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Lamictal Higher dose causing anger and depression

Posted by Quietly_Existing on February 15, 2014, at 13:55:47

Hello,

Enjoy the boards here thoroughly and am seeking some answers.

I'm currently up to 137.5mgs of Lamictal for Bipolar. The initial lower doses pulled me out of a deep depression as they were abit activating. But after each increase the activation only lasted about four days and then my mood dropped back down. So I kept titrating up to where I currently am - 137.5mgs.

The problem is around 100mgs I began to feel more depressed, tired and lethargic to the point of just laying in bed most of the day. I have also gained weight. And now anger seems to making it's way outward as well. I am confused as what to do next. I am concerned I may be in a bit of a mixed state..? I am not quite certain what my next step would be.

I see a Dr. at a clinic and she isn't that educated or up to par on treatments. Plus, simply put, it's clear she just doesn't give a $hi*..she sees patients back to back and each for only a few minutes at a time. Most of her clients are obese and over-medicated.

My previous 6 minute appointment with her I expressed my concerns and was clearly depressed as I sobbed. She immediately and very quickly said "Well I can give you zoloft." I stated I would like to try and get to a higher dose of Lamictal as it would provide more stabilization. Deep down I knew zoloft would be a poor choice as it's one of the most activating ssri's out there. Also I have a terrible history with antidepressants- casuing hypomania, to mixed state, to full-blown psychotic mania in which how I didn't kill myself I'll never know. It was truly awful. Needless to say I am my own advocate as it has proven to be much safer.

She's very lax and could care less either way..working in a clinic with mostly the indigent and poor. Not a very empathetic person if you will.

Anyhow to get to it I am uncertain if I should continue up with the Lamictal with a goal dose of 200mgs then add something for the severe depression. Lamictal doesn't offer much in terms of antimanic either. I have had poor response to numerous medications. For example Lithium made me an angry rage filled person, which immediately went away upon removal of it. I've tried the no medication route as well, but the depression is just too overpowering and is consuming my entire well-being.

Any thought/ideas? I could really use some support and advice. As it is I truly have an absolute zero support system. It's difficult.

Thank you,

Quietly_Existing


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poster:Quietly_Existing thread:1060718
URL: http://www.dr-bob.org/babble/20140214/msgs/1060718.html