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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by scatterbrained on June 21, 2004, at 23:22:40
Doctor wants to raise lamictal above 300;I'm assuming 330,didn't ask.said I'd think about it.Has anybody here been helped from depression with a dose above 300?
Posted by Jackd on June 22, 2004, at 13:47:15
In reply to lamictal dosage-how high?, posted by scatterbrained on June 21, 2004, at 23:30:04
Hey. My pdoc's methods are a bit unorthodox to say the least, and he has a patient on as high as 1000mg of Lamictal a day! From my personal experience from 200mg on up there wasn't much of a difference though.
Posted by scatterbrained on June 23, 2004, at 17:36:51
In reply to Re: lamictal dosage-how high?, posted by Jackd on June 22, 2004, at 13:47:15
I'm still majorly depressed with severe cognitive problems and at this point it's hard to tell what's causing what. Is it the depression? Is it the medication? A mixture of both?Should I go up on the lamictal,should I go down and risk getting even MORE cognitively impaired(not that thats possibe).I don't know what to do and Unfortunatly, I'm the one running the show cause HE doesn't know what to do.He just gives me whatever I ask for,improvises everytime I come in instead of really taking the time to study what's going on.I have appointments to see other doctors but what do I do in the meantime?The confusion is awful and he has no idea what the diagnoses is. If I say,I think it's some sort of psychotic depression and that's why I have such severe cognitive problems,he agrees.If I say it's ADD that's gotten exacerbated by the depression,he agrees with me and gives me a stimulant etc,etc,etc.If I'd ask for haldol,he'd probably give it to me.He tells me that lamictal doesn't cause cognitive problems.And how does he know this?because no patient of his has complained of cognitive problems.I guess he must see every single patient in the world.
Posted by Jackd on June 24, 2004, at 11:47:50
In reply to what should I do?, posted by scatterbrained on June 23, 2004, at 17:36:51
ACtually Lamictal gave me some cognitive problems as well. But it also helped in some ways (attention). Weird, I know. I really think depression can have a major impact on cognition. With me, stimulants help with cognition, but they are extremely detrimental to my moods. I think most "mood stabilizers" affect thinking a great deal because they control glutamatergic activity and neuronal firing and whatnot. I mean, they essentially slow down and control much of the activity as far as I know. My pdoc is just like yours; he lets me run the show. Try adding in some more activating meds... For me high dose remeron and anything that alters norepinephrine (Reboxetine, Wellbutrin, Effexor) helps my thinking, and SSRIs and mood stabilizers affect it negatively. I'd say depakote and lamictal have given me the greatest problems when it comes to my thought processes.
Posted by Jackd on June 24, 2004, at 11:49:17
In reply to what should I do?, posted by scatterbrained on June 23, 2004, at 17:36:51
I forgot to ask, what exactly are you on and what for (if you don't mind my asking)?
Posted by lauram on June 24, 2004, at 14:55:26
In reply to Oh... one more thing, posted by Jackd on June 24, 2004, at 11:49:17
I am on Lamictal 300mg, 150mg in AM, 150mg in PM.
I noticed a big improvement in my moods and depression after increasing to 300mg.
This is the end of the thread.
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