Posted by SLS on November 1, 2005, at 7:33:08
In reply to Re: Help me! Mouth sores with Lamictil..., posted by TrishP on November 1, 2005, at 6:16:51
> Wellbutrin monotherapy is ok - it just leaves me anxious and a little too hyper.
You should work with your doctor to discuss whether adding an anticonvulsant mood stabilizer or neuroleptic would be indicated to protect against mania.
> Effexor was a good combo with Wellbutrin
It is a great combination. Have you ever tried Effexor without the Wellbutrin? Does the Effexor help prevent you from feelng "hyper" on Wellbutrin?
You should probably begin thinking of your condition as something that is going to need long-term treatment. In my opinion, it makes very little sense to deny yourself an effective treatment out of the worry of how difficult it might be to withdraw from when you may never have to. As I mentioned in my last post, there are ways to greatly reduce the discomfort of withdrawal from Effexor and other SRI drugs. You won't be "stuck" on it if you don't need it.
- Scott-------------------------------------------
- I was just afraid of the fact that I may have to take it for life, due to the fact that I have a hard time stopping it. My fear is the day or two that I may be without Effexor and the immediate discontinuation syndrome.
>
> Maybe I'm just fighting the inevitable.
>
> > > I've only been on Lamictil for 4 days and my mouth is starting to feel funny again. I tried Lamictil a year ago and I thought my teeth were going to fall out.
> >
> > If you are actually developing sores in and around your mouth, or anywhere else from the neck and above, you might be experiencing the serious rash reaction that one must always watch for when starting Lamictal. Stevens-Johnson Syndrome can be fatal.
> >
> > I can't tell from your description whether you should be alarmed or not. You are going to have to speak to your doctor about this. If it is the rash-reaction, you are going to need to discontinue Lamictal immediately. It can often be restarted at a lower dosage and using a more gradual dosage titration.
> >
> > > I'm afraid to go back to Effexor due to the awful discontinuation syndrome.
> >
> > You don't have to discontinue something if it works. Why did you discontinue it the first time? If your depression is recurrent, it might be desirable to continue treatment indefinitely. Besides, there are tricks to withdrawing from Effexor with a minimum of discomfort. This includes flexible dosing for which you are in control of dosing. You simply take a minute amount of Effexor as soon as you feel the withdrawal symptoms appear.
> >
> > > I like taking Wellbutrin - it just makes me a little hypomanic sometimes.
> >
> > The hypomania might be an easy thing to treat. If Wellbutrin controls the depression, but leaves you hypomanic, you can simply add an antimanic drug to stabilize your mood.
> >
> > What is it about about Wellbutrin monotherapy that you find inadequate?
> >
> >
> > - Scott
>
>
poster:SLS
thread:573845
URL: http://www.dr-bob.org/babble/20051031/msgs/574070.html