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Re: Starting Depakote with Lamictal » catmint

Posted by Ron Hill on February 9, 2005, at 11:19:59

In reply to Re: Starting Depakote with Lamictal » Ron Hill, posted by catmint on February 9, 2005, at 0:48:54

Amy,

> I have decided to go on 250 mg. of Depakote. I started 4 days ago. I am sleeping so well.

Great! Please keep us informed of your status as time goes on. I've never heard of a pdoc prescribing Depakote for a short time duration, but there is a lot I've not heard of. Please stay in touch.

> I hope my relationships with my boyfriend and my son will improve once my anger and irritabiliy are resolved.

It's bound to help. "Sweetie Girl" is much easier to get along with than is "Grumpy Girl"

> By atypical do you mean increased appetite, and fatigue?

Yes. Low energy, low motivation, loss of enjoyment of life, increased sleep, etc. I'm convinced that my atypical depression is related to problems in my dopaminergic pathways. And now my pdoc is onboard with this idea. The use of Adderall XR instantly pulls me out of the depression. Literally, within one hour of taking a 5 mg capsule, the depression is gone. And it stays gone for a week or so by taking it for just the one day. I can't take it everyday because it burns me out (I call it "pstim burnout"). I have a feeling that Adderall will eventually poopout on me.

Adderall is a dopamine reuptake inhibitor and a norepinphrine reuptake inhibitor. So, the good news is that my pdoc is focusing on the right neurotransmitter (dopamine), but the bad news is that I think he might be using the wrong med to do so. Time will tell.

> It's nice to have all of you here who understand that my anger and irritablity are part of my illness and not a character defect.

Most of us have been there, done that. We can relate. Thanks for your involvememt here.

-- Ron

BP II and OCPD

600 mg/day Lithobid

900 mg/day Trileptal

50 mg/day Lamictal (level limited by rash)

5 or 10 mg Adderall XR prn to pull out of an atypical depressive episode; use rarely and only for one day per episode (more frequently causes "pstim burnout" symptoms)


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