Posted by Randal on August 22, 2002, at 22:12:22
In reply to Lamictal with an Antidepressant, Suggestions?, posted by MarkCSF on August 22, 2002, at 12:55:21
Hi,
I'm not the best person to answer this because while I did not respond to ADs (including Wellbutrin) while on Lamictal + lithium, I don't in general respond to ADs.
Two things I have heard:
A combination of Lamictal + Neurontin (gabapentin, an anticonvulsant) is apparently good for a lot of people. I got the impression at one point that there might be something "special" (synergistic?) about this combination. This might be "safer" for some bipolar people than taking ADs, and Neurontin has few side affects for most. I have been taking Neurontin (250 mg x 3) on top of Lamictal (500mg) and Lithium (1200 mg) for the last week. So far, so good. (If anyone knows of any evidence of the efficacy of the Lamictal/Neurontin combination or has had good experiences I would be interested.)
Remeron possibly is one of the medications most likely to induce weight gain, from what I understand. I haven't tried it, partly because a buddy of mine quickly put on 30 lbs (and he's a short guy). Clearly different people would respond differently, but seriously, I'd take a little sexual dysfunction instead of that!
Good luck! A great thing about Lamictal is (for me) essentially no side effects--even at 500mg/day.
Randal
> Hi, Im just kind of curious. I started Lamictal a couple weeks ago, am only taking 50mg right now, but am going up to 75 or 100mg in the next couple days. I was just wondering as to, if the AD effects of this dont happen or arent that good, what's a good antidepressant to augment this with? I was thinking Wellbutrin or Remeron cause I cannot tolerate the sexual dysfunction of anything else. Any thoughts? Thanks..
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poster:Randal
thread:117394
URL: http://www.dr-bob.org/babble/20020821/msgs/117447.html