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Re: Lamictal vs TCA WAS : Never thought I'd hear.. » SLS

Posted by Tony P on March 30, 2006, at 11:48:16

In reply to Re: Lamictal vs TCA WAS : Never thought I'd hear.. » Tony P, posted by SLS on March 30, 2006, at 6:22:19

> Hi Tony.
>
> I read along another thread that you feel Wellbutrin prevents nefazodone from working. Have you tried to go back to what worked?
>
> Mania is not necessarily a bad thing. If Wellbutrin can bring you to mania, you could then stabilize to normothymia by adding Zyprexa or increasing Seroquel.
>
> What kind of mania do you experience with Wellbutrin?
>
>
> - Scott

Nefazodone is no longer available in Canada - is it still around in the US? If it were, I may have had a long enough holiday (2 1/2 years) to benefit from it again.

I haven't written Wellbutrin off totally. What I experienced with it was productive activation and a good feeling about life in general, but high anxiety, not just physical shakiness but anxiety that made me want to avoid normal activitities, plus severe insomnia. At the "normal" dose of 300 mg XR/day my family let me know I was definitely over the line into hypo-mania; the incident everyone recalls was a dinner when I explained to my daughters how you could identify whether someone was a Serb or Croat by their head-shape! a)I'm not an anthropologist b)we're all pretty typical lib/socialists who don't normally think racial stereotyping's a good thing, and c) I don't usually make bland pronoouncements like that.

I can chop the Wb 150 or 100 XR in half - I've done so; I'm not seizure-prone. Mostly I want to avoid getting back on the benzo/zopiclone treadmill to cope with the anxiety and insomnia from the Wb. I'm familiar with Seroquel; tell me more about Zyprexa.

If there's a better AD out there that leans toward the DA agonist side I'll take it. In a day or two (when the Lamictal's out of my system) I'll try the tianeptine again with my pdoc's OK.

At least I feel like I have options, and it looks like the Lamictal _was_ exerting some AD effect (which I had doubted).

Thanks for your interest,

Tony


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poster:Tony P thread:620137
URL: http://www.dr-bob.org/babble/20060329/msgs/626579.html