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Re: opinions please » joe f

Posted by SLS on September 20, 2015, at 6:21:20

In reply to opinions please, posted by joe f on September 19, 2015, at 21:37:52

Hi.

> recently had meds adjusted for bipolar with some ocd -much anxiety
>
> seroquil 150 for sleep
> lamictal 200 (really 100 because of tegretol
> tegretol400
> low dose of Prozac 15
> klonopin 2.5
>
> any thoughts

1. What are you experiencing that still needs to be treated?

2. How long have you been taking this new regime?

3. You might need to take a minimum of 400 - 500 mg/day of Lamictal in order to approximate the 200 - 300 mg/day that is usually necessary to produce an antidepressant response. You can use Lamictal blood tests to help guide you.

4. OCD requires higher dosagea of SRIs to produce results. Prozac is often used at dosages of 60 - 80 mg/day for an extended period of time.

5. Does Tegretol produce sedation?

6. If you use Trileptal, instead of Tegretol, you can avoid the higher risk of agranulocytosis and sedation. It also will not affect the levels of Lamictal.

Good luck.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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