Posted by Tomatheus on January 8, 2006, at 10:34:58
In reply to Re: Cycling...YOU ARE RIGHT!! PLEASE HELP!! » Tomatheus, posted by ed_uk on January 8, 2006, at 7:54:53
Ed,
See below for my responses...
> Matt lives in the US.
Thanks for the info. It was just a guess, but as I can see, it was an incorrect one.
> Lithium is sometimes (occasionally?) an effective treatment for endogenous rapid cycling. It's not often effective for drug-induced cycling though, but neither is anything else as far as I can tell! There is very little evidence that any drug can prevent medication-induced cycling, although Depakote is a popular choice and it does seem like a reasonable option if withdrawal of the offending AD is not feasible. Combining Lamictal with Depakote is 'tricky' but possible.
Yours is a much better explanation than what I gave. But I do think you're absolutely correct, as always.
> How do you respond to NE-selective ADs such as desipramine?
I'm kind of weary of trying any tricyclics because of their potential to induce rapid cycling by inhibiting the reuptake of both serotonin and norepinephrine (at least to some extent), but at this stage in my treatment, it might be something to consider (however cautiously).
Tomatheus
poster:Tomatheus
thread:595776
URL: http://www.dr-bob.org/babble/20060108/msgs/596540.html