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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 n_wolfie on June 13, 2009, at 18:49:34
I was taking 350 mg lamictal with 45 mg nardil daily. The lamictal was working alone for some time by itself, started pooping out, so doc added nardil which had worked in the past. Lamictal really helped control my outbursts, mood sensitivity. But lately my short term memory has been horrid, can't remember what I read, it's awful, and it's scary. the forgetfullness is in and of itself making me very depressed as it renders me dysfunctional. My doc told me to lower the lamictal 50 mg, to 300 and within 1 day I was extremely depressed for two days. Doc told me to go backc up to 350, and I had a semi manic day, felt great, I couldn't believe what it felt like to be non depressed, then back to feeling not so great next day, but not as bad when i had reduced the lamictal. so i did and felt better, but still depressed. So, without his advice (I knew it would cost 200 for him to tell me to up the nardil), I upped the nardil to 60 two days ago. Mood a bit better, but the forgetfulness is awful. I've also been extremely tired over the last few weeks. So much so that I can barely function, I sleep most of the day, usually wake around 10pm at night and feel fine and motivated for a few hours, then back to bed around two am. Only consistency in my sleep pattern is that I wake at 7, go back to bed at 8 until noon. Then horrible exhaustion around 5:30, bed until 7. Doc says i must regulate it, no naps, but i simply can't, the exhaustion is overwhelming. Even right now i'm ready to go to sleep, and am too tired to even take a shower- I do nothing excpet try to work a bit from home. I haven't taken vitamins in a few weeks, am vegetarian and barely eat protein, have been under lots of stress, but still,i've never been so tired. I think the spaciness/forgetfullness makes me want to sleep. I suspect it's too much lamictal, but i had a breakdown for 2 days as soon as i lowered it 50 mg when i was on 45 nardil. This was just about a week ago. sorry this is so long, but i'm just really scared about this memory thing. My roomate thinks i'm out there, and i'm afraid to be around anyone because it's so noticeable so i've been totally isolating myself, most of the time in bed with all these horrid, negaqtive thoughts. Oh, I've also been very cold.
Posted by SLS on June 13, 2009, at 19:17:34
In reply to lamictal/nardil exhaustion, lost memory, posted by n_wolfie on June 13, 2009, at 18:49:34
Everything you described resembles my experience when combining Lamictal + Nardil. I won't bore you with the details, but I went from Lamictal 300mg to 200mg, and the problem was solved. The depression that came with the dosage reduction was only temporary. You could probably avoid this by going down in dosage more gradually. I found my best mix to be Nardil 90mg + Lamictal 200mg.
- Scott
Posted by n_wolfie on June 13, 2009, at 21:50:22
In reply to Re: lamictal/nardil exhaustion, lost memory » n_wolfie, posted by SLS on June 13, 2009, at 19:17:34
OK, this is a relief. I want the boring details!! Is comforting that I don't have permanent brain damage.. Is frightening losing my memory. Each time I reduced it my memory would return somewhat, and then I would completely lose it a few weeks later. When I sleep I feel better for a few moments when I awake, and then it returns. Did you have the exhaustion issues? I hope the withdrawal is temporary, because it is brutal. maybe I will try reducing by 25 mg instead of 50, but that will be slow going..Still, being this forgetful is making it totally impossible for me to work, and i'm making bad, highly noticeable mistakes.
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