Posted by Mitch on December 26, 2001, at 18:52:41
In reply to WHAT TO DO ABOUT BIPOLAR II ????, posted by Geezer on December 23, 2001, at 13:45:06
> DX: Bipolar II,Atypical Depression and Dysphoric Hypomania.
>
> TCAs not acceptable due to adverse side affects.
> SSRI's not acceptable due to ASTHENIA.
> Wellbutrin did nothing, Remeron too sedating, Serzone too sedating, Effexor-will not try due to adverse side affects and Horrable withdrawal. Provigil is nothing more than the rebound depression portion of Dex. Can't take Stims. due to previous abuse. Can not find a pdoc with the intestinal fortitude to try selegiline or Parnate.
> Current Meds:
> Dakakote 750mg.
> Klonopin 1mg
> Ambien 10mg
> Zoloft 25mg
> (I know these are low doses but increases only add to the Asthenia)
> Any suggestions?Hi,
I would suggest adding some T4 (maybe just 50mcg), and maybe dropping the Depakote down to 500mg/day, and the Zoloft down to 12.5mg/day. I haven't tried it, but I would like to. Maybe it would help the cycling, and the reduced Dep and Zoloft would help tiredness and asthenia (with the T4 "perking" you up a little).
Mitch
poster:Mitch
thread:87755
URL: http://www.dr-bob.org/babble/20011222/msgs/87899.html