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Re: Lamictal: Ron Hill, Ritch 'Q' and 'A'

Posted by fluffy on June 12, 2003, at 10:58:14

In reply to Re: Lamictal Experiences, posted by lr on June 10, 2003, at 21:55:23

Sorry to interrupt this thread for people asking other questions. I tried to wade through all the questions and answers, but didn't have the patience.

I've wanted to ask Ron Hill & Ritch some questions for awhile now, since I have read some informative posts from you two.

Here's my situation:

I'm a clear-cut case of Bipolar II. I have been titrating up on Lamictal for 11 weeks now, doing better than before, but my effect still "slips" if I don't titrate up within a couple of weeks. I still notice a fair amount of cycling--13 days "normal"--2 days hypomania--2-3 days of depression. There has been an overall reduction in my irritability, anger, anxiety & sleep problems, but only if I titrate up.

My question is this: Is it realistic to expect full relief of symptoms & cycling on medication? Is this the *best* it's going to get? I wonder if I should jack with this monotherapy thing and take the risk of feeling worse.

If I augement, would a pinch of Lithium do the trick? I know there are *many* meds to try. I just don't want to slip again.

I tend to get REALLY hypomanic late in the summer, and then REALLY depressed in the fall and winter. At other times, I'm just cyclothymic. What would be your next step?


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