Posted by Golf4 on December 14, 2002, at 4:59:40
In reply to Re: Lamictal for BP2 ; does it work for you?, posted by Peter S. on December 13, 2002, at 14:57:46
Hi,Petter,
first of all I am pleased to read that you have had at least a SHORT time success with Lamictal(presuming that it hasn't been just a placebo effect?!) and then,let me ask you about the reason for which your doc.suggested to increase the dose up to 600mg?!Practically there is no too much literature &experience regarding the "correct" dose limits for Lamictal as a mood stabilizer(on the other hand,there is quite a lot of info.regarding it for epilepsy :the doses being even higher than 600mg)
From your rows it isn't clear(FOR ME) whether you are a recurrent Unipolar (suffering with major depr.reaching the deepest levels of suicidal),or a "genuine" BP2(probably you aren't a BP1,as you are not mentioning mania phases,too)
The importance of the told above is for deciding whether or not you MUST be administered a good(for you)AD and I presume that if you haven't tried,yet Effexor,you better think to(instead of Prozac).
And a last word :Lamictal (at a certain,lower dose)COULD be a logical approach,though there are other mood stabilizers which in YOUR case,YOUR specific structure,may work better ; as you know,it is somehow a "trial&error" process and therefore it is so difficult
I wish you and all of us suffering with these awful maladies :GOOD LUCK and sooner the better.======================
> Scott and Paul,
>
> Your observations fit exactly with my experience. I was doing the greatest I've ever done consistantly when I started Lamictal. I had to continue to up the dose to 600mg and then I started cycling again. I just started trileptal in addition but cannot tolerate much because of sleepiness. Today I'm feeling great. 2 days ago I was suicidal. I'm tired of this roller coaster!
> I'm also re-starting prozac in the hope that this in combination with everything else will work.
>
> I'm curious to hear about continued progress in combining these meds. Because Bipolar II or III are new and controversial as diagnoses, there is very little knowledge of what kinds of combinations might work. The state of psychopharmacology is such a drag!
>
> Cheers,
>
> Peter
poster:Golf4
thread:131533
URL: http://www.dr-bob.org/babble/20021210/msgs/131775.html