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Re: BP II meds? » SheilaC

Posted by SLS on November 19, 2009, at 12:44:54

In reply to Re: BP II meds?, posted by SheilaC on November 19, 2009, at 12:09:49

> I want to med that doesn't cause weight gain, will help with depression, that isn't very serotonergic and that doesn't cause sexual side effects.
>
> Really, is it that hard?

Yes, especially when you exclude Parnate from consideration. Perhaps you could revisit MAOIs later should nothing else work.

You could try using a tricyclic and add lithium or thyroid hormone if you don't respond adequately to it. Nortriptyline is popular because its anticholinergic side effects are milder than most of the others. Given your reaction to Wellbutrin, you might find desipramine and protriptyline too harsh.

Is there any history of bipolar disorder in your family?


- Scott

 

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URL: http://www.dr-bob.org/babble/20091117/msgs/926228.html