Posted by CareBear04 on January 18, 2008, at 20:24:43
In reply to High-dose Lamictal, Remeron or Wellbutrin helpful?, posted by ExcellentCamper on January 18, 2008, at 11:04:30
Hi-- I definitely encourage going up on the Lamictal. I don't think the studies show more effectiveness at doses higher than 200 or maybe 300, but when I increased up to 400mg, I had more energy and my mood improved. As for which AD to add, I agree with Racer that Wellbutrin at 450mg can be effective. At doses lower than that, I didn't feel anything, although, even at 450, I don't think it had an effect on my mood. It was mostly a first-line treatment for ADHD before turning to the stimulants, and it did help me focus. As for Remeron, I've never been on a dose higher than 15mg until now. I started it last week and am up to 30mg. I think the sedation and weight gain are supposed to decrease at higher doses. I think my pdoc initially prescribed Remeron for sleep without considering it as an AD, but he seems now to be aiming at both ends. If I notice anything good, I'll let you know.
CB
poster:CareBear04
thread:807398
URL: http://www.dr-bob.org/babble/20080114/msgs/807498.html