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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by Ponder on May 14, 2003, at 23:55:25
My beloved Lamictal is no longer working its magic for me and raising the dose does not seem to help. I have a little Topa going to augment, but can't tolerate more than about 75mg/day of that. Thinking of augmenting with a little Prozac even though I have developed distrust of SSRIs due to past history of little/no efficacy and side effects. I am Bipolar II and currently having those heavy, tired kind of symptoms. But when I'm not feeling that, I am generally working hard to keep anxiety under control. Seems that controlling energy-- too little or too much--is the challenge of my life! Any advice on potential synergy with the Prozac/Lamictal combination? Thanks.
Posted by Peter S. on May 15, 2003, at 11:05:57
In reply to Prozac/Lamictal Combo, anyone?, posted by Ponder on May 14, 2003, at 23:55:25
I've gone that same route, but found that the Prozac was still ineffective. Lamictal still does work but only in the morning. If you ever find a good augmentation strategy for Lamictal I'd love to hear it!
Peter
> My beloved Lamictal is no longer working its magic for me and raising the dose does not seem to help. I have a little Topa going to augment, but can't tolerate more than about 75mg/day of that. Thinking of augmenting with a little Prozac even though I have developed distrust of SSRIs due to past history of little/no efficacy and side effects. I am Bipolar II and currently having those heavy, tired kind of symptoms. But when I'm not feeling that, I am generally working hard to keep anxiety under control. Seems that controlling energy-- too little or too much--is the challenge of my life! Any advice on potential synergy with the Prozac/Lamictal combination? Thanks.
Posted by Peter on May 16, 2003, at 18:30:29
In reply to Re: Prozac/Lamictal Combo, anyone? » Ponder, posted by Peter S. on May 15, 2003, at 11:05:57
Well, I've been taking lamictal now for almost a year. I was at 100mg, but then it started making me feel that 'wet blanket' effect. So my doc had me cut it in half, and I've been taking only 50mg for a few months now. I also take adderall, straterra )just started 1 week ago - I'm reducing the adderall with the plan of fully replacing it with the strattera), klonopin, temazepam, ambien, trazadone, and, finally, Prozac
I've usedl amictal with a moderate dose of zoloft, (100mg); the combo was effective until I started cycling, stopped sleeping, started drinking a lot etc. So I came off the zoloft; now I'm taking the 50mg lamictal with a small dose (10mg) of prozac. The bit of prozac seemed to really help me in a few ways- my depression improved, and I began to be able to wake up earlier, etc. So far it's working quite well, though subtly (sp?). I find the prozac has a better balance between calming and stimulating effects than the other SSRI's. I think the 'small' dose is the trick for BPII's; it works well for me with the lamictal.
This is the end of the thread.
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