Our expert says:
Trepiline is an OLD antidepressant, which was at one stage one of the few we had, and was effective, though it had notable side-effects, including dry mouth, possibly blurred vision, and sedation, so it is sometimes used in small dose for night sedation in someone where there is any reason for concern over possible dependency on other sedatives. After the short time you have been on it, and in a low dose, it should be possible to stop without withdrawal problems. If the main reason for taking something for sedation was to feel more relaxed for some anticipated stresses in the near future, this drug with its side-effects, prescribed in good faith, doesn't seem likely to to that job for you.
Lithium is a rare drug in that blood levels can easily be measured and have a predictable relationship with benefits - so we know that whatever dose you take, below a certain achieved blood level it won't be useful, and above a certain level, it won't have any increased benefits, but will have nasty side-effects. If this dose gives you the right blood levels - its the right dose, neither high nor low.
I suppose some might use Epilim as a monotherapy - though you are not taking it that way, but in combination with Lithium, which is probably the more commonly recommended way.
You ask a good question of your doctors, but I would modify it. Because CHILDREN as such often respond differently to drugs than do adults, and because some meds well shown to be effective in adults have not been properly tested in children, maybe a better question would be - would you prescribe this for your spouse, or parent, brother or sister ?
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