Posted by blueberry on May 23, 2006, at 17:42:07
In reply to Saw PDoc Today What Should I Do?, posted by Phillipa on May 23, 2006, at 17:14:38
Hey Phillipa, seeming as how I know a lot but at the same time can't seem to dig myself out of a hole, maybe my comments aren't worth anything. But, here goes...
Personally I would do one change at a time, starting with whatever you are most comfortable with. You are familiar with valium and luvox. If you don't want more luvox, then go for the lamictal and hold off on raising the luvox.
Lamictal I think is a decent choice. Being as safe as I am, I would start at 12.5mg for 4 days before going to 25mg. By safe I mean avoiding any kind of first day negative reaction or something due to too high of a dose that might scare you away from something that could have been really good. That's actually what I am doing myself and today is my first day (it went well). Lamictal seems to be an all around good med for unipolar, bipolar, anxiety, and schizophrenia with overall milder side effects than most psych meds. Mileage varies of course.
I agree with you about the antipsychotic, partially. That is, if there is going to be one, I personally would go with zypexa or seroquel. When geodon is good, it seems to be only for a very few people. On the other hand, zyprexa and seroquel work out well for many more people than geodon does. But I would certainly hold off on that until you had tried lamictal for 8 weeks or so, or until you quit, whichever comes first. You may find lamictal is all you need. I saw in one clinical study it was just as good as diazepam for anxiety. There might be some increased start up anxiety like most meds.
Just some opinions for thought.
> I saw the pdoc today and now he wants me to take the luvox l50mg and the valium 20mg and then add lamictal starting at 25mg and working up over 5weeks, pluse 80mg of Geodon. I don't want to take an antipsychotic what should I do? Love Phillipa
poster:blueberry
thread:647429
URL: http://www.dr-bob.org/babble/20060520/msgs/647443.html