Posted by qbsbrown on March 27, 2010, at 20:46:27
In reply to Re: Can Trileptal induce rapid cycling? » qbsbrown, posted by SLS on February 27, 2009, at 9:50:57
> > Since I've started the med, I go from hypomanic in the morning, depressed from noon to 6pm, then feel normal the rest of the night.
>
> Another way of looking at this is that perhaps the Trileptal is only partially effective and is now producing very variable results, probably revolving around peaks and troughs in blood levels. I would take it twice a day. If you get stuck in depression, you can add back the Lamictal, now that you have a more anti-manic mood stabilizer on board. Keep working. I think you are getting close.
>
> You didn't add Depakote to Lamictal, did you?
>
>
> - ScottHey Scott, so if taking the Trileptal 2 times a day, still yields the quite bad daily depression. I think I may be on to something, to spread it out to 3 doses per day, and I've added in Provigil, which seems to greatly lessen the depression. Sound prudent?
My only other idea is to go back on 900mgs of lyrica and just have a false sense of well being the rest of my life:)
Oh, and Lamictal was terrible for me!
Brian
poster:qbsbrown
thread:882776
URL: http://www.dr-bob.org/babble/20100318/msgs/941130.html