Posted by SLS on October 3, 2012, at 13:08:29
In reply to Re: Not so sure about sweet spot... » SLS, posted by phidippus on October 3, 2012, at 12:01:50
> Scott has some good ideas. I, however, do not agree with him on keeping the Lamictal. I think you were having an allergic reaction, what with the mouth sores.
That is my fear as well. I had hoped that Sheilac would have had her doctor take a look at the lesions last week. They seemed to be absent at 50 mg/day. I don't know what to think. Certainly, it is better to be safe and discontinue the Lamictal rather than to delay in having a doctor evaluate the status of a rash and allow for a more serious SJS reaction to emerge.
Sheilac,There may be no "sweet spot"
You need to discuss this whole thing with your doctor and allow him to examine your rash and lesions.
It might be a good time to allow your brain to settle down a bit by discontinuing the Lamictal. You could continue with the Trileptal at a dosage of 600 mg/day or higher and see where that leaves you, understanding that you might experience a let-down that feels like depression, but is really an attempt by the brain to seek a new equilibrium. This "rebound depression" resulting form Lamictal discontinuation can last a few days. Also, you might be confusing the absence of hypomania as being depression. Don't be so afraid of depression. You should be afraid of mania. Mania sometimes leads to more severe and treatment resistent depressions. You need to stop the rollercoaster ride of medication changes and the variable mood states that you are causing.
1. See your doctor. Create a treatment plan with your doctor that you will adhere to.
2. Decide whether or not to discontinue Lamictal.
3. Discontinue the Lamictal if necessary and perhaps allow some time to evalutate the resultant combination treatment of Wellbutrin (150 - 300 mg/day) and Trileptal (600 - 900 mg/day). It is possible that you will be okay.
4. If you become manic on the combination, you can discontinue the Wellbutrin or add an antipsychotic.
5. If you do not become manic and are left in a residual depression that continues for a week or more, you may want to add Abiify.
6. To be determined.
Which antidepressants have helped you in the past (including those that made you manic)?
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1027159
URL: http://www.dr-bob.org/babble/20121001/msgs/1027458.html