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StevenH1986

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  1. I hope 200 mg helps you! This is the third time I've been on Lamictal. The first time I was on 300 mg (150 at night and 150 in the morning). The second time I was on 200 mg (100 in morning 100 at night). Both times I felt great. None of the side effects I have this time around. I know from experience it can help and I think you should continue giving it a chance. I don't know why this time was different for me (it might be because now I'm showing more Bipolar II symptoms and in the past it was more major depressive disorder). I don't know. Maybe it's not mixing well with my other meds. Can you please keep us updated in this thread or you can priv message me. May I ask what youre diagnosed with? You don't have it in your signature. I'm diagnosed with OCD and depression. The OCD is finally under control after a few years of therapy and a combination of Anafranil and Lexapro (I still take these daily). What I'm really left with now is depression, but there should be a big asterisk next to that because it has similar qualities to bipolar 2—mood swinging severely between intense depression and a functioning and decent mood. Never manic, just...decent, or maybe hypomanic. My p-doc listened to me describe my symptoms, and when I asked him how he would diagnose me (this was when I already knew I was OCD and at least had some kind of depression for years), he said that I show signs of BP2, but that giving it an exact label wasn't as important as recognizing that I am having unstable moods and there are medications I can try to help me. The thing about Lamictal is that I think it has definitely been helping the cognitive side of my depression; that is, my thoughts are more positive, I worry less about things that used to really bother me, and I react in a more laid back manner to stressful situations. But despite all of that, I'm still left with horrible days where I'm sad for no reason everything makes me want to cry at the drop of a hat. Tomorrow's dose of Lamictal will be 7 days on 200mg. I'm not getting any mood stability from it so far.
  2. Thanks, Rowan, your post gives me a lot of hope. I'm going to see my p-doc tomorrow. I'm wondering how many of his patients have gone past 200mg for the same reasons I'm describing.
  3. Thanks for your response. I'm definitely aware that 5 days isn't long enough to get a clear picture; I just wanted to see if I could get sort of a general idea. I've been titrating since December and I just want my life back.
  4. I'm hoping it will help me with days where my mood plummets down for no reason. For example, last Saturday was a wonderful day from start to finish. Then the very next day, I was so sad it was as if someone had died, crying my eyes out. This has been the case with me for so long and I'm so exhausted by it. I'm hoping enough time on 200 will help me.
  5. I've been on 200mg of Lamictal for about 5 days now after slowly titrating up for the past 2 months. I was wondering if anyone could tell me how much time I should give the 200mg to determine if it's helping?
  6. It's been a while since I created this topic, so I thought I'd add a little update in case anyone who was following along is interested. After titrating back down to 75mg (from a brief stint with 100) and feeling absolutely awful on it for 3.5 weeks, I decided to give 100mg of Lamictal another shot. This was after reading some advice on this forum, talking to my psychiatrist and also my therapist. My pdoc said that he has never had a patient do well this medication at one dose, then bump it up by 25mg, and fall into depression. He said the only thing that happens when you go up past a therapeutic dose is that the benefits stop showing up. He maintained that he thinks my mood changes had nothing to do with Lamictal, and we should try to keep going up because 75/100 is too low to tell. So now I'm at 150mg and this Friday will be 2 weeks on it. As I'm writing this I feel absolutely awful. I've been crying on and off for the past few days, and I feel so paralyzed by sadness that it makes it hard to function throughout the day. What's so bewildering about this, however, is that I still maintain there is something very different about me on Lamictal (in a positive way) despite these crying spells and heavy sadness. My cognition just seems to be more positive, calm, logical, and optimistic. And yet, at the same time, on any given day I will feel so sad I can barely move my body! My pdoc said that what I'm experiencing is something he's familiar with. He said that there are two sides to depression: the cognitive side, and the physical side. He said that it seems like my cognitive side is really improving, but we're still working out the physical side. This Friday I get to move up to 200mg, which as everyone knows is the "standard" therapeutic dose. I'm hoping desperately that moving up to 200 will finally give me the mood stability and do away with my crying spells. I just want to feel normal again. It's so painful to feel like half my brain has a new coat of paint and is ready to go, and the other half is still mired in crushing sadness. If anyone has words of hope or encouragement it would be wonderful to hear. Thanks in advance for reading.
