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Re: LAMICTAL usage for soft Bipolarity(BP2) Jeff H » polarbear206

Posted by SLS on April 8, 2002, at 10:16:23

In reply to Re: LAMICTAL usage for soft Bipolarity(BP2) Jeff H, posted by polarbear206 on April 8, 2002, at 9:44:44

> What were you taking prior to the MAOI? The only combo that keeps most of my syx at bay is tricyclic/ssri. I am a very "soft" cycling with atypical features and seasonal. Every year in Feb. my depression worsens. Start with hypersomnia, then cycle to high anxiety. I did fine the last 5 1/2 months on just the imipramine until Feb. when I went back on the Paxil due to anxiety. I'm considering switching psych. doc because mine won't put me on an MAOI. I know this drug would probably work very well for me. I'm going to give the Lamictal another try though. I think I need more of a theraputic dose. He just had me on 25mg in am and 25mg at night. I didn't notice any improvement with the dose this low. I need that silver bullet!! It's the darn physical syx's of confusion and being unable to concentrate. Like walking around in a fog. I can't stand this. I'm a psychiatric nurse of all things and I need to be mentally sharp in my line of work. I've never really been hypomanic. I would say I'm more of hyperthymic with my ups. Good energy too! High doses of antidepressants can send me into "soft" hypomania late spring. I'm depression dominated in with this illness. It's the confusion and concentration that break through that I'm serching for the right cocktail of meds!!!!
> Laura.


Hi Laura.

Have you ever opted to add lithium? Although I don’t recall where I read it, lithium was described to be a particularly effective medication in SAD. I’m not sure it appears on Medline, though. Maybe it was one of Rosenthal’s suggestions. I don’t remember. It might be worth looking in to. Perhaps you could try low dosages of 300-600mg first.


- Scott


 

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