Posted by Golf4 on December 9, 2003, at 3:54:40
In reply to lamictal - help!, posted by linnette on December 9, 2003, at 1:05:15
> Hi everyone,
> I need some help here. I saw my new pdoc last Tuesday, and was at 200 mg lamictal, along with 1.5 mg xanax, and 2 or 300 mg neurontin as needed. He suggested I go up on lamictal to 300, as I was still exper some depressive symptoms. I got up to 250 mg and am now in an agitated, anxious, irritated depressed state, and haven't had a decent night's sleep for about 4 or 5 days. I am almost ready to re-start my zoloft or nortriptyline as I have to work and needless to say, depressive symptoms make that nearly impossible. Along with all of that, I don't want to eat.
>
> I know this prb has to do with the lamictal increase, but with the depressive symptoms there before the increase, doesn't it seem prudent to re-start my AD as I discontinued them altogether about a month ago. My pdoc is open to this, I just don't want to have to contact him about which one to re-start as I just had my appt. a week ago. I really had hoped that the lamictal would be my "monotherapy" med, but it looks bleak right now.
>
> As always, thank you for yor feedback.
>
> LinnetteHi,Linnette
I can certainly understand you and I presume that many more like us can do as well(even if they are not writing on this board):
My personal experience with Lamictal monotherapy has failed TWICE (so I did give it a chance,but…)and I presume that very few persons suffering years with recurrent depr.(mainly agitative/anxious )could really survive successfully with this “wonder” med ALONE.
I would strongly suggest you to restart your AD treatment(with a med with which you have had at least a significant response)and eventually let your Lamictal(at lower doses which are not agitating anymore :max.100mg)remain as your M.S.
Normally,you SHOULD discuss the issue with YOUR doc. ; I have just shared with you my personal experience which can represent an indication for your case,too.There is no reason for your suffering too much and the earlier you restart the AD administration,the quicker you will start feeling well again(don’t forget the very long time anyway for an adequate AD dose, to kick in)
I can also pay your attention to an interesting article : A re-evaluation of the role of antidepressants in the treatment of bipolar depression: data from the Stanley Foundation Bipolar Network.
Post RM, Leverich GS, Nolen WA, Kupka RW, Altshuler LL, Frye MA, Suppes T, McElroy S, Keck P, Grunze H, Walden J.
Paul
poster:Golf4
thread:287906
URL: http://www.dr-bob.org/babble/20031208/msgs/287946.html