Posted by Ritch on April 1, 2005, at 0:41:47
In reply to Bipolar II - SSRI/Lamictal - anxious, posted by CK1 on March 31, 2005, at 22:25:00
> I have been on Paxil 10mgs + Lamictal (37.5mg) for 3 weeks and am experiencing agitation/anxiety. Since I started both meds at the same time, I'm not sure which med is the culprit. I upped the dose of Lamictal to 50mg and got very tense (muscle aches in neck, crying like a baby for no reason) so I backed down.
> I'm wondering if it's a good idea to drop the Paxil to 5mg and add Lithium (150-300mg) to this combo making it:
> Paxil 5mg
> Lamictal 37.5
> Lithium 150-300mg
>
> Depression seems to have lifted, but anxiety is still not under control and, in my opinion, Lamictal is making it worse. Does anyone have any experiences with this combo or have any suggestions? I'm getting tired around 4pm for the past few days and need a nap so I'm wondering if Lithium will make me even more tired.
> (I have two months to mess around with this stuff until my internship this summer!)
Just an opinion, but before you tinker around with a lithium add.. I would determine which med is causing the anxiety first and dx, switch, or reduce that one. When do you take the Paxil, at bedtime or in the AM? When is the anxiety the worst?
poster:Ritch
thread:478374
URL: http://www.dr-bob.org/babble/20050330/msgs/478404.html