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Suggest Treatment For Bipolar Disorder While On Amitriptyline And Lexapro

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Posted on Tue, 18 Apr 2017
Question: I am bipolar, I take 40 mg of lexapor and 200 mg amitriptyline hcl . I am 64 years old and my Mrs are not giving me any relief.
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Answered by Dr. Seikhoo Bishnoi (19 minutes later)
Brief Answer:
Dose of Amitriptyline is very high.

Detailed Answer:
Hello thanks for asking from healthcaremagic.com

You are on 200 mg Amitriptyline and this is a very high dose considering your age. Lexapro dose is also high. Zoloft is Sertraline and is one of safe SSRI drug use. The drug is preferred in individuals of more than 60 year age. Dose of 100 mg was not very high and can be increased to even 200 mg without worries. 100 mg Trazodone dose was also not very high. The drug at this dose has not much effects in depressive symptoms but helps in good sleep.

So please talk to your doctor and ask for re-evaluation.

What are your symptoms that are persisting despite the drug therapy?

How is your sleep?

Thanks, Please provide the details in free follow up question.

Take care
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5192 Questions

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Suggest Treatment For Bipolar Disorder While On Amitriptyline And Lexapro

Brief Answer: Dose of Amitriptyline is very high. Detailed Answer: Hello thanks for asking from healthcaremagic.com You are on 200 mg Amitriptyline and this is a very high dose considering your age. Lexapro dose is also high. Zoloft is Sertraline and is one of safe SSRI drug use. The drug is preferred in individuals of more than 60 year age. Dose of 100 mg was not very high and can be increased to even 200 mg without worries. 100 mg Trazodone dose was also not very high. The drug at this dose has not much effects in depressive symptoms but helps in good sleep. So please talk to your doctor and ask for re-evaluation. What are your symptoms that are persisting despite the drug therapy? How is your sleep? Thanks, Please provide the details in free follow up question. Take care