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Re: What's plumping me up? AD advice sought. » HenryO

Posted by Emme on June 21, 2003, at 16:43:18

In reply to Re: What's plumping me up? AD advice sought., posted by HenryO on June 21, 2003, at 15:43:18

Hi. Yeah, I mentioned upping the Lamictal at my last appointment. She suggested we might consider doing that after making other changes (I dropped abilify and Li and added selegiline).

I tend to be really sensitive to medication and often need flea-sized doses. We end up with tiny doses of several meds to try to head off side effects. I do seem to tolerate Lamictal pretty well. I agree it's a good drug. I find it activating though and may always need to have drugs like clonazepam and/or seroquel in place to keep my sleep intact and to deal with anxiety and agitation.

The problem is that in the past I've titrated up at only about 7.5 mg/week because I've had mild rashes during titration. Recently I have been in baaad shape and we needed to do something a little quicker, hence the selegiline. I'm hoping once I'm on a more even keel we can gradually get to a more simplified mix. But at the moment selegiline seems to be helping a bit.

Emme

> It is not the Lamictal or the Provigal. I don't think it's the clonazepam either. Anti-psychotics seem to put the most weight on me. Have you considered backing down on the over all cocktail and boosting the Lamictal? 125mg is not a big dose for Lamictal. It seems to work best in the 200 to 300 range. It is weight nuetral and sex side effect nuetral. It even seems to regulate my sleep. I am posting all over the place that it is the best thing I've ever been on.

 

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