Posted by Mondeo on April 17, 2002, at 9:00:25
In reply to Re: Update - Staying on Lamictal too, posted by crinn on January 18, 2002, at 7:18:02
. I'm up to 200mg of Lamictal, Also, the Lamictal has lifted my spirits (albeit, temporarily) like no other drug I've ever tried (and I feel like I've tried them all). Anyway, there was a lot of input to your thread, but I wanted you to hear from someone on a higher dose with some success. Good luck and best wishes--I'll keep a good thought.
> >
> > > I haven't given up on Lamictal yet--it may be premature to say that it has pooped out, but in the beginning I was positively cheerful and that has not lasted. Gradually my old dysthymic self has been resurfacing.
> > >
> > > I decided to stick with 100 for awhile. I realized that holidays and weather had derailed my exercize routine, and that I should get back to that before messing with my meds.
> > >
> > > Also, Jane's anecdote that the initial burst of good feeling is common and then you need to go much higher discourages me from dropping back down.
> > >
> > > > Sorry to hear Lamictal isn't working for both of you - you were my Lamictal models! I found a brief, two-day effect at 12.5 mg, then that effect dissipated. However, although I don't feel any dramatic effect at 100 mg, I do find that I am much more easygoing than I used to be. Things that would get me very riled up just don't seem to get to me. I've heard that the brief initial effect is very common, then if fades until you hit 150 to 300 mg and reach a therapeutic dose. I've also heard that this therapeutic dose can take a month to six weeks to kick in. So I'm a long way from giving up on this drug yet - at least six months, since I'm aiming at 250 mg. I'll keep you both posted, and I'll follow both your progress with interest.
> > > >
> > > > - JaneHei,Jane
as your informative message was written in Jan.,I wonder whether you have already reached that Lamictal therapeutic dose(mentioned by you as being around 300mg)?Practically,as far as I know,there is still no exact data about its optimal dose
I am asking,since I myself,as a BP2,am already a couple of months on it,as a monotherapy(switched FROM Celexa to it)and since a couple of weeks already on an elevated dose of 450mg ! and the results are promising :no hypomany and v.mild depr.breakthroughs(fluctuations or better said,still no firm stability)
In case things won't improve even more(though it seems to),I shall certainly NOT increase anymore this already high dose,but on the contrary,I may reduce it and restart taking Celexa(at least the lower dose of 10mg)and consider then Lamictal just as an augmentation and barrier for hypomany
Paul
poster:Mondeo
thread:90100
URL: http://www.dr-bob.org/babble/20020416/msgs/103323.html