Posted by linkadge on March 21, 2016, at 8:00:07
In reply to Re: Tricyclics and bipolar depression » linkadge, posted by B2chica on March 19, 2016, at 19:23:00
Yeah,
Amitriptyline would be worth trying. You could also try doxepin or trimipramine as they tend to promote sleep. Trimipramine *may* be better for mixed symptoms.
I assume you have tried seroquel? It can be good for bipolar and has a metabolite with antidepressant effects (norquetieptine is a norepinephrine reuptake inhibitor). It generally has a positive effect on anxiety / sleep.
For mixed symptoms you may try adding a higher dose DHA supplement ~500mg of DHA. I find that can be great for cycling / anxiety / insomnia.
You may also look into cyproheptadine + melatonin. This is absolutely killer for insomnia (especially if mixed with a benzodiazepine - just not with an antidepressant).
Linkadge
poster:linkadge
thread:1087318
URL: http://www.dr-bob.org/babble/20160306/msgs/1087381.html