (Lexapro). Start lithium (a thyroid problem is not an absolute contraindication for lithium treatment) and take it up to a decent concentration. The depression will probably come back with a vengeance. For this, use either a monoamine oxidase inhibitor (MAOI) like tranylcypromine or phenelzine, or a stimulant (e.g. dextroamphetamine, dexmethylphenidate). These classes of drugs are less likely to switch you into mania than others.
Often it will be very hard to see a link between an antidepressant and rapid cycling. You need to focus on the long term, and what I outlined above should help you achieve this. Best of luck.
poster:Keith Talent
thread:305962
URL: http://www.dr-bob.org/babble/20040127/msgs/306606.html