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Re: Celexa/Lamictal + Lithium for Bipolar II: Needed? » HappyGirl

Posted by Adam Donahue on January 7, 2004, at 14:08:33

In reply to Re: Celexa/Lamictal + Lithium for Bipolar II: Needed?, posted by HappyGirl on January 7, 2004, at 13:55:14

Thanks for the comments.

I was on 600 mg/day of Lithium, but after a few days of this my eyes would start to get baggy and I'd feel very tired. We decided to split the dose -- rather than my taking 300 mg once per day (at night), I'm taking 150 mg twice a day. I haven't really liked the Lithium, and if I get the depression under control, I may drop it completely in lieu of Lamictal + an AD. Perhaps not Celexa, but something else. Or maybe just Lamictal alone. I'm much more concerned about the depression than the mania, as the depression interferes with my life, while, so far, the hypomania has simply made be a bit hyper at times, but only once led to a problem -- drinking -- which I think is related to even more complex problems.

Adam

> Hi:
> In anwser to your question,...
> the reason why your pdoc. rxed both med., Lamictal and Lithium is because you have deeper form of depression. Lamical is a good quality for Bipolar depression, but this med. alone might not be able to alleviate your Bp depression.
> In general, Bp II that your Bp matches is not milder form of Dep., rather serious form, then most of Bps have two form of AD, that might be in your case, as well.
> Also, Lithium 150 mg., bid is lower dosage, ... a standard dosage is 900 mg. Your current dosage of the Lamictal is a sort at starter-dosage, then I feel your pdoc. is right on this combo. However, according your prognosis and reaction to the med. combo. you may ask your pdoc. to cut back one of med., that is mostly ikely 'Lithium.'
> H.G.


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poster:Adam Donahue thread:297690
URL: http://www.dr-bob.org/babble/20040105/msgs/297701.html