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Re: How to switch from Neurontin to Lamictal ? » SLS

Posted by ben on May 27, 2005, at 10:43:12

In reply to Re: How to switch from Neurontin to Lamictal ?, posted by SLS on May 27, 2005, at 8:11:21

Hi Scott

Why do you think combing Lamictal with Lithium is good? I have the feeling that Neurontin pooped out and that my bouwle got worse with Neurontin - its like IBS (a lot of bloating and constipation). My doc tells me that it could be a long term side effect. Effexor could be also an evil concerning the bouwle but it doesnt have any anticholinergic side effects.
Perhaps Abilify could be an option too? I think of the 5-ht1 agonism an also dopamin in a partial way. Ritalin keeps me going at the moment and Trazodone/Nefazodone was a good adjunct to Effexor.

ben-

> > I am on Neurontin (2 x 800 mg) for mood swings and pain but I have developed severe constipation from it, which failed to treat several methods.
> > I tried Lamictal about three years ago but it made me sleepy at tiny doses but perhaps it was the combo with Paroxetine ?! My pdoc wants me nowto switch to Lamictal because my depression broke through. I am taking Lithium, Effexor (450 mg) and Remeron 45 mg in addition. Does the Lamictal works for pain as well as Neurontin? I think the Neurontin stopped working after about 3years!
>
>
> There is no reason why you could not combine Neurontin and Lamictal. The NIMH does this quite often. This combatability should allow you to begin the lengthy titration with Lamictal while tapering the Neurontin. It is not necessary to make an abrupt switch.
>
> Good luck with the Lamictal. It sounds like a great idea - especially because you will be combining it with lithium.
>
>
> - Scott
>


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