Posted by SLS on September 19, 2012, at 12:10:12
In reply to Scott - Re: Lamictal combo for everything?, posted by Sheilac on September 19, 2012, at 11:02:53
> Wow, I didn't know you can go from 50mg to 100mg or 200mg so fast.
I know someone who does well at 100 mg/day.
> Besides the weird itchy gums, my husband noticed a lot of bruising on me.
This is no good. This could be the first sign of hemolytic anemia. Do you have any abnormal bleeding anywhere? The sores and blistering in your mouth are also no good. This could be the beginning of Stevens-Johnson Syndrome (SJS). I think your doctor should actually see these things for himself. If he tries to invalid your concerns, I would look for another doctor.
> Today I dropped back down to 75mg of Lamictal and I was still hyper so I had to take 2mg of Klonopin.
Something is wrong here. You should not have to be playing with your medication all of the time. It would be easy for me to blame your doctor for not paying enough attention to what you have to say. However, I wonder if you pay enough attention to what he has to say. If you don't follow his directions, he can't properly evaluate your reactions to different drugs and dosages. If his directions lead to greater suffering, then it is time for a second opinion.
You have to make some decisions here. You need to find out if you are having dangerous reactions to Lamictal:
1. Stevens-Johnson Syndrome
2. Hemolytic anemia.How do you propose to go about this?
If you are able to continue with Lamictal, what do you do to treat your hypomanic reaction to it (if that is indeed what you are experiencing)?
1. Add back Trileptal
2. Keep the Klonopin
3. Raise the dosage of Seroquel
4. Discontinue Lamictal
5. Choose another mood stabilizer to add to Lamictal
- anticonvulsant
- antipsychoticPersonally, I would stay at 50 - 100 mg/day of Lamictal and add back the Trileptal at 400 mg/day until you are able to establish medical supervision. If you feel depressed with the addition of Trileptal, at least you will have calmed down enough to start making better decisions. I am hoping you can tolerate the depression for a brief period in order to locate other doctors and obtain second opinions. For now, just let the depression happen. Hopefully, with Lamictal on board, this might not happen at all. I do agree with your doctor that there is a small possibility that you are misinterpreting your coming down from hypomania as depression when you take Trileptal. Allow enough time for your system to stabilize once you restart Trileptal.
Question: What is the very next thing that you will do?
Call the doctor? Self-medicate? Seek a second opinion?
- Scott
Some see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1026102
URL: http://www.dr-bob.org/babble/20120912/msgs/1026113.html