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    Reader Question: Lamictal dosage (lamotrigine)

    I just received the following question from Janine:

    Julie,

    I was just prescribed Lamictal and doing a little research it seems most people are starting on 25 mg and slowly increasing. I have just started today…100mg a day for a week, and then I bump up to 200mg next week. Is this too much too soon?

    **

    Hi Janine,

    My coauthor Dr. John Preston as well as many of my doctor friends say that medication dosing is a fine science. For many, it’s a shot in the dark when you start.  There are definitely guidelines as to what drugs to use and at what dose, but so much depends on you and your background. Are you on any other drugs? Have you had trouble with drugs? Do you have more mania than depression?  How well does your doctor know your symptoms? etc….

    Starting [ Read More ]





    Bipolar Question from Dr. Jay Carter

    Hi Julie,

    Is there any supplements or herbal remedies that you would recommend for bipolar stuff, other than the

    omega 3?

    Any particular diet that is beneficial?

    Jay

     (Dr. Jay Carter is a psychologist with an emphasis on bipolar disorder.)

    **

    Hi Jay!

    St. John’s Wort can cause Mania.

    Sam E is for mild depression.

    Some people swear by the molecular stuff such as Taurine, etc. The serotonin mimic 5-HTP  is just like an

    anti depressant as it can cause mania.

    There are some supplements such as TruHope out of Canada that made a lot of claims and then got busted.

    Some herbs can help sleep such as kava kava, valerian.

    Calms Forte homeopathic works for some.

    To be honest, I’ve found that most of the sleep stuff is for milder problems.  I use Ativan as I don’t have any

    addiction problems- those with addiction worries to Ativan, Klonopin or Valium can use Benedryl.

    I [ Read More ]





    bipolarhappens.com Reader Comment

    Bipolarhappens.com Reader Comment

    I received such a great email from a reader named Daphne Stevens that I’m posting parts of it on the blog. I think it helps so much for us to see that we all go through the same challenges with this illness. Daphne and I discussed Lamictal and other meds. Here are her comments: Lamictal, by the way, is my “miracle drug,” too.  After two years of trial and error (and a lot of nasty side effects) my doctor and I finally settled on a combination of Lamictal and Seroquel. which levels out both the hypomania and  depression.  And my depression, while less frequent than hypomania, can be deadly, as you know.  Over a lifetime of struggling, I’ve finally learned not to be too afraid of it.  I know it will pass, no matter how permanent it feels at the time.  Riding it out, being kind to myself, doing what I can, [ Read More ]





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