Posted by azalea on November 8, 2008, at 13:15:58
In reply to Re: In which direction should I go?, posted by hansi555 on November 8, 2008, at 4:43:31
Some recommend a trial of Lamictal without an antidepressant on board. However, another option would be t add the Lamictal, then slowly taper off antidepressants if you're doing well. The concering side effect of Lamictal is a small risk of a life-threatening rash called Stevens Johnson Syndrome. This can be minimized by starting at a low dose and titrating slowly. Other Lamictal side effects are mild or nonexistent compared to TCAs.
> > > It sounds a bit like subtle cycling, it and out of depression, but without mania or hypomania. This type of mood disorder typically responds well to mood stabilizers. I vote for choice D, Lamictal or Lithium.
> > >
> >
> > I agree with the above post.
> > You've definatley got some soft cycling going on. I went through the same thing. Lamictal has done wonders for me.
>
>
> Okay then, thanks both of you
>
> What about SE for Lamictal? Would you consider SE for Lamictal worse than for Nortriptyline?
>
> If I go for Lamictal, should I continue with another AD such as Lexapro or maybe even Nortriptyline?
>
> Have to add that my depression originally broke out in february 2008. Has been upps and downs since then, no matter what combination I tried it will not stay good.
> In general I have improved as most of my melancholic features (early wakening, nausea, lack of appetite, morning worsening) have disappaered since Nortriptyline in a small dose came into my combo.
>
> I am also wondering if I really need Remeron (30 mg) in the evening and if it is doing more harm than good in regards of the melancholic features?
>
poster:azalea
thread:861264
URL: http://www.dr-bob.org/babble/20081106/msgs/861504.html