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Re: Parnate + Lithium for a unipolar depressive » Girlnterrupted78

Posted by SLS on December 14, 2009, at 14:07:25

In reply to Re: Parnate + Lithium for a unipolar depressive » SLS, posted by Girlnterrupted78 on December 14, 2009, at 11:52:48

> "In my estimation, adding nortriptyline to Parnate is a logical choice."
>
> Thanks Scott. Just curious about how did you estimate this? A lot of times I tell my doctor things I heard here (I suggested nortriptyline after hearing success stories from different people here) so I would just like to have the whole story for him.. the whys and hows of what I suggest.
>
> So if you can give me more info, I'd appreciate it.
>
> My doctor thinks that because I stay up all night, that I'm "hypomanic" and "dysphoric" at the same time, since I no longer feel the initial positive effects of the med..and he also thinks that because I change from one activity to the next, that it further confirms some degree of mania.

Well, perhaps you don't want to go with the nortriptyline so quickly after all. I think it is important to get a better idea as to whether or not bipolarity is involved. The prevailing sentiment has been that tricyclics is the group of antidepressants that is most likely to cause a switch into, or exacerbate, mania. These drugs can also precipitate rapid cycling.

After not sleeping for a few days, how is your energy level? Do you feel that you are drawn to starting too many projects at once and not be able to finish any one of them? How is your sex drive?


- Scott

 

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poster:SLS thread:929179
URL: http://www.dr-bob.org/babble/20091206/msgs/929206.html