Posted by Ritch on November 14, 2002, at 21:58:31
In reply to Re: Lamictal Miracle-review? » jaby, posted by Jumpy on November 14, 2002, at 11:30:50
> > To anyone that saw this, did he offer any alternatives if the "miracle" didn't last? I haven't had a chance to download the updated version of the necessary viwer. I would appreciate any input.
>
> Hey,
>
> Well, from what I remember, he talked about several patients with bipolar depression responding extrememly well to lamictal. He said one of his parnters call this the "Lamictal Miracle". Unforunately a majority went on to hypomania after about 4 months.
>
> Dr Gershon then mentioned it was important to use a second mood stablizer with lamictal. He didn't specifically recommend alternatives, but did say he often needed to use a second mood stablizer with lamictal.
>
> Jumpy/Paul
Paul, the folks that "went on to hypomania after 4 months", were they *switched* from lithium or depakote to lamictal or was it just an add-on? (that is what it sounds like) It is very likely that the *absence* of the med they were on prior to lamictal is what caused the hypomania, not the *presence* of lamictal itself. Lamictal + little bit of a stout antimanic, would then make perfect sense.--Mitch
poster:Ritch
thread:127617
URL: http://www.dr-bob.org/babble/20021108/msgs/127702.html