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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by cee on January 8, 2010, at 12:55:39
Hello
I go to the pdoc this afternoon and i have to make some serious med changes which scares me.I take 750mg of seroquel and 1.5 klonopin which partialy help with my anxiety and depression.I realy stuggle to get out of bed in the morning which is effecting my job.My pdoc wants to add lamictal to the combo or parnate . Iam all mixed up on what to do. any suggestions would be appreciated
thanks
cee
Posted by JayBTV2 on January 8, 2010, at 13:34:55
In reply to Lamictal or parnate?, posted by cee on January 8, 2010, at 12:55:39
> Hello
> I go to the pdoc this afternoon and i have to make some serious med changes which scares me.I take 750mg of seroquel and 1.5 klonopin which partialy help with my anxiety and depression.I realy stuggle to get out of bed in the morning which is effecting my job.My pdoc wants to add lamictal to the combo or parnate . Iam all mixed up on what to do. any suggestions would be appreciated
> thanks
> cee
>If it means anything I take all 4 of those meds. Albeit only 100mg of Seroquel (for sleep) and currently just 10mg of Parnate (hoping to raise that to 30 when I see him on monday). Also take a small dose of lithium.
If I had to choose I'd probably pick Lamictal despite the fact you have to titrate slowly. So far the Parnate effect has been mild - but again I'm on a super small dose at the moment....
Posted by Phillipa on January 8, 2010, at 13:48:57
In reply to Re: Lamictal or parnate?, posted by JayBTV2 on January 8, 2010, at 13:34:55
One's an ad and one a mood stabalizer? Why two different classes of meds for choices? Phillipa
Posted by Kimbersaur on January 8, 2010, at 15:15:39
In reply to Re: Lamictal or parnate?, posted by Phillipa on January 8, 2010, at 13:48:57
I would go with Lamictal. When I started taking it it really boosted my mood. I've heard that people have tried it for depression when they don't respond to SSRIs. I have been on Lamictal and Seroquel for years and it has been a very good combination for me. I have no side effects with Lamictal. Of course, it is different for everyone.
I don't know much about Parnate, but isn't it an MAOI, and don't MAOIs require diet restrictions and stuff? I'm not sure if this is true, but if it is then this would definitely make me lean toward trying Lamictal first.
Posted by Maxime on January 8, 2010, at 18:04:55
In reply to Lamictal or parnate?, posted by cee on January 8, 2010, at 12:55:39
Those meds are so different. I guess try the lamictal first and then the Parnate.
Posted by inanimate peanut on January 8, 2010, at 22:38:11
In reply to Re: Lamictal or parnate? » cee, posted by Maxime on January 8, 2010, at 18:04:55
I'm on both now. I would recommend trying the lamictal first due to the low side effect profile. It really helped my depression when I first started it. I really like the Parnate too but I do have more side effects from it (insomnia, acne, hypotension, diet restrictions) whereas I had none from Lamictal.
Posted by herpills on January 10, 2010, at 11:05:08
In reply to Lamictal or parnate?, posted by cee on January 8, 2010, at 12:55:39
Hi cee-
It seems like with the Klonopin and Seroquel you are already on 2 mood stabilizers, so maybe the Parnate is the better option? I have no experience with parnate, although I do take Lamictal and really like it for depression. Actually works better than ssri for me. herpills
> Hello
> I go to the pdoc this afternoon and i have to make some serious med changes which scares me.I take 750mg of seroquel and 1.5 klonopin which partialy help with my anxiety and depression.I realy stuggle to get out of bed in the morning which is effecting my job.My pdoc wants to add lamictal to the combo or parnate . Iam all mixed up on what to do. any suggestions would be appreciated
> thanks
> cee
>
Posted by cee on January 12, 2010, at 13:30:06
In reply to Lamictal or parnate?, posted by cee on January 8, 2010, at 12:55:39
HI
Went to pdoc and had avery good meeting he suggests we try lamictal for 6 weeks and re evaluate hope the side effects will go easy
thanks for your insight
cee
Posted by JayBTV2 on January 12, 2010, at 19:41:29
In reply to Re: Lamictal or parnate?, posted by cee on January 12, 2010, at 13:30:06
> HI
> Went to pdoc and had avery good meeting he suggests we try lamictal for 6 weeks and re evaluate hope the side effects will go easy
> thanks for your insight
> ceeLamictal should definitely help your depression. It's been the cornerstone of my "cocktail" for the last couple years. Only sad thing is that you need to taper up very slowly. But once you start getting to 50mg+ you should notice a good AD effect. Some notice it at 25mg even. And for me it was really side effect free. I AM bipolar but personally I think it's better than SSRIs for standard depression....no sexual side effects/etc
I currently take 150mg.
Good luck on your trial!
-Jay
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