First off, much credit is owed to Flex, who basically wrote the dopamine D2 section, and to Area, who basically wrote the 5-HT2A/5-HT6 section.
I'm continuing my series of threads on naturally treating serious mental conditions. This time my approach is to try to emulate pharmaceutical mechanisms with OTC herbs.
- Abilify: D2 agonist
- Flouxetine: SSRI, 5-HT2C agonist
- Citalopram: SSRI
- Olazapine: D2, 5-HT2A and 5-HT6 antagonist
- Sumatriptan: 5-HT1B and 5-HT1D agonist
- Amitriptyline: D2, 5-HT2A, 5-HT7 antagonist, NMDAR antagonist, sodium channel blocker
- Valproate: Sodium channel blocker
Lithium helps both bipolar and borderline[!] disorders. It's available in orotate form on Amazon, most common is the Swanson brand.
I'm recommending 1.25mg for borderline and 2.5mg for bipolar. You can lower this slightly, if you drink mineral water, eat certain foods, or exhibit symptoms of lithium sensitivity or toxicity.
Then a low sodium diet [!]. The reason for this overlaps with antiepileptic drugs treating bipolar, which are all sodium channel blockers. Sodium channels are involved in glutamate cascades. A ketogenic diet also appears helpful[!], but this may not help in the case of a low sodium diet, as the ketogenic diet appears helpful due to blood acidification and subsequent desalination. A high tryptophan and low tyrosine diet appears helpful.
Mania
- Magnesium, citicoline, phosphatidylcholine or-serine, and folate may help treat mania.
Depression
- Omega-3s, chromium, calcium, zinc, and perhaps inositol
- Vinpocetine and Reserpine, an alkaloid derivative of Rauwolfia serpentina, both VMAT inhibitors
- Rhodiola may be tested as an adjuctive antidepressant in cases of low energy or chronic fatigue.
- ALCAR/PS
- to be completed...
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Site
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Pharm: site action
- herbals
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Dopamine D2
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Abilify: D2 agonist
D2 agonists
- Corydalis yanhusuo [1]
- Cimicifuga racemosa and Vitex agnus cactus [2]
- Peony-Glycyrrhiza Decoction (glycyrrhetinic acid, watch out for antiandrogen effects [!]) [3]
- Salvinorin A [4]
- Sangorine [5]
Misc D2 agents
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SERT
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Citalopram: SSRI
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Serotonin, including 5-HT6
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Olazapine: 5-HT2A and 5-HT6 antagonist [!]
1A/2A antagonist and 1B agonist. See [1], [2] and [3]
- Ginkgo (5-HT1A antagonist) [1a] [1b] [1c]
- Nantenine (5-HT2A and α1 antagonist) [2]
- Ergotamine (5-HT1B agonist) [3]
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NMDAR hypofunction
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Valproate, lamictal, carbamazepine: sodium channel blockers
Sodium Channel Blocker
Glutamate release inhibitors
- Bromocriptine (also a D2 agonist) [1]
- Curcumin [2]
- note: green tea EGCG evokes a minor glutamate release, and might be expected to worsen mania
Glutamate antagonists
Presynaptic GABA antagonists
Akt and TrkB affect glutamate release
- Tenuifoliside A (TrkB activator) [1]
- Psoralidin (Akt inhibitor) [2]
- Lithium (TrkB actiavator, Akt and mGlur5 inhibitor) [3a] [3b] [3c]
GLDH Inhibitors
- Radix scutellariae [1]
- Radix codonopsis
- Radix paeoniae alba
Final recommendation: a low glutamine diet, with something clever to stimulate GAD (taurine?), or a small maintenance dose of GABA, picamilon, or theanine.