  7. I had been doing well on 75mg, but as soon as I went to 100 (as per the plan I had with my pdoc) my mood plummeted back down into depression and got worse with each day. Currently I'm trying to spend some more time back at 75 to see if it was indeed helping me, and just wanted to see if anyone on this board had experience needing to drop their dose a bit because of bad effects.
  8. You might be right, but my therapist wants me to stay at 75mg for several weeks so we can get some real data about what I'm actually like on that dosage. I have a tendency to want to jump around with meds, so I don't want to go up again any time soon and screw up the information gathering process. I guess I'm just going to have to learn to cope with these horrible lighting strike lows until I can make an informed decision.
  9. Hi Everyone, Does anyone have experience with titrating downward on Lamictal from a dose that was making you feel lousy, back to a dose that seemed to work? If so, how long did it take for your mood to "settle down" and start feeling stable again? I've recently had the experience of going from 75mg to 100mg and not feeling good at 100 at all. So now I'm back down at 75 as of about a week ago, but my mood is still flying all over the place to an exhausting and painful degree. I know everyone's body is different, but if you have a personal experience to share it would be helpful to get an idea of what I'm up against. Thanks, Steven
  10. Hey Mallory—I'm sorry to hear you're going through the same thing, but I'm glad you found this post and shared your experience. It helps to know that I'm not the only one. With situations like this regarding dosage it can be hard to draw the distinction between "is this mood just in my head?" or "is this mood being caused by this medication?" Very interesting that you felt badly immediately after going up to 100 just like I did. I've always insisted to my pdoc that psych meds affect me extremely fast, probably more so than the average person. Be sure to let us know how you're feeling on 75. I went back down 2 days ago and I'm already feeling so much better. I'm going to stay on 75 for a while and record as much data as I can.
  11. This is why so many of us keep a mood chart, which is exactly what it sounds like, a daily record of how you felt every day so that you can see how your moods are moving. There are loads of them online, but I don't use any of them so I'll wait for someone who does to comment on this thread and recommend one. I just have a simple calendar page I print out every month and note what I did every day, how I felt, if I needed a PRN, any med adjustments. You're absolutely right, and I do keep a mood calendar where I rate my mood from 1 to 10 for the day and note any med changes or special circumstances. My problem is that when I have a streak where I'm feeling good, I forget for several days at a time to record my mood because I'm not longer mentally fixated on it. So then I'll wake up and be like, "Oops...when was the last time I charted my mood?" haha. It's like I'm better about keeping track of my mood when I'm feeling crappy.
  12. Since making that post, I saw my therapist who has been seeing me since I started Lamictal last month and has known me much longer than my pdoc. He has a great memory for how I've felt on various medications, and could tell me that I was the best he'd ever seen me at 75mg. It's funny how when your mood changes it's hard to remember what you felt like before it did, so it's good that I have him. He said that I can go to 150mg from the 100mg I'm at now if I want (because I can always go back down), but he thinks that I may just find more discomfort. Even my pdoc said, "If you're not feeling good at 100, I can't see a point in going up". I also told my therapist that the very next day after I went from 75 to 100, something felt wrong and it only got worse. He said it was no coincidence. Meds have always affected me extremely quickly. So to answer your question: I've actually decided to go back down to 75mg and stay there for a few months in order to collect some real data about how I am on that dosage. I have a history of being finicky with doses and I would do better to stay on one dose longer to be more scientific about my experiences.
  13. Just an update—My pdoc called me back about the issue I'm having. He somewhat frustratingly told me it's up to me what I want to do. I asked him if he thinks that if I go up to 150 and stick with it, I might find a truly effective dose. He said there's no way to predict, and he's right, but man, I really wish someone could tell me what to do. He said it comes down to how much I can tolerate the "side effect" of not feeling well, and that there could be the possibility that things get better. I figure I should at least try one week at 150 and see what happens.
  14. Well, from the start, my pdoc had set the target dosage as being somewhere between 100 and 200. He said that some people are better at 100, but that most people need to be in that range. When I would tell him that I was noticing positive effects on lower dosages, his response was always, "that's good, but it's still too early." I wasn't perfect on 75, but saw a lot of improvement. So I figured that if I'm feeling pretty good on 75, then 100 must be even better. I at least want to follow his plan or else I'll never know what the usual effective dosages are like for me.
  15. Yeah, I think I'll just do that. If things just don't seem better on higher doses at least I know 75 seemed to work.
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