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Suggest treatment for depression

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Posted on Mon, 14 Jul 2014
Question: I believe I have Pseudo bulbar affect. I had 3 head injuries at age 13 and was not treated (1963). My mother said I changed then but did not take me to a doctor. Since then after being Bi-polar for 20 yrs (self diagnosed) I have been up,down and all around. I started crying for no good reason. All the time! I have self diagnosed PBA. I asked my Primary for Neurontin,she prescribed it 3 a day. I was already on Amitriptyline and Trazodone ( taken at night 200 XXXXXXX and 300 traz). Can only take 2 neuront-feels wiggly .Do you have any other medications to offer? I can't find a Psych that knows anything. Neuro not found.
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Answered by Dr. Abhishek Kapoor (7 hours later)
Brief Answer:
Try tianeptine

Detailed Answer:
HI
Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query.

If you have mood swing, that could be due to underline depression. Even after taking amitriptyline 200 mg and trazodone 300 mg, you did not get any manic switch. That shows, you are more towards depression rather than bipolar disorder. If you have mood swings since childhood, that could be due to borderline personality trait. In that case, if you want to take any medication to control mood swing, you can either take any antidepressant like mirtazapine, tianeptine, paroxetine/ escitalopram or mood stabilizer like lamotrigine. Neurontin (gabapentin) could help to control anxiety, but it would not help in controlling mood swings.

At age of 65, i would prefer tianeptine. It is a antidepressant that would uplift and maintain your mood. It also works on old related cerebral degeneration, so it would suite you in better way. Rest, you can discuss with your doctor.

In case, you need further help, you can ask.

Regards
Dr. Abhishek Kapoor
Psychiatrist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Abhishek Kapoor

Psychiatrist

Practicing since :2007

Answered : 2496 Questions

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Suggest treatment for depression

Brief Answer: Try tianeptine Detailed Answer: HI Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query. If you have mood swing, that could be due to underline depression. Even after taking amitriptyline 200 mg and trazodone 300 mg, you did not get any manic switch. That shows, you are more towards depression rather than bipolar disorder. If you have mood swings since childhood, that could be due to borderline personality trait. In that case, if you want to take any medication to control mood swing, you can either take any antidepressant like mirtazapine, tianeptine, paroxetine/ escitalopram or mood stabilizer like lamotrigine. Neurontin (gabapentin) could help to control anxiety, but it would not help in controlling mood swings. At age of 65, i would prefer tianeptine. It is a antidepressant that would uplift and maintain your mood. It also works on old related cerebral degeneration, so it would suite you in better way. Rest, you can discuss with your doctor. In case, you need further help, you can ask. Regards Dr. Abhishek Kapoor Psychiatrist