Posted by 4WD on January 16, 2006, at 21:02:38
In reply to Re: Depressed/agitated/wired - soft bipolar? » 4WD, posted by ed_uk on January 16, 2006, at 13:26:47
> Hi Marsha
>
> You could try imipramine again at a low dose, or maybe one of the more sedating TCAs given as a single dose in the evening.
>
> EdYeah, that's kind of what I'm thinking. Desipramine (side effects & not as effective as imipramine) is out, nortriptyline is out (increased anxiety) amitriptyline is out (sudden fits of rage)and Sinequan is out (completely screwed up my perceptions). What would be the next option?
And I guess I could take some drug for the inevitable horrible dry mouth.
If this doesn't work, I think that's the route I'll be going.
Why are TCA's less likely to set off dysphoric mania or mixed states or increased agitation/fear than SSRIs?
Thanks,
Marsha
poster:4WD
thread:596894
URL: http://www.dr-bob.org/babble/20060115/msgs/599808.html