Posted by psychobot5000 on October 5, 2006, at 22:51:01
In reply to Re: Stablon / tianeptine legality--grey area » psychobot5000, posted by SLS on October 5, 2006, at 9:03:42
> By "decent", do you think it is appropriate for a severe angergic bipolar depression?
I think Declan's response is a good one.(Tianeptine doesn't give you heaps of energy. Heaps of energy would likely turn nasty with me anyway. So I'd wondered about its use for severe anergic depression. Seems to be mildly prosocial.)
...I take it for severe treatment-resisitant, anergic, atypical depression, and it does pretty well for that, except for not helping with drive and energy. But at least it isn't sedating, either. I'd say that, for mood-elevation, it's about as powerful as an SSRI, WITHOUT the nausea, insomnia, anxiety, and diverse other unpleasant accompanying factors.
Many researchers suggest it has mood-stabilizing properties, and I've read reports of that on this forum. My moods are more even when taking it, though I imagine it's less powerful than lithium, or whatever, in that respect. Still, definitely seems as though it'd be useful to BP patients.
I don't know what's contraindicated in BP patients, but something like low dose reboxetine, desipramine, or a psychostimulant might help with the anergia. The mechanisms-of-action in the various drugs suggest they can be combined with each other, but I suppose in treating bipolar disorder, one must be careful.
Hope that's useful to you--stablon is the best medication I've found for myself. It seems to be very safe.
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poster:psychobot5000
thread:691244
URL: http://www.dr-bob.org/babble/20061003/msgs/692274.html