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Re: Amitriptyline augmentation options

Posted by rovers95 on August 3, 2019, at 14:56:59

In reply to Amitriptyline augmentation options, posted by rovers95 on August 3, 2019, at 14:47:06

> I'm only actually 13 days at a therapeutic (> 75mg) amitriptyline dosage, so I'll give it some time yet. But the pattern so far is up the dose and feel a lot better for a few days, then retreat backwards.
>
> If I don't get a response in a few weeks with ami then I'm looking at augmentation options and was hoping for some advice.
>
> Lithium - currently taking 600mg but should I go higher?
>
> T3 thyroid
>
> Buspirone or pindolol
>
> Low dose wellbutrin
>
> Low dose prozac
>
> Lamotrigine - I might be bipolar 2 so there is potential here, but I had no response to riluzole this time around.

I'm only actually 13 days at a therapeutic (> 75mg) amitriptyline dosage, so I'll give it some time yet. But the pattern so far is up the dose and feel a lot better for a few days, then retreat backwards.

If I don't get a response in a few weeks with ami then I'm looking at augmentation options and was hoping for some advice.

Lithium - currently taking 600mg but should I go higher?

T3 thyroid

Buspirone or pindolol

Low dose wellbutrin

Low dose prozac

Lamotrigine - I might be bipolar 2 so there is potential here, but I had no response to riluzole this time around.

Forgot one, Trazodone.

 

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