Preliminary Schema for Antidepressant (AD) Use in Depression Breaking Through One or More Mood Stabilizers (MS)

I. (A). Non-rapid cycling
Add AD

   (B). Rapid Cycling or polyphasic episode
         Add 2nd MS, especially lamotrigine
                  Add 3rd MS
                          Add AD

    (C). Adjuncts for:
           Sleep, Anxiety, Agitation:
          High potency benzodiazepines
          Gabapentin

           Memory:
          Donezepil
         Calcium channel blocker?

           Alcohol:
           Naltrexone
           Acamprosate

II. If Non-response to MS + AD
Lithium Augmentation

III. Antidepressant Adjuncts
      Sleep Deprivation
      High Lux Light Therapy
      Omega-3 Fatty Acids
      Ascorbate
      Folate

From Bipolar Network News Volume 7 Issue 1 http://www.bipolarnetwork.org

This page is not for profit and is put up to assist clinicians. Bipolar Network News can be downloaded at http://www.bipolarnetwork.org/new_site/BNN/ or you can request a personal subscription by calling (301) 435-2529.

Bipolar Disorder Today Newsletter

Join the BP Today Newsletter for information, resources and support. Or, send a blank email here.

MH Today	MH Bookstore	Attention Deficit	Bipolar	Borderline Personality	Borderline Bookstore	Depression
Gender Identity	Narcissistic Personality	PTSD	Schizophrenia	Seniors	Suicide	Mental Health Exercises

Visit MH Matters for information and articles. Get help to find a therapist or list your practice; and Psych Forums for message boards on a variety of MH topics.

Sponsors: Aphrodite's Love Poetry ¦ Make Money on the Internet