Posted by med_empowered on February 5, 2005, at 12:53:48
In reply to Re: meds for agitated depression? » Spriggy, posted by Ritch on February 5, 2005, at 12:41:53
hey there! Psychitrists are only now catching up with what we patients have known always: it isn't always as simple as depression OR mania; sometimes they overlap in various ways...this has been recognized in bipolar disorder (the creatively named "mixed state"), but has long been ignored in the not-so bipolar. Anyway, I would personally give a mood-stabilizer a try w/ an antidepressant. Since you're in a mental state with seemingly contradictory attributes, you may want to try the short list of antidepressants considered OK for bipolar disorder....this means that, unlike the last poster, I seriously recommend leaving TCAs alone, at least for now. Wellbutrin, Effexor, Celexa/Lexapro, etc. would probably be good first-line antidepressants. In terms of the mood-stabilizer, I'd go for Lamictal, since it's got antidepressant properties. I'd avoid antipsychotics or the antipsychotic/antidepressant combo Symbyax. Klonopin in the day and an occassional sedative at night may help, too. Good luck!
poster:med_empowered
thread:453592
URL: http://www.dr-bob.org/babble/20050202/msgs/453612.html