Posted by Quietly_Existing on February 16, 2014, at 17:34:46
In reply to Re: Lamictal Higher dose causing anger and depression » Quietly_Existing, posted by Tomatheus on February 15, 2014, at 23:19:45
Thank you to All for taking the time to reply. I have replied to all of you in my last post. I apologize if my subject post didn't reveal my individual responses.
The anger from the most recent Lamictal increase has subsided for the time being. I'm optimistic the side effects from this most recent increase have passed. {It's frustrating as my mood didn't cycle this erratically prior to Lamictal- but I understand it may make things worse before they get better}
I plan to carry on and make my way to 200mgs.
I'm quite certain the Lamictal will not prove to be strong enough to tackle my deep depression.
Thinking ahead here and being my own advocate I must cautiously weigh my options as it's clear my Dr. is indeed inept. - (previous posts)
I found it quite interesting no one mentioned the use of SNRIs in the use of bipolar depression. Prior to definite DX of Bipolar I opted for Cymbalta alone. (no stabilizers in place) Interestingly enough this was the one AD that I was able to tolerate for 3 months until it made me hypo. Whereas the other AD's (SSRI's alone) made me anxious, irritable, and eventually psychotic. I felt negative effects from the very first dose of each SSRI's.
Tomatheus you had kindly suggested Abilify which has worked well for you. (Very Nice To Hear) I have thought about Abilify but am hesitant as I feel it too closely resembles the make up of geodon. Which I mentioned the low doses overactivating me and acting like an AD. The result being psychosis and higher doses resulting in extreme sedation (sleeping 6-7 hours a day) and weight gain. Not a way for me to be a functional human being. I hear what you are saying it being in a class of it's own. Perhaps some more research on my part is needed. Thank you.Scott- Hello,
Thank you for the reply. I have thought about going back to Trileptal as a safety against mania. The cognitive issues proved to be too debilitating for me though. Putting this in perspective, perhaps a low dose of Trileptal could be used as an effective anti-manic with an AD alongside. Next question I owuld ask myself would be which AD ?The following question would be if it's better to bring me down from the overactivation of an AD Or would it be better to lower my mood with the Trileptal and bring me back up with AD. Although I feel I can't afford to become any lower and dysfunctional in regards to my depressed state.
Wellbutrin has crossed my mind. Upon mentioning this to the clinic psychiatrist she said "it will make you psychotic", yet she wanted me to start zoloft. Zoloft affects serotonin and is the effect of dopamine felt at the higher levels? Whereas Wellbutrin affects dopamine and norepinepherine. I feel I should likely stay away from anything that affects the dopamine. But perhaps I'm mistaken.
Lastly you mentioned an Monoamine oxidase inhibitor- Remeron. I have never taken this. Again more research would be needed on this particular medication. Another option though.
I could continue on but I have clearly overwritten my response. I am a very analytical person and will explore every option from every angle. Which can certainly be valuable at times but also inauspicious.
Thank you very much again,
Quietly_Existing
poster:Quietly_Existing
thread:1060718
URL: http://www.dr-bob.org/babble/20140214/msgs/1060761.html