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Trileptal and add Lamictal?


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Hi CB,

Just wanted to get a couple opinions, I am on 1800mg trileptal, 60mg of cymbalta, up to 1mg of Xanax and a couple blood pressure meds, oh and adderall xr. I have been reading that lamictal can be very effective for depression and is somewhat activating. I am ALWAYS tired and have recently noticed more and more thoughts that overwhelm me and leads me to think of ending it all. I know I wont act on it but the felling of total helplessness and anxiety mixed in is just getting to me.

I quit caffeine for a couple weeks and had noticed less anxiety and less energy. Today I drank coffee and had some pep but noticed a crash in the evening, more anxiety and heartburn. I do not really want to deal with that so that is what leads me to the question about adding lamictal to my meds and maybe cutting out some trileptal?

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File this under YMMV. I take carbamazepine (Tegretol, the older brother of Trileptal) and until recently was taking 600 mg of Lamictal. I know that for many people Lamictal is a miracle drug, but for me, it did nothing. I am now in the process of titrating down and off. Not to discourage you, but it takes a long time to titrate up to an effective dose on Lamictal. We're talking months, maybe, before you reach the dose that you need.

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So I probably won't get the results I'm looking for right away. I will need to give it several weeks/month to start doing it's thing, if it works for me that is. I'm happy to hear that the combo is not unheard of. Thanx jt.

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