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Re: Bipolar depression - need med suggestions

Posted by Christ_empowered on May 11, 2015, at 7:07:05

In reply to Bipolar depression - need med suggestions, posted by momandwife on May 10, 2015, at 21:18:44

hi. I'm sorry this is happening. Its good of you to reach out to try to find some additional advice for your (suffering) husband.

Ummm...well, amphetamines sometimes cause or worsen depression. Of course, they can also help depression, so its kind of a tricky situation. Just throwing that one out there.

I agree w/ Tomaetheus that Abilify, probably low dose, is something to think about...if it helps, it supposedly helps right away, so its not as if you'll be losing a lot of time on that trial.

Wellbutrin is always something to consider. I actually take 400mgs/day SR wellbutrin now, and its been the best thing ever. I supposedly have "Bipolar I," but its mostly severe depression, plus fits of agitation. Wellbutrin has helped w/ much less numbing and apathy than any other AD I've ever tried...plus, its a bit stimulating, which is helpful for a lot of folks.

Ummmm.....does he need the seroquel? Is that mostly for sleep or anxiety? At 300mgs/day, its supposed to help bipolar depression. Of course, I think that would depend on your symptoms ("depression" covers a lot of ground).

You could try 2 antidepressants at the same time. Wellbutrin+an SSRI, Wellbutrin+Remeron (if he dropped the seroquel), SSRI+Remeron, SNRI+Remeron, any AD plus BuSpar....

...whatever you decide, I'd also think you might want to ask about Deplin. Its an (unforunately, overpriced) Rx form of folate. Used w/ ongoing treatment, its supposed to help the other "real" meds work better. Side effects are minimal (I mean, its a souped-up vitamin, right?) and some people swear by it. Just a thought.

Good luck!


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