Posted by SLS on November 19, 2011, at 9:27:53
In reply to Re: Gabapentin kick in? » SLS, posted by Ben on November 19, 2011, at 8:41:28
> My main symptoms are depression, mood swing (low mood in the morning) and anxiety.
Having low mood in the morning is often a symptom pattern of unipolar depression and is not considered a true bipolar mood swing. Only rarely will someone have an ultradian rapid cycle.
> As you know the Valproat doubles the plasma level of Lamictal. Should I check the Lamictal levels when I get rid of the Valproat? I take 200mg/d now and the plasma level is 31 micromol/l .
400 mg of Lamictal is a high dosage for treating bipolar depression. 200 mg is the average. You are fortunate if you experience no cognitive impairments at your present dosage. I am not familiar with the blood test you take as given as micromol/l. When taken as mcg/mL, a value of 20 is considered the maximum recommended. My doctor does use blood tests as a guide for dosing. We established my optimum dose through titration, and not by using blood tests. 200 mg works for me. If I go any higher, I experience cognitive and memory impairments as well as "brain-fog".
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1003049
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