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It is a small dose. I was on it for sleep. It still eventually caused hypomania and weight gain. But at the dose that low, I would not worry about the serotonin syndrome. More about hypomania and weight gain. But in your case, since GI symptoms are severe, maybe the cost and benefit analysis tips the scale in favor of doing Elavil, possibly as a PRN.
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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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