Posted by linkadge on March 19, 2016, at 18:15:18
In reply to Re: Tricyclics and bipolar depression » B2chica, posted by SLS on March 19, 2016, at 18:04:10
There is some evidence that TCAs are more effective than SSRIs in terms of core symptoms of depression.
If I was experiencing severe depression, I would take amitriptyline over any SSRI.
That being said, they can induce rapid cycling in some individuals. However, if you are experiencing more mood lability related to severe depression, than I would not hesitate to give a TCA a try. If significant insomnia / anxiety is present, I would start with amitriptyline.
Linkadge
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thread:1087318
URL: http://www.dr-bob.org/babble/20160306/msgs/1087335.html