Wellbutrin/Topamax/Lamictal?

[LunaEpiskey]

Hey All,

I'm newly diagnosed with what my pshychiatrist put to me as "mild bipolar", whatever the hell that means, but I've had depression and severe anxiety disorder for years.

I've been taking 300mg wellbutrin for my anxiety for a few years now, and I've been on 200mg Topamax for chronic migraines for almost 4 years.

My new Psychiatrist just added Lamictal to my regimen today to try to aid with my mood swings. Has anyone been on this combo before? And Did it help? just looking for info on what I might be expecting.

Thanks ?

Edited December 8, 2016 by LunaEpiskey

[melissaw72]

6 hours ago, LunaEpiskey said:

I've been taking 300mg wellbutrin for my anxiety for a few years now, and I've been on 200mg Topamax for chronic migraines for almost 4 years.

(in bold) ... wellbutrin for anxiety?  For me that would make my anxiety worse, as well as give me more energy than usual.  But if it works for you that is great you found something to help the anxiety.

6 hours ago, LunaEpiskey said:

My new Psychiatrist just added Lamictal to my regimen today to try to aid with my mood swings. Has anyone been on this combo before? And Did it help? just looking for info on what I might be expecting.

I am currently on Lamictal and wellbutrin (but not topamax, however I have been on it in the past), plus a slew of other meds, and I have never had problems with either of them while on them both at the same time.

[iaawal]

I'm on both lamictal and wellbutrin and haven't had issues with either of them together.

[confused]

I take more meds, but I take those 3. They work well for me.

[LunaEpiskey]

Thanks, I'm glad. I was honestly worried about weight gain. Almost every medication I've ever been on before now have made me gain massive amounts of weight, (and I've had a problem being overweight since I was a teen) where as wellbutrin and Topamax actually made me drop and stabilize . So gaining again would only bring on more anxiety and depression for me.

Edited December 8, 2016 by LunaEpiskey

[confused]

I have found lamictal to be pretty weight neutral.

Not sure what your pdoc meant by "mild" bipolar. bipolar 2? It probably doesn't seem mild to you

[LunaEpiskey]

I wasn't sure either, but yeah, I was assuming he meant bipolar 2. and no, doesn't really seem mild to me, but i guess everyone gauges it differently. I think he was just trying to break it to me nicely lol.

Edited December 8, 2016 by LunaEpiskey

[Gearhead]

Lamictal is a prime medication for bipolar 2, particularly if you need more antidepressant action than antimanic, and I've been on it for years and never gained any weight from it. Same with TPX. I took wellbutrin so briefly I can't comment on it, and anyway not with those two.

[LunaEpiskey]

My depressive episodes tend to be more frequent and last longer than my manic, so hopefully this will work and even me out. from what I'm getting from everyone that's been on lamictal, it's worked really well, so I have at least decent hopes for it, if not high.

[Micho]

I take both as well- no issues. 

[melissaw72]

8 hours ago, LunaEpiskey said:

My depressive episodes tend to be more frequent and last longer than my manic, so hopefully this will work and even me out. from what I'm getting from everyone that's been on lamictal, it's worked really well, so I have at least decent hopes for it, if not high.

Just wanted to add to make sure you give it time to work as you titrate up.  It can be a rocky titration, and you might feel worse before you feel better.  I find it to be a really good med, and weight neutral as well ... all of the meds you are asking about have been weight-neutral for me (currently the lamictal and wellbutrin, and the topamax in the past).

[iaawal]

I also second Melissa. I've been on lamictal 3 times and every time the titration made me an unstable mess. It got better once I reached 200mg.