Interesting.
I do believe that B6 might help because it helps me ameliorate EPS from APs, and there is evidence supporting its use. My psychiatrist researched the issue and recommended it. You need a high enough dose, but not too high, or B6 can become toxic. I further researched the issue back then (in the fall of 2023) and learned that to optimize taking B6, you also need to take a B-complex alongside it—and with food.
Regarding Gingko, my neurologist said that there is no evidence supporting its use in the prevention of TD, but it might help treat TD.
Regarding piracetam, it is a nootropic and should be used with extreme caution if you have Bipolar. It essentially acts as a stimulant and can cause mania (happened to me years before I was diagnosed with bipolar). It is a supplement used by students to boost memory and learning abilities for a reason – it performs as if it were a stimulant, with accompanying side effects. But I imagine that someone with MDD and anxiety can actually benefit from this kind of drug. Note that it has the status of a supplement in the US, but in some other countries, where it is used widely, it has the status of a regulated pharmaceutical agent.
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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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