Doctor insights on:
Is Lamictal An Antipsychotic
Are there meds other than Lamictal to treat Bipolar? Googled Lamictal, as Dr. Ordered & side effect profile worries me. Avoiding antipsychotics.
I understand your discomfort.
Thank you for informing about insomnia and use of Concerta which can cause insomnia, Mania and emotional lability.
See Psychiatrist for Diagnosis of Depression or Bipolar Disorder, Anxiety, gradual withdrawal of Concerta; and Therapy for stress - relationships, separation, unresolved feelings of hurt, resentment, lack of support, loneliness, work and finances. ...Read more
These are medications used among other things to treat psychosis. There are two poorly named classes: the typicals, because they used to be typically used, and the atypicals, which are now typically used. They differ in that the so called atypicals are non-neuroleptics and interact with both serotonin and Dopamine receptos, while the typicals ...Read more
Options for bipolar depression? I Take stimulants for it but crashing every night. Need 24hr relief for normal life. Tried Latuda + other antipsychotics. Didn’t work. Lamictal also not working and if I go above 250mg it makes me non functional.
Change or Adjust Med: Stimulants are not the treatment of choice for bipolar depression, IF you have true bipolar depression you probably need another mood stabilizer. You should have a psychiatric evaluation with proper diagnosis and treatment plan. Sometimes the meds may need to be changed or adjusted. Therapy may also be helpful. ...Read more
Newer v. Older: Older antipsychotics include drugs like haldol, thorazine, Mellaril and navane. Newer agents include risperal, zyprexa, seroquel and geodon (ziprasidone). The newer agents are associated with somewhat fewer side effects and long term complications such as tardive dyskinesia, but still have lots of side effects. For many psychiatric disorders, they are the best treatments we have. ...Read more
Whether an antipsychotic medication is felt to be activating or sedating depends A LOT on the individual patient. It is quite hard to predict who will experience which side effects.
Activation, by the way, is sometimes confused with "akathisia" - which is a sense of restlessness, often accompanied by a feeling of anxiety/tension and a need to move around or pace. ...Read more
Sometimes needed: Occasionally, use of regular antidepressants alone cannot control moderate to severe depressive symptoms. In these cases, certain atypical antipsychotic e.g. Abilify (aripiprazole) and Risperdal can be helpful. These medications should be prescribed by a physician with experience. ...Read more
Possible: While most people stop their medications without problems or side effects, sometimes withdrawal effects can occur if the medication is stopped too abruptly. Anxiety is one of the possible symptoms you could develop if you have a withdrawal syndrome. The best way to avoid this is to work with your physician and taper the medication over time ...Read more
For example: For example, lets take Risperdal-it blocks Dopamine 2 receptors, reduces positive symptoms of psychosis. It blocks serotonin 2A receptors, enhances Dopamine release in certain brain regions, also interacts with myriad of other NT receptors contributing to efficacy. Alpha 2 antagonist properties contributes to antidepressant actions. ...Read more
Confused?: Why would you want to render your medication ineffective? Perhaps clarification can lead to a helpful answer for you. ...Read more
Antipsychotics: Ziprazadone-Geodon and Lurasidone-Latuda, in my experience, are associated with weight loss. Quetiapine-Seroquel and Olanzapine-Zyprexa, cause the most weight gain, again in my experience. Those are all considered Second Generation Antipsychotics or Atypicals. All First Generation Antipsychotics cause weight gain. Great question. Wt gain is an important issue and preventing it can be a challenge. ...Read more
Allergy vs ADR:
An allergy to antipsychotics is an allergy to antipsychotics! The side effects to antipsychotics are 3:
extra pyramidal: dystonia, akathesia, and pseudoparkinsons
and the third is rare called neuroleptic malignant syndrome.
The treatment for the three are different. The extra pyramidal symptoms[eps] are more common in first generation medications. ...Read more
Get more active: Most antipsychotic medications have the unfortunate side effects of weight gain. Increasing your activity level and eating healthy helps to keep the weight gain down. You may also talk to your psychiatrist to see if adding certain medications to address the weight gain might be an option for you. Nevertheless, don't stop your medication without your doctor's consent. ...Read more