Hi, Bryan! The standard medications used for BPD are Seroquel ~ or Geodon to a lesser degree ~ alone or in combination with lithium, Lamictal or other mood stabilizers. Seroquel is approved for treatment of both BPD depression and mania. Geodon isn't approved, but has been used effectively in some cases. Anti-depressants such as Elavil, a tricyclic, the MAOs, SSRIs and SNRIs are used to treat depression but are suspected of provoking manic episodes even in people who haven't had one (yet) and they don't effectively treat BPD depression. It's a fairly common problem for people who have been treated for depressive disorders when what they actually have is BPD.
Best wishes, WCV
I have been on Elavil (amitriptyline) for a month. I am on it because none of the SSRI's worked out, bad side effects. I have PTSD/anxiety/night terrors/depression. It can be very sedative. I take it at night 25 mg (I am med sensitive) along with Guanfacine 1mg it is a blood pressure med found to work for night terrors/anxiety symptoms, and Buspar for anxiety 15 mg 2 x a day. This combo is working OK for me. I do feel sedated and still do not sleep well but better.
I would be cautious regarding the bi-polar as I know some meds can kick up the mania, as someone else mention in their response.
Hope you find something that will work for you.
- Elavil Information for Consumers
- Elavil Information for Healthcare Professionals (includes dosage details)
- Side Effects of Elavil (detailed)
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