Posted by colin wallace on February 26, 2003, at 11:18:32
In reply to Re: Lamictal and Pre-emptive Strikes » catmint, posted by Ritch on February 26, 2003, at 10:16:12
Hi there Ritch,
Cheers for your previous response by the way- you're a good man to share ideas with.
You mentioned that someone had posted previously on some success with a low dose combo.of Lamictal/Valproate/thyroid.
I think at first I'm going to opt for the Trileptal to augment my Lamictal(if necessary).
That extra oxygen molecule makes Trileptal seem far superior to plain Tegretol in terms of tolerability and side-effects.
If that bottoms out(or I'm refused the med.,as seems more likey!)then my options may be limited to a cautious trial of Divalproex(seems to be better tolerated than Valproate)and an AD.
I wondered have you heard of any other reasons not to combine Lamictal/Valproate(apart from the obvious decreased clearance of Lam. and increased risk of rash).
I'm sure that these risks can be greatly reduced by dose adjustment and a very cautious introduction of Depakote anyhow(seeing as I'm already past the LAM. rash risk).Waddaya reckon??
poster:colin wallace
thread:203376
URL: http://www.dr-bob.org/babble/20030224/msgs/204001.html