Posted by SLS on September 19, 2012, at 15:36:13
In reply to Re: Scott - Re: Lamictal combo for everything?, posted by Sheilac on September 19, 2012, at 12:39:13
> Is it possible to add something if depression becomes an issue with Trileptal? Is there a better alternative than Lamictal for depression?
You might want to restart the Trileptal and then increase the dosage of Lamictal back up to 100 mg/day gradually.
> Trileptal is great for keeping me stable, I just need to treat the depression. Or is low dose Lamictal the way to go?I don't think it works that way. You just need to discover what works. 200 mg/day works for me. Others need 300 mg/day and higher. For you, 100 mg/day might be just right. If you are very sensitive, perhaps 50 mg/day is sufficient. Try to be methodical in your approach, though. Add the Trileptal first 400 - 600 mg/day. Then watch what happens with the Lamictal at 50 mg/day. If you start to feel depressed, go to 75 mg/day of Lamictal for a week, then 100 mg/day if necessary. If you are already at 75 mg/day, stay there for another week. Monitor for rash and blisters in the mouth and excessive bruising and bleeding.
> Low dose geodon made me happy but hypomanic, maybe that's a good Trileptal combo.
Possibly. I am partial to Abilify in combination with Lamictal.
> I have to treat both hypomania and depression but can't find it all in one drug.
Possibly Latuda (lurasidone).
I don't have a problem with taking multiple drugs. I guess it is a mindset. Some people with cardiovascular disease must take three or more drugs. My grandmother needed five.
- ScottSome 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/1026124.html