Verapamil
[CA CHANNEL BLOCKER] May treat mania and ultra-rapid cycling bipolar. Treats migraines.
Weight-Free
Nimodipine
[CA CHANNEL BLOCKER] for mania [3], rapid cycling bipolar, and tremor, (may help bp-anxiety).
Pindolol
Speeds up antidepressants [3] when started with an SSRI (doesn’t augment later after starting SSRI). Augments in OCD/panic [3]
Buspirone-melatonin combo
Low doses of both treated depression in one trial.
Buspirone-melatonin combo Read More »
Bupropion
[Wellbutrin] First-line for depression (lacks weight-gain, sexual, cognitive, fatigue SEs; lack of WD). Safest antidepressant in bipolar. Treats nicotine but not as well as varenicline. Treats ADHD a little; RLS.
Lamotrigine
[Lamictal] Best tolerated mood stabilizer, treats and prevents bp-depression; does not treat mania so avoid as monotherapy in bipolar I.
Carbamazepine
[Equetro] A well tolerated option for bipolar mania and mixed states (but you’ll need to adjust for drug interactions)
Gabapentin
[Neurontin] For social anxiety, stabilizing sleep in alcoholics, RLS, akathisia, non-specific anxiety. Better tolerated than pregabalin but less effective.