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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by Fiftylager1 on March 9, 2016, at 10:00:25
I'm on 200 MG of lamotrigine and clonazepam for anxiety. I'm still experiencing some really bad lows. Yesterday I even wrote a goodbye note, just in case. I wanted to be cognizant while I wrote it. I pray I never have to use the note but my lows are pretty deep. Some days are unbearable and others not quite so bad. I'm easily set off into tears and I just want to lay in my bed all day. I am terrified of antidepressants. I've had many bad experiences on them. They've made me pretty med phobic. I've tried so many meds. Lithium does not help depression and it affected my blood cells and heart. Abilify made me hypo manic but then just pooped out. Depakote felt nothing and lost alot of hair and gained weight, Latuda no help and gained weight. I took seroquel many years ago.. Lasted about 2 days. I was so out of it and felt like a zombie but had an inner restlessness that was very uncomfortable. Resperidone caused extreme jaw clenching. I need something to address the depression and severe anxiety. I barely leave the house now and look like I'm just lazy. I have terrible thoughts floating in my mind and am scared if I told anyone I'd end up in a psyche ward. I am a single mom with 2 teens and its a really small town. Everyone would know. I see my psychiatrist on the 27th and I know he'll try to push the anti depressants on me. I do not do well on those. They make me want to hurt myself more. I've literally felt crazy on them. I'm terrified of gaining weight and losing my hair but I have to do something. I'm scared I'm not going to make it to my kids graduation the way I've been feeling My life is falling apart.. Again. I'm at the point of wondering if there is any fix. Anyone had some med combos that have worked. And I will be ignoring any Lou Comments.
Posted by J Kelly on March 9, 2016, at 10:23:25
In reply to Still depressed on lamotrigine, posted by Fiftylager1 on March 9, 2016, at 10:00:25
> I'm on 200 MG of lamotrigine and clonazepam for anxiety. I'm still experiencing some really bad lows. Yesterday I even wrote a goodbye note, just in case. I wanted to be cognizant while I wrote it. I pray I never have to use the note but my lows are pretty deep. Some days are unbearable and others not quite so bad. I'm easily set off into tears and I just want to lay in my bed all day. I am terrified of antidepressants. I've had many bad experiences on them. They've made me pretty med phobic. I've tried so many meds. Lithium does not help depression and it affected my blood cells and heart. Abilify made me hypo manic but then just pooped out. Depakote felt nothing and lost alot of hair and gained weight, Latuda no help and gained weight. I took seroquel many years ago.. Lasted about 2 days. I was so out of it and felt like a zombie but had an inner restlessness that was very uncomfortable. Resperidone caused extreme jaw clenching. I need something to address the depression and severe anxiety. I barely leave the house now and look like I'm just lazy. I have terrible thoughts floating in my mind and am scared if I told anyone I'd end up in a psyche ward. I am a single mom with 2 teens and its a really small town. Everyone would know. I see my psychiatrist on the 27th and I know he'll try to push the anti depressants on me. I do not do well on those. They make me want to hurt myself more. I've literally felt crazy on them. I'm terrified of gaining weight and losing my hair but I have to do something. I'm scared I'm not going to make it to my kids graduation the way I've been feeling My life is falling apart.. Again. I'm at the point of wondering if there is any fix. Anyone had some med combos that have worked. And I will be ignoring any Lou Comments.
Hi Fiftylager1,
First I need to say (((((hugs to you))))
I can relate to sooo much of what you've posted here. Really, you are not alone. So please keep posting. I cant speak for everyone but I will always respond to your posts. Please do not wait to see your pdoc. Most will see you in an emergency and this is an emergency. Please don't wait for your next appt. I actually am on my way to see my pdoc right now. You and I have some similarities so I will deff post again on this thread when I get back. Please be kind to yourself.
Concerned,
Jade
Posted by J Kelly on March 9, 2016, at 13:20:22
In reply to Still depressed on lamotrigine, posted by Fiftylager1 on March 9, 2016, at 10:00:25
Hi again :)
> I'm on 200 MG of lamotrigine and clonazepam for anxiety. I'm still experiencing some really bad lows. Yesterday I even wrote a goodbye note, just in case. I wanted to be cognizant while I wrote it. I pray I never have to use the note but my lows are pretty deep.
I know you are in a dark place right now but always remember your kids need you. Realizing that got me through some tough times. Its just not an option to abandon them.
>Some days are unbearable and others not quite so bad. I'm easily set off into tears and I just want to lay in my bed all day.
I have felt this way and if I'm being honest, I spend way too much time holed up in my bed. Its the depression.
>I am terrified of antidepressants. I've had many bad experiences on them. They've made me pretty med phobic. I've tried so many meds. Lithium does not help depression and it affected my blood cells and heart. Abilify made me hypo manic but then just pooped out. Depakote felt nothing and lost alot of hair and gained weight, Latuda no help and gained weight. I took seroquel many years ago.. Lasted about 2 days. I was so out of it and felt like a zombie but had an inner restlessness that was very uncomfortable. Resperidone caused extreme jaw clenching. I need something to address the depression and severe anxiety.
I wish I could help you here but I'm simply not qualified to make any suggestions.
>I barely leave the house now and look like I'm just lazy. I have terrible thoughts floating in my mind and am scared if I told anyone I'd end up in a psyche ward.
I constantly berate myself for being lazy. What I'm learning is that its not true, and I need to give myself a break. As do you.
>I am a single mom with 2 teens and its a really small town. Everyone would know. I see my psychiatrist on the 27th and I know he'll try to push the anti depressants on me. I do not do well on those. They make me want to hurt myself more. I've literally felt crazy on them. I'm terrified of gaining weight and losing my hair but I have to do something.
