Posted by SLS on February 16, 2014, at 8:12:34
In reply to Lamictal Higher dose causing anger and depression, posted by Quietly_Existing on February 15, 2014, at 13:55:47
For the most part, Lamictal acts more like an antidepressant than it does an anti-manic or mood stabilizer. I sometimes wonder if Lamictal can trigger mania in some people. Perhaps it is producing a sort of mixed state for you as the Lamictal unmasks a mixed state. That being said, you really cannot pass judgment on Lamictal as an antidepressant until you reach a minimum of 200 mg/day. That you experienced fleeting improvements upon dosage increases with Lamictal is quite common.
Perhaps the answer is to remain on Trileptal and add a standard antidepressant like Wellbutrin. Another option is to use an antipsychotic with antidepressant properties like Abilify or Latuda, or perhaps Geodon, even though Geodon is a rather unpredictable drug. Yet another option is to add minocycline to Abilify and Lamictal. (Minocycline is antiglutamatergic, as is Lamictal). Even minocycline and Abilify without the Lamictal can produce an improvement.
How do you respond to mirtazapine (Remeron)?
- 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:1060718
URL: http://www.dr-bob.org/babble/20140214/msgs/1060749.html