Doctor insights on:
I have been on lamictal for 6 years now and feel 100% better. I'm taking it for bipolar nos. 350 mg. Will my slight OCD increase?
Take cymbalta (duloxetine) 60, lamictal 100, tegretol 600, klonopin 2.5 for OCD and mood. Is this a safe combination. And is 60 the usual dose for cymbalta (duloxetine)?
Seems fine: These dosages seem to be workable although it is an intense combination of mood stabilizers. The dose of duloxetine at 60 mg is at the usual amount for the treatment of a mood disorder although higher dosages are thought to be potentially helpful for the treatment of chronic pain. Stay safe! ...Read more
What r possible alternatives to anafranil in treating severe purely obsessive ocd? Clomipramine along with zoloft, (sertraline) lamictal, propranolol, and trazodo
Hi-dose SSRI, CBT: On the medication side, ssri antidepressants such as zoloft (sertraline) are the most used, often at doses higher than typically prescribed for depression. It's also worth considering psychotherapy. Cognitive-behavioral approaches such as cbt or erp (exposure and response prevention) are often helpful for ocd. ...Read more
Purely obsessive ocd/bipolar ll. Currently 300 sertraline, 150 clomipramine, 400 Lamictal, 30 propranolol. Welbutr 4 zoloft-mood frequin? Up Lamictal
Combo: Not sure what your Q. is, but please review your medications with your doctor. ...Read more
Poorest qual life, suffer from child, age34 Diag- Acute Bipolar (depression) comorbid severe OCD PLUS Anxiety Consider dival, lamictal, inderal, Latuda?
See: Psychiatrist. Be more macrobiotics (90%). Get personal trainer for exercise. HRS, MD, FACC www. Thepmc. Org ...Read more
Klonopin 2.5...Cymbalta (duloxetine) 60...Lamictal 100...Tegretol 600. I am treated for ocd/bipolar...Does this sound like a strange or normal combination?
Not unusual....: It's not unusual to see ocd and bipolar together. Cymbalta (duloxetine) is not my typical "go-to" drug for ocd; but if you have a pain syndrome, it may be the best choice. For ocd, I would first go to an ssri. Lamictal and tegretol can both be good choices; what matters is, is each one helpful? Discuss with your doctor and good luck! ...Read more
Have taken klonopin 1.5, tegretol 600, lamictal 100, Cymbalta (duloxetine) 60 bipolar-ocd for 8 years-liver functions fine-how long before I have liver problems?
Most likely never: While each of these medications have some potential to affect liver function tests - it being greatest in Tegretol - most of the changes tend to be benign (or harmless). I would worry to much, particularly if you doctors continue to monitor this periodically. Best of luck. ...Read more
Doctor rxed me Lamictal for depression/panic. Take 40mg Prozac (fluoxetine) and 15mg of Valium. Very OCD and depressed on Prozac (fluoxetine) still. Not bipolar. Could it help?
Bad hives, and more: Lamictal can cause a rare but sometimes fatal allergic reaction called S.J.S., E.M. Major, or T.E.N. A person can have fever, malaise (general discomfort), skin itching, joint aches, and a fairly rapid appearance of reddened spots or patches all over. The rash can have "target" or "bulls-eye" spots, and even blisters. Eye irritation can occur, as well as sores on eyelids, lips, and in the mouth. ...Read more
I like Lamictal:
As a psychiatrist I prescribe Lamictal for its fda approved use in bipolar disorder. When used appropriately (slow titration monitoring for rash) I have found it to be safe and effective.
It has a favorable side effect profile with little to no effect on libido or weight.
I have no experience using it for neurological conditions such as seizures.
Good luck, dr. Dave. ...Read more
Yes: Yes.Get a more detailed answer ›
?: What is your question? If you are asking about interactions then I am not aware of any. ...Read more
Both Lamotrigene and Valproate are anticonvulsant agents. They have similar actions, mostly sodium channel blockers. Some of the differences are: Valproate is metabolized in the liver, its blood level can be measured, it is more effective in manic states but not depression.
Lamictal has to be increased gradually, is effective in depression, and linked to Steven Johnson syndrome, a serious skin dis ...Read more
Stop?: If you stopped Lamictal 16 days, it is out of your system (half-life is ~24 hrs.) return of rash could mean: Lamictal wasn't the cause in first place, another rash cause has occurred, treatment suppressing rash has ceased (allowing rash to flare), rash has evolved and is healing (but changing appearance). If things are worsening, then back to your treating doctor! (oh, and avoid hot baths.). ...Read more
D/W prescriber: Talk with your prescribing provider. It is possible that you are on a higher dose than required. Or if it possible that you are not used to living life without big up's and big down's and that this feels foreign to you. ...Read more
Yes: Lamictal does not directly suppress the respiratory center in the brain but, like most anti-seizure medicines, Lamictal can suppress overall CNS function and thus may impair physical or mental activities that require mental alertness (operating machinery or driving). This effect may be magnified if taking other sedatives or drinking alcohol while on the drug.. ...Read more
Lamictal sedation: Yes it can! Lamotrigine is anticonvulsant work by attenuation of glutamate excitatory neurotransmission. It acts in part of the brain that causes activating effects including anxiety and antidepressant actions. Which inhibits na (+) channel activity that in turn reduces glutamate release. Sedation is sign of the need for dosage reduction. Sedation should not be confused with cognitive impairment. ...Read more
Do not stop meds plz: With all drugs used to treat epilepsy/convulsions, the major risk of abruptly stopping a medication (i.E "cold turkey") is that seizures may recur and get much worse as in a rebound. This is very serious and can be life-threatening. That is why these medications should only be reduced when the doctor says so and then, they are often reduced gradually over some time than stopped all of a sudden. ...Read more