Its frustrating beyond belief. Many of us have been there.
>I'm scared I'm not going to make it to my kids graduation the way I've been feeling.
You will be there. Make a promise to yourself.
>My life is falling apart.. Again. I'm at the point of wondering if there is any fix. Anyone had some med combos that have worked. And I will be ignoring any Lou Comments.
You might want to check out a recent thread "magic pill". Some of us have listed what has worked for us in the past.
Please go see your pdoc immediately. Do you have a therapist? Maybe that would be helpful right now too. I just started and am already feeling a little better.
Take care of yourself,
Jade
Posted by Christ_empowered on March 9, 2016, at 14:28:13
In reply to Re: Still depressed on lamotrigine » Fiftylager1, posted by J Kelly on March 9, 2016, at 13:20:22
Hi. Sometimes, Klonopin can cause depression or make existing depression worse. Maybe...Valium? Xanax xr? Ativan?Have you ever tried Symbyax? Its zyprexa plus prozac. I know ADs aren't the best for you, but this combo has been studied for Bipolar depression and treatment-resistant depression. Your doc can also prescribe the 2 drugs separately.
Posted by SLS on March 9, 2016, at 14:32:45
In reply to Still depressed on lamotrigine, posted by Fiftylager1 on March 9, 2016, at 10:00:25
I'm sorry that you are in such a bad place. If you are really to the point of writing letters, I can't help but to think that it is urgent that you get help. You see your doctor on March 27? Can you be taken earlier?
> I'm on 200 MG of lamotrigine
Some people need 300 mg/day. You should keep this in mind as you work with your doctor to determine treatment strategies. I do not do well at dosages of lamotrigine below 300 mg/day. I must say, though, lamotrigine by itself is rarely effective by itself when treating unipolar major depressive disorder (MDD).
> and clonazepam for anxiety. I'm still experiencing some really bad lows.
Either the anxiety is a part of the depression, or it is a separate disorder. You may have generalized anxiety disorder (GAD) and MDD at the same time (comorbid). Although clonazepam might be helping, you probably need a drug that more precisely targets any anxiety disorder that may exist.
I doubt that it is time for you to give up. However, because your condition is so severe, I think you need to keep an open mind regarding treatments.
Q: Which antidepressants have you tried, and what were the negative side effects?
- Scott
Posted by rjlockhart37 on March 10, 2016, at 0:37:40
In reply to Re: Still depressed on lamotrigine » Fiftylager1, posted by SLS on March 9, 2016, at 14:32:45
lamotragine for reason in some people does help depression, and in others sometims it can just blunt the mood, it's good for stabilization but may require higher doses, but my personal view if it's not working a higher dose may not help, there's lithium and nuerontin you could consider
that or adding a stimulating antidepressant such as effexor or wellbutrin, or prozac
if the nuerotransmitters are not enough that's what causes depression, lamotragine is indicated for "bipolar depression" so....it may help with stablization of nuerons but if there's not enough serotonin or dopamine that's what causes unipoler depression
but here's a link on nuerontin and lamotragine
http://www.ltspeed.com/bjblinder/publications/advances_in_mood_stabilizing_med.htm
Posted by tony p on March 29, 2016, at 22:43:18
In reply to Still depressed on lamotrigine, posted by Fiftylager1 on March 9, 2016, at 10:00:25
I've struggled with this too, many A/Ds are too strong for me, but my depression is severe enough to need medication.
I found lamotrigine to be only middling-effective as an antidepressant. Also, clonazepam is a depressant - I only realized how much it was making me worse when I got off it. Do I need to say, don't stop taking it suddenly; I'm still tapering on diazepam - down to 12 mg a day, stepping down 10% every 4 weeks.
Lexapro (Cipralex, escitalopram) is my current main AD; I find it VERY low on side effects -- compared to Effexor, it's a pussycat, but still effective! It may also help with anxiety. Recently my pdoc added a low dose of Wellbutrin - I'm still experimenting to find the ideal dose, as I'm very sensitive to stimulants. One quarter of a 150 mg Wellbutrin XL is enough to get me active and feeling good.
Posted by porkpiehat on April 1, 2016, at 12:10:16
In reply to Re: Still depressed on lamotrigine » Fiftylager1, posted by tony p on March 29, 2016, at 22:43:18
What is your Lamictal dose and what what your klonopin dose?
I'll be interested to know if you found any interaction between the Lamictal and celexa.
Posted by tony p on April 3, 2016, at 12:40:14
In reply to Re: Still depressed on lamotrigine » tony p, posted by porkpiehat on April 1, 2016, at 12:10:16
> What is your Lamictal dose and what what your klonopin dose?
>
> I'll be interested to know if you found any interaction between the Lamictal and celexa.Actually, I haven't been on Lamictal for several years. Not sure what my final dose was - maybe 300 mg/day? I remember, when titrating up, at 100 mg I suddenly got very anxious, and that was when I got on klonopin 3 mg/day.
A couple or more years later I realized my memory was seriously impaired -- clon seems to be particularly bad for memory & cognition -- so switched to diazepam. By then I was on Cymbalta, which was a much better AD for me. Initially 60 mg diazepam / day, got down to 20 mg fairly quickly, but have had trouble getting below that.
Cymbalta's not covered by my drug plan, so now Im on Cipralex/Lexapro 10-20 mg and Wellbutrin 37.5-75 -- still experimenting -- and no lamotrigine. I really don't seem to need a mood stabilizer, my mood swings are either fairly "normal" cyclothymic or BPIII -- medication induced.
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In reply to Re: Still depressed on lamotrigine » Fiftylager1, posted by tony p on March 29, 2016, at 22:43:18
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