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I've been on Lithium for less than a year, my target dose is 900mg which keeps me at a .6 level which typically keeps me stable or at least able to cope with the symptom of bipolar.

About 2 months ago my Pdoc added Lamatrogine slowly titrating up and I'm not up to 125mg. I've noticed that from 50mg up I started to have really bad anxiety and what seems like hypomania. Here are some of my symptoms:

Inability to focus

Increased sexual drive

Pushing people away (flaking out and telling girlfriends to leave me alone if they do something that irritates me)

Agitation

Bouts of mild anger

Hyperactivity

Gigantic panic attacks that are barely controlled by Benzos

Minor depression (which I've never had before)

I've had anxiety since a child and a lot of the symptoms mimic hypo/mania for me so it's hard to tell what's going on. My doctor says I'm probably not reacting well to the Lamtrogine so we will probably titrate down and keep on Lithium unitherapy for now. My reading as of today was .6 so I may consider going up to 1050 or 1200 to keep things quiet.

I'm quite lucid and functioning at work/home however I'm so worried that I'm going to have an outburst of some sort that I shut myself in at home to avoid the embarrassment.

Can anyone offer some advice, insight, or an ear to bend?

Thanks!

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I moved this since you're talking about moodstabilizers.

Hypomania is common when titrating up on Lamictal. You might have leveled out had you hit 200 mg. Or maybe not. Tough to say.

Are you feeling depressed? Lithium/Lamictal is a good combination for that. Maybe try Abilify?

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I moved this since you're talking about moodstabilizers.

Hypomania is common when titrating up on Lamictal. You might have leveled out had you hit 200 mg. Or maybe not. Tough to say.

Are you feeling depressed? Lithium/Lamictal is a good combination for that. Maybe try Abilify?

Thanks, sorry about putting it in the wrong area. I've had a few threads regarding my problems with Lamictal. I'm not really feeling depressed, though I never have save one instance when I lost my job 2 years ago. That's when my bipolar really came out.

Honestly, I couldn't get to 200mg fast enough. This sloshy feeling in my head, dizziness, tremor is worse than the side effects from the Lithium. I'll be dropping the dose most likely and going with monotherapy Lithium for a while.

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For me titrating up on Lamictal is full of trippy , speedy effects. When it hit the right dose, I had a day of ANTIDEPRESSION that was like when it turns techicolor in the Wizard of Oz...............might as well have been on Ecstasy............after some time it just seemed to keep me normal........or help take the edge of hypomania.......

Talk with pdoc, maybe you're right.............lithium monotherapy is much more subtle to my moodswings, but much worse for my GI tract..........sigh...........

peace

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