Posted by SLS on October 4, 2009, at 5:23:14
In reply to Re: Going back to old-school - lithium. » SLS, posted by Bob on October 3, 2009, at 19:40:25
> > > Best wishes for you Scott. I'm sorry this has been so tough. What does your pdoc think at this point?
> >
> > My doctor was cautious in his interpretation of my description of mood variability after discontinuing Abilify. I was hoping this instability was only a withdrawal effect. He hinted that there was plenty of room to increase the lithium. Right now, it is my impression that I will need to restart the Abilify, but I thought adjusting the lithium first was the logical next step.
> >
> > I appreciate your warm sentiments.
> >
> > :-)
> >
> >
> > - Scott
>
>
>
> Scott -
>
> Do you have any experience with amitriptyline? Although it's dirty, it's apparently effective.
>
> Bob
The success rate of amitriptyline probably exceeds that of Effexor. Aside from the pronounced anticholinergic side effects, some people experience profound sedation and somnolence with amitriptyline. I hated the way I felt on it. However, others seem unaffected and do extremely well. If you do experience sedation immediately upon taking amitriptyline, that does not mean that you will be affected long-term. Sedation often resolves with continued use. The anticholinergic side effects can mitigate as well.
- Scott
poster:SLS
thread:904699
URL: http://www.dr-bob.org/babble/20091001/msgs/919639.html