Posted by colin wallace on February 27, 2003, at 5:24:28
In reply to More info....Colin, posted by Ritch on February 26, 2003, at 13:52:25
> >OH, just wanted to add something if you aren't aware of this already, but maximum dosage of Lamictal isn't supposed to exceed 150mg/day (75mg bid) if you take VPA with it. This would approximate a 300mg dose of Lamictal without the VPA. Your doc doesn't want to exceed 150mg of Lamictal anyhow... so you could get yourself under med. *supervision* and ask them about adding some 100mg Epilim to that dose level and watch things closely. If you want to try that down the road. Just some thoughts.... That way let the NHS pay for all of your meds.
Mitch,This made me smile (crafty!)as exactly the same thing had dawned on me.Trouble is, I'm at 250mg now, and still struggling(a little better though).I need to keep up the pressure, 'cos if I lose this AD effect, I'm screwed.I'm aiming for 300 mgs,and then(if necessary) VPA could be an option- whilst reducing Lamictal.Trouble is, undoubtedly I'd quickly need to add a dreaded AD then.Dodgy business as yer know.
As you say, adding Trileptal makes more sense initially.MAY get away without adding the AD then.
Right now I'm gutted, because I've had to let my new job go.It took me three years to get well enough to get there,and I dropped the ball because I couldn't titrate more than 25mg a MONTH, whereas I could safely do 50MG a WEEK, having been on LAM for over six months.In fact, I jumped up by 50mg last week -no probs whatsoever, but it was too late by then-I'd lost way too much ground to recover quickly enough.I'm totally deflated.Almost defeated, but never quite defeated.
It's like being kicked back off a high cliff that exhausted me in the first place.
I'm gonna get drunker than a skittle(?)on the weekend, have promiscuous sex with complete abandon,(pretty gal or uglier than a warthog-who cares?), make myself sick for a couple of days, boot my bike around the garden- and start all over again!!
Lifes a real hoot ain't it?Keep grinning,
Col.
poster:colin wallace
thread:203376
URL: http://www.dr-bob.org/babble/20030224/msgs/204258.html