Posted by bleauberry on June 7, 2011, at 5:04:37
In reply to Depressed with Lithium..., posted by sheilac on June 6, 2011, at 8:07:01
It appears to me 450mg is too much at this time. If it were me I would probably try dropping the lithium dose carefully in small steps, looking for that sweet spot where I get adequate manic control without being depressive. It might not end up being perfect because very few meds are and very few patients experience that, but try to find the minimum dose that is helpful.
If you were to add an antidepressant it should, in my opinion, be a med that is strong on norepinephrine. Such as nortriptyline or milnacipran. If a TCA, a small dash of SSRI would be considered with it as well for the synergy of covering multiple transmitters.
poster:bleauberry
thread:987266
URL: http://www.dr-bob.org/babble/20110529/msgs/987329.html