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Re: Drugs for Rages, in context of mood disorder

Posted by doxogenic boy on September 16, 2013, at 14:07:28

In reply to Re: Drugs for Rages, in context of mood disorder doxogenic boy, posted by BygoneBeSpade on September 16, 2013, at 13:17:19

> About lithium: I have not tried it, but I'm a little wary of it since I heard it can be hard on kidneys and cause eps/hand tremors.

That is correct, but you can avoid the kidney problems if you monitor blood levels regularly. I think high doses of lithium work better against aggression than low doses, but you will most likely get some side effects.

>How speedily does lithium work on that front?

When lithium is used against bipolar disorder, it could take four weeks or more to stabilize mood, but I guess (but I don't know for sure) it works faster against aggression. If you have sleep problems, and you suspect that it worsens your aggression, Seroquel (quetiapine) may work for you.

Antidepressants can destabilize mood and can cause mania (and mania often is associated with aggression) so I think it should not be the first choice. They can work against aggression, but ADs are probably more unpredictable than lithium and antipsychotics for this indication.

Earlier TRD/anxiety
300 mg tianeptine, 6 X 50 mg successfully since Oct 2009
20 mcg liothyronine
40 mg escitalopram
100 mg trimipramine
50 mg agomelatine
600 mg quetiapine




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