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Trileptal PLUS Lamictal?

Posted by Christ_empowered on November 20, 2013, at 7:38:07

What would the potential draw backs be with this combo?

Here's my current line up: 1200 Trileptal, 20 Prozac, 30 Abilify, up to 300 Neurontin, as needed.

My doc just wants the Prozac in there for the next couple months. I need something to prevent a recurrence of psychotic depression (that's my big mood problem in my bipolar I).

The Trileptal cannot be increased. The Neurontin cannot be increased...in fact, my doc only wants me on it PRN. I don't really want a second neuroleptic.

So, I was thinking, 100-200mgs/day Lamcital, and drop the Prozac? I know lamictal helps prevent bipolar depressive episodes, but what about psychotic depression? I don't mind the Prozac, but my doc is old school, so she's worried about mood instability and drug induced activation over the long haul.

What do you guys think?


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poster:Christ_empowered thread:1054653
URL: http://www.dr-bob.org/babble/20131115/msgs/1054653.html