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Dr. Bob is Robert Hsiung, MD,
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Posted by obsidian on April 4, 2010, at 22:08:43
hi,
Im glad to say that an increase in lamictal has been helpful, on 200mgs a day now
My mood got generally brighter, and miracle of miracles I got a bit more comfortable socially, less self conscious, and less irritable, generally less reactive.
I've been decreasing my effexor xr, and it's been problematic, but I could feel a smoothing out of my mood.
I'm on 75mgs in the am now and 37.5 in the evening
initially I had a real surge in anxiety which then dissipated.
then I recently, after another decrease, got pretty depressed, crying, lethargic, feeling generally awful. This again has dissipated, but my mood I think is mildly depressed.I don't know what to do. I want to get off the effexor, or have as low a dose as possible. Should the lamictal be sufficient for depression? It's only been a couple of weeks since this last decrease in effexor...maybe I just need to wait and see?
I take 1.25 mgs of klonopin a day too and 25 mgs of seroquel. I'd love to get rid of the seroquel. I assume it's the sedation that is truly calming me, but when I've skipped it I get a little labile.
what to do...
Posted by Phillipa on April 5, 2010, at 0:16:21
In reply to raise in lamictal + decrease in effexor-any ideas?, posted by obsidian on April 4, 2010, at 22:08:43
Sid give your brain time to adjust very slowly. Phillipa
Posted by polarbear206 on April 5, 2010, at 15:09:59
In reply to raise in lamictal + decrease in effexor-any ideas?, posted by obsidian on April 4, 2010, at 22:08:43
> hi,
>
> Im glad to say that an increase in lamictal has been helpful, on 200mgs a day now
>
> My mood got generally brighter, and miracle of miracles I got a bit more comfortable socially, less self conscious, and less irritable, generally less reactive.
>
> I've been decreasing my effexor xr, and it's been problematic, but I could feel a smoothing out of my mood.
> I'm on 75mgs in the am now and 37.5 in the evening
> initially I had a real surge in anxiety which then dissipated.
> then I recently, after another decrease, got pretty depressed, crying, lethargic, feeling generally awful. This again has dissipated, but my mood I think is mildly depressed.
>
> I don't know what to do. I want to get off the effexor, or have as low a dose as possible. Should the lamictal be sufficient for depression? It's only been a couple of weeks since this last decrease in effexor...maybe I just need to wait and see?
>
> I take 1.25 mgs of klonopin a day too and 25 mgs of seroquel. I'd love to get rid of the seroquel. I assume it's the sedation that is truly calming me, but when I've skipped it I get a little labile.
>
> what to do...
>
>lamictal works best as an augment to an AD. My advice would be to stay on the Effexor for now. How much have you decreased over a time span from what dose. This is something that has to be done very very slowly. Chances are you will still need Effexor.
Posted by obsidian on April 5, 2010, at 16:44:18
In reply to Re: raise in lamictal + decrease in effexor-any ideas?, posted by polarbear206 on April 5, 2010, at 15:09:59
I was on 225 mgs xr for a long time (150mgs at night, 75mgs in the am)
then 150mgs (75mgs in pm and 75 mgs in am)
then for a month I alternated every other day:
75mgs in am, 37.5mgs in pm, alternating with 75mgs in am, 75mgs in pm - I had some bad anxiety early in this taper down which went awaynow I'm taking 75mgs in am, 37.5mgs in pm, for a total of 112.5mgs per day, and now I've hit some depression which has eased to some extent.
I'm going to see what happens. I do wonder if raising lamictal might be helpful.
thanks for your response :-)
-sid
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