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Re: Lamictal Restart - Attn SLS, Cam, JohnL Ron Hill

Posted by Sulpicia on January 30, 2001, at 17:57:00

In reply to Re: Lamictal Restart - Attn SLS, Cam, JohnL Sulpicia, posted by Ron Hill on January 29, 2001, at 11:08:05

> Hi Ron -- now that I have a minute to catch my breath, I want to tell you how much I appreciate your long and helpful post.
You are wrong that you weren't telling me something I didn't know. I had not realized that mania/hypomania would make the BP more difficult to control. Is this only the case with drug-induced mania or does it also result from poor or ineffective mood stabilization. I'll have to read up on this. Clearly I've missed something important. Thanks for the heads up.
So for now: increasing lamictal with "standard" increments but accelerated schedule, i.e 5-7 day interval.
Will get rid of the adderall as soon as humanly possible. Certainly w/in 5 days.
I'm especially grateful for your psycho-social suggestions. In fact I printed them out.
I'll try to hire 2 shifts of pnurses and arrange to spend as much time as possible with her. Unfortunately leave from school is impossible at this time, but w/nurses I can manage it. I hope.
SSRIs -- am a bit gunshy here; paxil made her really irritable, tho this was w/out MS and pre BP dx.
Favorite alternatives for me to consider? Or perhaps once the MS is good, it won't matter.

Thank you again -- I really appreciate the advice and support.




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