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<blockquote data-quote="ButtterflyLady" data-source="post: 909468" data-attributes="member: 43498"><p>Yes, Quetiapine is very useful for mental health but not for appetite. There is a long list of AAPs your doctor can choose from, the ones that don't seem to increase appetite much are also fairly expensive for the health system, so might be harder to get... but on the other hand, they save the health system more money than they cost, because of the effect on weight. I've been able to try a couple of these, based on my history of weight gain on the others. Amisulpride, Ziprasodone, Lurasidone, and Aripriprazole are probably the best for appetite. Clozapine, and Respiridone seem good for mood stabilisation but have negative side effects or risks that may put you off.</p><p></p><p>If your doctor wants to try a mood stabiliser, Sodium Valproate, and to a lesser extent, Lithium, increase appetite. I am not sure what Carbamazepine does to appetite but it has a bunch of negative side effects you would need to weigh up. Lamotrigine doesn't cause weight gain and seems for mood but 10% of people get a potentially dangerous rash when they take it. It must be started with a very low dose.</p><p></p><p>More than anything, I wish researchers could find new drugs for bipolar that cause few side effects and, even better, are available in a depot injection form, for those people who tend to go off their meds. It would be great if there were drugs for anxiety that aren't addictive and cause few side effects. In the meantime, we have to choose the "least worst" option.</p></blockquote><p></p>
[QUOTE="ButtterflyLady, post: 909468, member: 43498"] Yes, Quetiapine is very useful for mental health but not for appetite. There is a long list of AAPs your doctor can choose from, the ones that don't seem to increase appetite much are also fairly expensive for the health system, so might be harder to get... but on the other hand, they save the health system more money than they cost, because of the effect on weight. I've been able to try a couple of these, based on my history of weight gain on the others. Amisulpride, Ziprasodone, Lurasidone, and Aripriprazole are probably the best for appetite. Clozapine, and Respiridone seem good for mood stabilisation but have negative side effects or risks that may put you off. If your doctor wants to try a mood stabiliser, Sodium Valproate, and to a lesser extent, Lithium, increase appetite. I am not sure what Carbamazepine does to appetite but it has a bunch of negative side effects you would need to weigh up. Lamotrigine doesn't cause weight gain and seems for mood but 10% of people get a potentially dangerous rash when they take it. It must be started with a very low dose. More than anything, I wish researchers could find new drugs for bipolar that cause few side effects and, even better, are available in a depot injection form, for those people who tend to go off their meds. It would be great if there were drugs for anxiety that aren't addictive and cause few side effects. In the meantime, we have to choose the "least worst" option. [/QUOTE]
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