Posted by antennastoheaven on June 25, 2013, at 0:21:09
In reply to Re: Bipolar DX based only on SSRI hypomanic response?, posted by creepy on June 24, 2013, at 23:49:59
> Lamictal never got to 200mg+, right? below that point its mostly an antidepressant not much of a mood stabilizer. Id bet you went mixed / agitated on it before you got to a stabilizing dosage. Titrating up on lamictal can be very difficult. Anxiety, agitation, etc. Maybe adding a benzo or an AAP during titration might help?
The only effect I ever felt on lamictal was numbness - constant boredom and severe anhedonia that made me suicidal - at 100 mg, never took more. No anxiety or agitation at any dose and no other notable side effects. I was on Abilify at the time and taking Xanax as needed (which wasn't often)
> You might also consider the atypical antipsychotics. Antagonizing serotonin receptors might give benefit without triggering hypomania.
What would an AAP/antagonist do for depressive symptoms in those who do not have manic/hypomanic symptoms to control? Benefits of agonists make sense, in the case of Abilify for example.
poster:antennastoheaven
thread:1045773
URL: http://www.dr-bob.org/babble/20130617/msgs/1045835.html