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Hello can anyone tell me their experiences in a similar situation to me? I have Bipolar 1, on lithium and valproate, mirtazipine for current depressive episode, also have levothyroxine for lithium-induced hypothyroidism, PLUS i have severe degenerative joint disease of the spine which is increasingly debilitating and painful - i am now unable to walk further than about 50 yards without agonising pain. so im stuck in a recliner chair all day bored stiff and increasingly desperate. I read somewhere the other day that Amitriptyline has pain relieving qualities as well as Antidepressant... Would it be a good idea to suggest to my psychiatrist that i swap mirtazipine for Amitriptyline? HAs anyone tried a similar change of meds and how did it affect their depression and pain? im worried about i) relapse into mania/psychosis, ii)side-effects, and iii) will it exacerbate my NSAID-Ulcer and IBS? Sorry its so complicated! All medical personnel views welcome too!
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