Posted by SLS on July 16, 2006, at 15:00:25
In reply to Re: lamictal not working?, posted by ciaolavida on July 16, 2006, at 12:45:44
> There's defininitely no mixed states! This morning I was slightly depressed for a few hours which turned into a deep depression in which I was suicidal, then it went straight up into hypomania, cleaning my room talking 100 miles a minute, screaming, dancing, etc.
How is your energy level when you are depressed? Do you become anergic or have psychomotor retardation?
I know what it is like to have your mood shift completely from one pole to the other within 30-45 minutes. I was an ultra-rapid cycler for a number of years. However, my cycle had a period of 11 days. I cannot fathom how exhausting it must be to go through 6 mood shifts a day.
I guess what you do with your treatment will depend on how many treatment failures you have thusfar encountered. How long have you been treating this ultradian cycling condition?
If you have been trying for quite some time, you might have to try combinations like lithium + Lamictal + (Tegretol or Trileptal) + Topamax + Zyprexa.
I know that's a lot of stuff, but it beats taking a few years to go through all of the permutations. I'm not sure where I would place Depakote. Just know that you would need to reduce the dosage of Lamictal by 1/2 if you were to combine these drugs because of their pharmacokinetic interaction. I think most people would disagree with me with the place lithium has in this cocktail since you are bipolar II. I don't know. I guess my feeling is that this enigma of a drug has some effect on time-keeping mechanisms.
- Scott
poster:SLS
thread:667484
URL: http://www.dr-bob.org/babble/20060709/msgs/667527.html