Posted by Dr. Kramer on April 2, 2002, at 11:28:12
In reply to Dr Kramer: AED cocktails for BPII/NOS., posted by JahL on April 1, 2002, at 22:23:23
> Dear Dr Kramer.
>
> Another very treatment resistant individual with BP NOS, social phobia, derealisation. Tried in excess of 40 meds.
>
> Another noted pdoc who sometimes frequents these pages suggested I exploit the synergy I enjoy from Lamictal & Klonopin (neither works alone; together they help moderately) and explore complex AED cocktails. ADs are a no-no; tried 15 or so & all worsened my depression (when they weren't briefly inducing euthymia).
>
> Anecdotally, are there any AEDs (I've already added Keppra & Neurontin to no effect) that might be good candidates to add to Lamictal? Oxycarbamazepine? Tiagabine? Topiramate? Zonisamide???
>
> I have read encouraging reports about Lamictal + VPA (which reduced SI when I took it alone) but I am concerned about the obvious interaction.
>
> Do you have any thoughts?
>
> Thanks for your time.
>
> J.Sure. They're all possiblities. I've had good luck giving Depakote and Lamictal together; it's by no means prohibitive, you just have to pay attention, keep the doses low, and watch blood levels. It works.
poster:Dr. Kramer
thread:101386
URL: http://www.dr-bob.org/babble/20020402/msgs/101461.html