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Re: Choosing Between Mental and Physical Health

Posted by SLS on June 21, 2020, at 10:34:21

In reply to Re: Choosing Between Mental and Physical Health SLS, posted by ed_uk2010 on June 20, 2020, at 15:43:17

> > What dosage of lamotrigine are you taking? I see far too many people not taking at least 200 mg/day. For me, whenever I have tried to reduce the dosage from 300 mg/day to 200 mg/day, I relapse pretty hard. 200 mg/day seems to be the sweet-spot for most people.
> >
> >
> > - Scott
>
> There's a strong tendency to under-dosing with drugs which require a lot of titration, because the titration is often never completed.


I think the concern regarding memory and cognitive impairments might prevent some people from testing higher dosages. I can understand that. However, it was my experience that any impairments that occurred in the beginning of treatment disappeared - even at 300 mg/day. Unfortunately, I was successful in convincing my doctor to keep the dosage at 150 mg/day in 2007. I was so close to being well 13 years ago.


Same:

Nardil 90 mg/day

Different:

2007 - Nortriptyline 150 mg/day = too high; Today, 100 mg/day.
2007 - Lamotrigine 150 mg/day = too low; Today, 300 mg/day
2007 - No lithium; Today, lithium 300 mg/day (lithium 450 mg/day exacerbates depression).


Lesson? Don't exclude dosage experiments as you might cause yourself to miss an opportunity.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

The only thing necessary for the triumph of evil is that good men do nothing.

 

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