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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 porkpiehat on July 24, 2015, at 8:05:36
Does anyone know if Provigil can reduce the cognitive problems caused by Lamictal? I can't come off it without becoming so dysphoric or I would. And oddly now after ten years on it I get a major dip in cognition and energy, combined with irritability for a few hours after taking it.
Unless of course I take it at night and then it keeps me up. The further away I take it from my Celexa the better. The above symptoms are terrible when I take them together now. There was a time when the mixture was quite activating, although that was at twice the level of Celexa.
Anywhoo Neurobehavioral testing I just had ruled out any disorders aside from inattentiveness and executive functioning, which get unbearable an hour after lamictal. These seem ripe for Provigil unless the cause is from something completely unrelated to provigil's mode of action
Posted by rjlockhart37 on July 26, 2015, at 1:29:09
In reply to Reducing Lamictal fog...provigil?, posted by porkpiehat on July 24, 2015, at 8:05:36
i take nuvigil with lamotragine, lamictal makes me in a bored mood....feel less excited about things.....but i was on 400mg, i couldnt take it so right now, i take 200mg.....sometimes 100.....and i have noticed a better difference in the lower dose......
i think you should go to a lower dose of it, one to decrease the dose without messing with mood side effects, cuz lamotragine can impair cognitive/thinking/awareness.....not like sedative but it just dulls everything out and makes things feel boring.....(but that's what it did to me)
maybe take 100mg, and ask you doctor about provigil, but if that doenst go as planned you can get adrafinil, which is similar to provigil, online but it does have dirty side effects......
that or just .... start consuming a moderate amount of caffeine to wake you up out of the lamictal fog.....i do it all the time.....
keep us posted
r
Posted by phidippus on August 5, 2015, at 11:13:05
In reply to Reducing Lamictal fog...provigil?, posted by porkpiehat on July 24, 2015, at 8:05:36
Provigil can increase alertness, so it may reverse some of the fog you experience on Lamictal. Another drug that has been shown to enhance cognition is Keppra.
Eric
Posted by SLS on August 14, 2015, at 6:18:37
In reply to Re: Reducing Lamictal fog...provigil? » porkpiehat, posted by phidippus on August 5, 2015, at 11:13:05
> Provigil can increase alertness, so it may reverse some of the fog you experience on Lamictal. Another drug that has been shown to enhance cognition is Keppra.
>
> EricAlthough Keppra did not help me, I don't recall any cognitive side effects with it. I took it in combination with Lamictal.
- Scott
Posted by phidippus on August 15, 2015, at 11:32:13
In reply to Re: Reducing Lamictal fog...provigil? » phidippus, posted by SLS on August 14, 2015, at 6:18:37
Keppra has demonstrated strong anti-manic effects. How much did you take?
Eric
Posted by SLS on August 15, 2015, at 12:44:08
In reply to Re: Reducing Lamictal fog...provigil? » SLS, posted by phidippus on August 15, 2015, at 11:32:13
> Keppra has demonstrated strong anti-manic effects. How much did you take?
I honestly don't remember. It has been quite a few years since I tried it.
What illnesses have you seen Keppra work for, and at what dosages?
Of course, I am most interested in severe bipolar depression.
- Scott
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