Posted by SLS on November 22, 2006, at 6:27:45
In reply to Re: Nardil - hopeful » SLS, posted by tensor on November 22, 2006, at 5:48:04
> Scott,
>
> good to see you're back, good luck with Nardil. You have increased Lamictal from 100mg to 150mg, haven't you? Do you feel any response from it?
>
> I'm seeing my pdoc in a couple of hours, and I have a question. Current regime is: Lamictal 100mg, Nortrip 100mg and Remeron 15. Still depressed.
> I'm thinking of replacing nortrip with Zoloft or Wellbutrin and to keep Lamictal and Remeron. Both works well with Remeron, what do you think? Maybe up the Lamictal dose?
>
> Hope you're doing ok.
Thanks. :-)I would consider working the dosage of Lamictal up to 200mg at some point.
SSRI + Remeron probably makes more sense to start with. The synergistic effect of this combination is more widely recognized. I would consider raising the dosage of Remeron, though. Zoloft + Wellbutrin makes an excellent combination, too. So, your algorithm would be to add the Zoloft first and then swap the Remeron for Wellbutrin if necessary. I guess you could simply add the Wellbutrin if you don't mind the idea of being a walking pharmacy. It would save time. If the combination were successful, you could at that point try removing the Remeron to see if it were necessary. The pharmokinetic interactions between these drugs are minimal. Zoloft raises the levels of Wellbutrin a bit.
I wasn't aware that Remeron + Wellbutrin made such a good combination. I don't see why not. Unfortunately, I react badly to both drugs.
By the way, my doctor and his collegues have seen Lamictal + Wellbutrin work wonders for quite a few people.
You have chosen drug combinations that have a very good chance of working. I'll keep my fingers crossed for you.
- Scott
poster:SLS
thread:706075
URL: http://www.dr-bob.org/babble/20061117/msgs/706082.html