From: louise on
BP II I was given Lamictal to help stabilize and also to
lessen severe depression. However, I had, what I'm told is
a very "rare" reaction of becoming hypomanic as soon as I
went above 50mg of Lamictal.

So, Depakote, 375 - to move to 500, was added.

I'm concerned because as I understand it, Depakote markedly
increases the amount of Lamictal in your body and
effectively results in my taking as much as 125mg of
Lamictal even though I'm literally swallowing 50mg.

Therefore, since Lamictal above 50mg makes me hypomanic, am
I not, in effect, making myself hypomanic by increasing the
concentration of Lamictal so much with the Depakote?

Is anyone taking Lamictal and Depakote? And why was one or
the other added?

TIA

Louise
From: Nom dePlume on

"louise" <louise(a)invalid.invalid> wrote in message
news:6ggt57Ffkr9nU1(a)mid.individual.net...
> BP II I was given Lamictal to help stabilize and also to lessen severe
> depression. However, I had, what I'm told is a very "rare" reaction of
> becoming hypomanic as soon as I went above 50mg of Lamictal.
>
> So, Depakote, 375 - to move to 500, was added.
>
> I'm concerned because as I understand it, Depakote markedly increases the
> amount of Lamictal in your body and effectively results in my taking as
> much as 125mg of Lamictal even though I'm literally swallowing 50mg.
>
> Therefore, since Lamictal above 50mg makes me hypomanic, am I not, in
> effect, making myself hypomanic by increasing the concentration of
> Lamictal so much with the Depakote?
>
> Is anyone taking Lamictal and Depakote? And why was one or the other
> added?
>
> TIA
>
> Louise

Yes, Depakote increases the effect of Lamictal, and the effective dosage of
Lamictal should be lowered when you add Depakote to the mix. However,
whether you would become hypomanic with an unchanged Lamictal dose is not
clear, because Depakote is an antimanic agent.

I think you should discuss this with your doctor and see if he has good
reasons for this decision, and whether he has taken the drug-interaction
issues into account.
--
Nom dePlume, Ph.D.
Why, yes, in fact, I am a rocket scientist.

Find my book, Medicines for Mental health, and free drug information, at
www.MentalMeds.org

=====


From: Johncc on

"louise" <louise(a)invalid.invalid> kirjoitti
viestiss�:6ggt57Ffkr9nU1(a)mid.individual.net...
> BP II I was given Lamictal to help stabilize and also to lessen severe
> depression. However, I had, what I'm told is a very "rare" reaction of
> becoming hypomanic as soon as I went above 50mg of Lamictal.
>

With moodstabilisers i was in a constant boring mood and i was anxious all
the time. Now that i have stopped i am able to experience sweet psychedelic
hypomania and euphoria and all in all i enjoy life more when my mood is not
"stabilised". Also I have no anxiety or fear of death anymore.