Posted by theo on October 31, 2004, at 8:03:13
In reply to Re: Cymbalta and Sexual Side effects, posted by SLS on October 31, 2004, at 7:18:44
Scott,
How's the drop back to 60mg Cymbalta treating you?
I'm still going back and forth wondering if it's worth trying another SSRI/SSNRI, but may give Cymbalta a spin after I equilibrate to my dose with my Lamictal.
By the way, what do you think is a good evaluation time frame for Lamictal dosage increase, decrease when you have been above 100mg for several months? I was at 100mg for several months, went to 150mg for about 15 days and felt foggy and blaugh in general, so dropped back to 100mg and was at this dose for another month and felt pretty good. Then, my pdoc said "instead of going from 100mg to 150mg, go from 100mg to 125mg for a month then to 150mg for a month." Well, now I'm at 150mg again (about 20 days) and feeling blaugh and foggy at 150mg once again.
I know for SSRI's a good 6-8 weeks is probably a good time frame for evaluating a certain dose, but what about anticonvulsants like Lamictal? Do you think 2-3 weeks is long enough to evaluate a dose after you have been on at least 100mg for several months? I'm seriously considering dropping back to 100mg because normally this class of meds makes you feel better in the beginning and then fade away leaving you an ever so slight mood lifting effect, so my thinking is that 3 weeks at 150mg is plenty of time.
I know you have mentioned you bounce between 150mg and 200mg. What has your experience been as far as evaluation time frame for a certain dose?
I also notice when I go from 100mg to 150mg, I get a huge craving for sweets and have gained 8 pounds at 150mg.
My doc is flexible and even suggested I "play" with the dose, but really didn't know from experience how long to stay at a dose before moving up or down.
Any input from your experience with Lamictal would be appreciated.
poster:theo
thread:409350
URL: http://www.dr-bob.org/babble/20041029/msgs/409484.html