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Re: Treatment of bipolar depression sucks

Posted by Christ_empowered on July 8, 2021, at 19:42:09

In reply to Re: Treatment of bipolar depression sucks, posted by rjlockhart37 on July 8, 2021, at 18:38:52

lamictal instead of depakote or lithium. low to moderate dosage trileptal instead of tegretol, when agitation and (hypo)mania are an issue.

careful about the neuroleptic. personally, abilify is relatively OK. not miraculous, but OK. full dose doesn't swing me down into dysphoria, at least. seroquel did...that stuff is rough. I've read that rexulti might be better.

my psych just stopped my ssri (prozac). wasn't a huge help, but it did mellow me out and reduce my ruminations at 20mgs. apparently, I'm "mildly hypomanic...:

no more prozac, a bit more lamictal, hope I don't get the rash. ugh.

neurontin? lyrica? i don't know the prescribing guidelines for benzodiazepines in older people...ativan? not to help the depression, per se, just..curb some of the angst and such. random thought.

try not to go for more than 1 neuroleptic at a time. especially in older women with mood disorders.

old school, but...amoxapine? a former psych brought it up. i brought it up to new psych. apparently, its good for cases heavy on the low mood, light on the psychosis. good to know...

a basic orthomolecular cocktail can do wonders. im good about my vitamin c (15 grams most day, 20 if I'm conscientious), not so good about B3 (makes my stomach hurt). vitamin E is a godsend for anyone on a tranquilizer. natural form, 1000 IU w/ mixed tocopherols with a high fat meal has kept me tic free for a long, long time now.

b-complex. i go for time release b-100, with food (otherwise...all kinds of nausea...). max 3 per day, usually 1-2.

ashwaghanda and/or rhodiola, maybe? Jarrow has been good to me. other reputable brands are out there...I had one, with the rhodiola, that mixed it with schizandra. good times...mellowing effect. Jarrow was on sale, after that.

ok. hope this helps :-)




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