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Re: Cognitive depression » Cindylou

Posted by JahL on November 3, 2001, at 19:35:50

In reply to Re: Cognitive depression » JahL, posted by Cindylou on November 2, 2001, at 20:06:11

> Hi Jahl,
> Did you titrate slowly on the Lamictal?

Yeah. I was effectively self-medicating (tut, tut) at the time so I was especially careful. Started at 12.5mg & increased by this amount every week to ten days.

>IF so, at what dose did you notice relief from your depression?

At 25mg, but only when I added Klonopin. My thoughts become v. muddled when I stop the Klonopin tho' I wonder if there's some benzo rebound depression type-thing confusing the picture. Anyway, the remission was fairly decent (say, 30%) but this has faded over the weeks to a steady 10/15% (& yeah, I can measure it that accurately!). I'm now on 400mg tho' I can't say it feels any different to being on 200mg.

>I just started on 50 mg (was on 25 for 2 weeks) and I am still tired and irritable.

Lamictal is generally thought to be quite activating so I don't know about the tiredness but the irritability (& agitation?) strikes a chord.

>I don't know if it's the Lamictal making me feel this way or just my regular depression since I'm not on a high enough dose of Lamictal yet.

That's the problem with Lamictal. It takes ages to reach a therapeutic dose; generally thought to be (I think) around 150-200mg for depression. I'd give it time.

> ...and by the way, you don't seem to be "dulled" at all my the meds! Your posts read very clearly.

Ta. You're making me blush. It's not the meds that 'dull' me; I have BPII psychomotor retardation+DP to thank for that. Truth be told, if it wasn't for the Lamictal I doubt I'd be up to posting here. Still have trouble reading a newspaper tho'...

Best,
J.


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