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DR G- Bipolar & Sleep medications
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shane2020 posted:
Dr G
Are there any sleep medications that can be safely used for bipolar I patient who is currently taking lithium, lamictal, & geodon.
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melly2210 responded:
bump
Hope is that thing with feathers that perches in the soul and sings the tune without the words and never stops... at all. ~Emily Dickinson
 
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Joseph F Goldberg, MD responded:
Dear shane,

There are many medicines that potentially can be used for simple insomnia in people with bipolar disorder, including Ambien, Lunesta, Rozerem, melatonin, benzodiazepines like Restoril or Klonopin, and sometimes Seroquel is used to take advantage of its antihistamine effect to cause drowsiness. Using trazodone or Remeron may be a little dicier since those are antidepressants which could, in theory, make mania worse -- though there's no absolute on this.

- Dr. G.
 
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furbabies4 replied to Joseph F Goldberg, MD's response:
Very interesting. I alternate between Ambian & Lunesta. Neither was working for a while so my pdoc gave me a script for trazodone. That does knock me out, but gives me more of a "morning after" hangover than the others do. I didn't realize it was an antidepressant.


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