Posted by tensor on September 24, 2006, at 10:22:59
In reply to Re: Lamictal » tensor, posted by SLS on September 24, 2006, at 8:24:20
Hi Scott, thanks for the links!
>You might try to add the Lamictal now and leave it in place as you try other things if it becomes necessary.
I think that's a good idea, if you change more than one thing at a time, one has no idea what caused what.
> I think you should first establish a therapeutic dosage of nortriptyline based upon blood levels. You will need to remain at any one dosage for 10 days before testing. You can begin the Lamictal as you do this.
Yes, the sooner the better, the titration will take some time.
> 25mg x 2 weeks
> 50mg x 2 weeks
> 100mg x 1 week
> * 150mg x 1 week
> 200mg - target dosage
>
> * I stuck the 150mg in there. I am rather conservative. You can skip it if you want. It does not appear in the manufacturer's recommendations:Thanks for the dose schedule.
>What is the Remeron doing for you at 15mg?
Remeron was the first AD i responded to, about 8 years ago, i have tried to remove it a few times but i have always ended up continuing taking it, it's like it's needed in the background. I don't know how i would respond to a discontinuation now. Anyway, it's only 15mg.
I hope i can reduce the nortrip dosage down to a more normal level, or better still, remove it, if lamictal gives me some AD effect. It will be interesting to hear what my pdoc has to say about lamictal at tuesday./Mattias
poster:tensor
thread:688067
URL: http://www.dr-bob.org/babble/20060919/msgs/688636.html