Lamotrigine in the treatment of bipolar disorder

My symptoms almost completely vanished. I have had 2 extreme mood swings in almost 3 months which is unbelievably good. My social anxiety is completely gone and my general anxiety is almost to a normal point. Please give this medication a chance. It's made my life so much better and I love it for that. I could go up doses very fast without having the rash but wow I suffered so much while going through this process.

It does get worse before it gets better. Once you get to the therapeutic dose then things start to improve. Now; some of us have vivid dreams. This is somewhat convincing. So where does this leave us? According to the highest quality data, Lamictal is ineffective for the acute treatment of both manic and depressed episodes of bipolar disorder. The problem is that most clinicians will swear up and down that their depressed patients have, in fact, responded to Lamictal.

Some of these responses must be placebo responses. However, consider an open label 16 week comparison of Lamictal and lithium. This was a single-blind trial, in which only the raters were blinded to the treatment, and there was no placebo arm. Safety of Lamotrigine for Senior People The handling of Lamotrigine in the elderly patients is quite similar to those with children.

As such, the experience of Lamotrigine on psychiatric problems in elderly patients is still not enough to form reasonable conclusions about the efficacy of the drug.

Discontinuation of Lamotrigine It is not recommended to abruptly discontinue Lamotrigine unless the side effects are quite severe. However, no symptoms are specifically developed when the drug is discontinued suddenly apart from seizures which is true for almost any anticonvulsant.

Lamotrigine Overdose There is very little data available on what happens when a patient overdoses on Lamotrigine. There are only two reported cases in which an overdose has occurred. In those cases, the quantity taken by the patients was around 4, mg but the patients survived and did not suffer from any long term effects. This is the number one use of Lamotrigine.

Ideal for Mixed States — People who, due to mania switches on intense cycling, have not been able to rely on other antidepressants have responded well to Lamotrigine when it is given in therapeutic doses. Good for Patients Who Respond to Nothing Else — Patients who fail to respond to any other mood stabilizers and lithium have shown good results when they have been treated using Lamotrigine. Thank you Norman E. I would not assume that these conditions will just go away.

They need active help. I would really work with the system to make it clear that you are not getting the help you need. If you can't get proper help within the system, try going outside the system. But whatever you do, don't just leave it. There are many ways to help both bipolar disorder and PTSD. Thank you so much for running this chat, especially at this time of year. I am an adult child of a paranoid schitzophrenic, and I've been dealing with the effects of a toxic childhood ever since I reached adulthood.

I am fortunate enough to have escaped that syndrome, but do you know if there are any other conditions to which I might be predisposed? I know that we're still learning about mental health, and I'm not up on all the latest research. I do have SADS, as does my sister, but I find that plenty of indoor light -- grow bulbs especially help, plus the plants like really them -- and some outdoor exercise really alleviate the low-level depression.

But I am wondering if there is anything else for which I should be on the look-out. Thank you, and have a wonderful holiday! If you have any other disorder, you would probably know it - disorders manifest in the form of symptoms of one kind or another. If you don't have any symptoms, don't borrow trouble.

You may just have been lucky enough to escape the pain of emotional illness - enjoy it. How sure is a "standard" evaluation to properly diagnose various mental illness?

Do you believe in detecting these mental disorders through brain scan? There was talk that Mayo Clinic does this. I think brain scans to detect mental illness have been oversold. Most mental illnesses are diagnosed by history - and there is no substitute for a thorough consultation with a competent mental health professional to establish such a diagnosis. Has it been your experience that some psychiatrists, therapists, etc.

I've probably been dysthymic for 15 years now, but I've gotten a sense of "You're not suicidal, you can get up and go to work most days at least , so what are you complaining about? There are so many professionals out there. I have been diagnosed with SAD. The light therapy helps, along with my regular therapy, but I go through the ups and downs.

My boss, however, does not believe this is a real thing. She thinks I just get lazy around the holidays. How can I convince her that my concentration fails and I get really depressed and that it's seasonal? Maybe you can't convince her. You can only do so much - perhaps show her a professional article, bring her a doctor's note etc.

But in the end, if someone is pig-headed it may be impossible to convince them of anything. I have a general question about mental health. How do you know if you're suffering from depression or might have bi-polar disorder. Admittedly, my parents are becoming increasingly worried about my 'attitude' saying I've become angry at the world. I was on an antidepressant for a year or more fluoxatine, I think , but it didn't seem to help.

How can you tell if you have depression? There are some standardized self-administered questionnaires that can be helpful, but the best way is to consult a mental health professional.

I would take your parents seriously. In my experience it is rare for caring parents to suggest the possibility of an illness if there is no basis for the suggestion whatsoever. The recognition of mania is just as important as the depression. Now, I'm using Lamictal and Celexa in tandem with talk therapy, and my moods, which still have peaks and valleys, are within my acceptable range of emotion. And people are often reluctant to acknowledge mania - or hypomania its less severe variant because they often feel good - superenergized and upbeat - during those periods.

But mania or hypomania can be very destructive and often herald depression. Therefore they should be treated. There is a woman at my work who said to everyone she has DID. I thought it was multiple disorder personality. I'm Bipolar II, on meds and in therapy. I'm relatively well-managed, but sometimes still have mild to moderate issues with my moods.

My father was bipolar I and committed suicide. I have a lovely 4-year-old and want to be a good example to her. Any general tips for bi-polar parents on how much they should tell their kids about their mental illness? And any general tips about being a good parent while dealing with your own mental health issues?

It's great that you are aware of your mood issues and getting treatment for them. That tells me you are already being a good parent. Watch your moods is the first tip I would offer. Be sure not to take out your downs on others - especially the children - and also be careful of your highs. During high periods parents may minimize things and not pay enough concern to their children's issues. Why is Pyschiatry the only medical specialty that ignores, or is completely indifferent to weight gain-even to the point of obesity and inducement of diabetes?

To say nothing of increased risk of some cancers, osteoarthitis, and cardiovasular disease. I have rapid cycling Bipolar I. We, the new Pdoc and I chose topamax and then lamictal plus the wellbutrin I was always on. For further important safety information on serious rash, see "About Lamictal" section below and accompanying prescribing information. If manic and depressive symptoms overlap for a period of time, it is called a "mixed" episode.

Although there is no cure for bipolar disorder, the revised APA treatment guidelines stressed that treatment can significantly improve symptoms associated with the illness. Additionally, researchers estimate that more than 40 percent of individuals with bipolar disorder have problems with alcohol or drugs during their illness. For more information on bipolar I disorder, visit http: About Lamictal Lamictal is available in over 90 countries and has been used by an estimated 5 million patients worldwide.

Lamictal has been available in the U.

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