Posted by polarbear206 on April 5, 2010, at 15:09:59
In reply to raise in lamictal + decrease in effexor-any ideas?, posted by obsidian on April 4, 2010, at 22:08:43
> hi,
>
> Im glad to say that an increase in lamictal has been helpful, on 200mgs a day now
>
> My mood got generally brighter, and miracle of miracles I got a bit more comfortable socially, less self conscious, and less irritable, generally less reactive.
>
> I've been decreasing my effexor xr, and it's been problematic, but I could feel a smoothing out of my mood.
> I'm on 75mgs in the am now and 37.5 in the evening
> initially I had a real surge in anxiety which then dissipated.
> then I recently, after another decrease, got pretty depressed, crying, lethargic, feeling generally awful. This again has dissipated, but my mood I think is mildly depressed.
>
> I don't know what to do. I want to get off the effexor, or have as low a dose as possible. Should the lamictal be sufficient for depression? It's only been a couple of weeks since this last decrease in effexor...maybe I just need to wait and see?
>
> I take 1.25 mgs of klonopin a day too and 25 mgs of seroquel. I'd love to get rid of the seroquel. I assume it's the sedation that is truly calming me, but when I've skipped it I get a little labile.
>
> what to do...
>
>lamictal works best as an augment to an AD. My advice would be to stay on the Effexor for now. How much have you decreased over a time span from what dose. This is something that has to be done very very slowly. Chances are you will still need Effexor.
poster:polarbear206
thread:942261
URL: http://www.dr-bob.org/babble/20100328/msgs/942375.html