Posted by SLS on July 18, 2004, at 15:38:16
In reply to Re: Lamictal rash??, posted by theo on July 18, 2004, at 14:51:36
> Final point, Lamictal is currently the only "approved" anti-convulsant other than Depakote for psychiatric disorders; BP, Depression, etc.
>
> Between the two, which one would you pick?
I think that would depend on what your primary symptoms are. If mania or hypomania are prominent, Depakote would be my first choice. Some people complain that Depakote makes them feel more depressed. I think it's a good drug. Lamictal is being used now primarily for bipolar depression and has shown some utility in rapid cycling. I don't think Lamictal is much good for mania at all, and I am surprised that it is effective for rapid cycling, but so goes the story. It definitely extends the time between depressive episodes, though, and goes well with lithium for prophylaxis in bipolar I disorder.If you are bipolar II or bipolar I and intolerant to lithium, and are prone to mania or hypomania, I would suggest Depakote. If you are bipolar II, and depression is your major symptom, I would probably try Lamictal first.
- Scott
poster:SLS
thread:366982
URL: http://www.dr-bob.org/babble/20040714/msgs/367416.html