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I have an acquaintance with MDD w/o psychotic features for whom several ADs have lost their effectiveness, including Wellbutrin and Prozac. It is a difficult situation to handle.
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Bipolar I w/psychotic features
Last inpatient stay in 2018
Lybalvi 10 mg
Naltrexone 75 mg
Gabapentin 1500 mg+Vitamin B-complex (against extrapyramidal side effects)
Long-term side effects from medications, some of them discontinued:
- Hypothyroidism
- Obesity BMI ~ 38
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