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lamictal experts - quetionn?

Posted by ricker on September 8, 2008, at 11:42:45

At my last appointment,my p/doc wanted to try lamictal. He said he had been "on the fence" as far as prescribing?

Well, Ive been on A/D's for 20+ years and I must say I felt an immediate response? Feelings I've not had since pre-depression era., even at the 25mg. starting dose!

I am now at 100mg. and started to notice a slight decline... irratable, slightly depressed.

My zoloft had been decrease fromm 100mg. to 50mg. at the start of lamictal as this seemed to actually help with startup of lamictal for some reason?

I've been on zoloft for approx. 5 years and for the most part, responded well. My mood began to flatten and I became quite irratable prior to lamictal.

I am scheduled to see p/doc this Thursday, so my question is this, should I ask to have lamictal titrated up to the 200 - 300mg range and see if it helps? I am leaning to this before increasing zoloft back to 100mg. --- in hopes of preventing ssri numbness?
After reading so much literature as of late, the one thing that stands out is; many patients are treated with A/D's prior to mood stabilizer treatment. This may actually increase "soft" cycling in some.... depression, irratability, slighty over-elavated mood?

Since this is my "first" actual mood stabilizer trial, I'm a bit confused as you can see by my marathon post!

I also take remeron 15mg at night.

All thoughts/replies greatly appreciated.

Regards, Rick

 

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