Posted by Sad Panda on July 12, 2004, at 10:13:15
In reply to Re: end of rope, posted by platinumbride on July 11, 2004, at 11:11:09
> Hi Panda,
>
> I dont' know if it is hypomania or just occasional feelings of being OK. The line blurred some time ago.
>
> It does seem that there are many tcas. Why do you recommend the ones you did?
>
> D
> > Hi D,
> >
> > Do you get hypomania much?
> >
> > I wouldn't exclude the TCA's, they are many & varied. Nortriptyline or Clomipamine would be my pick from the collection. I wouldn't exclude Depakote, I think it's safer & more reliable than Lamictal. Also, the MAOI Nardil nearly always lowers bloodpressure.
> >
> > Cheers,
> > Panda.
> >
> >
>Hi D,
The diagnosis is important from the point of view that it determines what meds to try. Unipolar people take antidepressants, Bipolar people nearly always start out with a mood stabilizer.
The TCA's are many & varied. Amitriptyline is the drugs with the best record as an antidepressant, but it has the worst side effects. Clomipramine is an underutilized TCA that has less side effects, but probably is the best TCA. Nortriptyline is an active metabolite of Ami that has most of the goodness with a lot less of the TCA side effects.
Cheers,
Panda.
poster:Sad Panda
thread:364276
URL: http://www.dr-bob.org/babble/20040712/msgs/365284.html