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Re: Lamictal-poop out due to slow titration?

Posted by jaby on October 24, 2001, at 14:12:20

In reply to Re: Lamictal-poop out due to slow titration? » jaby, posted by JahL on October 24, 2001, at 13:37:48

Thanks for you input. Is there any literature on the 400/40 combo you mentioned? Any luck with it thus far? My diagnosis is kind of in limbo. I started w. GAD w/ depression, but a BP diagnosis is being consider since I've really done better on AED's than anything else. I would say something like BPII becasue I never get any positives. Perhaps my mania is manifested as anxiety. Right now I take neurontin, just started the lamictal, and a tiny bit of valium.
Any more ideas you might have would be appreciated.
Thanks,
Jeff

> > I just recently started Lamictal. This is only my third day. The first day I had a tremendously stimulating efect that lifted my depression tremendously. Yesterday I experienced an abrupt diminish of benefit around 4:00 PM. Today the benefit does not seem to be as great either. Those of you that have experience with this med: Have you experienced anything like this? I'm hoping it is just due to the slow titration schedule and that the benefits will eventually return. I plan to adhere to the dosing schedule completely, but will be really bumed if i never regain the way i felt the other day. Well, I had my life back for 1 1/2 days. Hoping for more. Let me now you thoughts/experiences.
>
> Hi.
>
> I had a similar-ish reaction. After about 3 weeks, whilst on only about 25mg, I added Klonopin to Lamictal & w/in a couple of hours I, like y'self, enjoyed a significant lift in mood (which lasted for the day). I was able to replicate this a few times. What's yr dx? I'm BPII & would class my experiences as mild hypomania.
>
> Anyway, this seemed to be the precursor for a sustained, global improvement in all symptomology. This faded over about 6 weeks, tho' I still take Lamictal 4 its mild AD properties & because it helps me think *a little* more clearly. Raising the dose (now at 400mg) -slowly-failed to reinstate the improvement. I've now added 40mg of Prozac. British pdocs at the forefront of developments (which isn't actually saying that much) regard the 400/40mg combo highly. Indeed, it's the first recognised treatment for Depersonalition Disorder. We'll see...
>
> J.


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poster:jaby thread:82190
URL: http://www.dr-bob.org/babble/20011015/msgs/82203.html