About Lamictal For Treating Mania
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About Lamictal For Treating Mania in Q&A
Is lamotrigine(lamictal) effective in preventing hypomania? As far as literature goes, lamotrigine(lamictal) has little efficacy in treating mania. But i want to know how do you feel when taking lamotrigine at mania phase. iS there anybody who has successfully controlled hypomania by taking lamotrigine?? I want it as monotherapy, because i hate weight gain. Is there anybody using lamotrigine(lamictal) monotherapy? pls share your experience with me:)

girl_on_the_couch_inak replied: "well everyone is different when it comes to medication..........i use it and it works for me......most the time.........when the winter dark season comes around i have to call in the troops and bring in the lithium......"

muschlag replied: "Lamictal is good stuff. I know you want monotherapy, but consider using it with Lexapro, which does not have the weight gain side effects of drugs like Paxil. Yes, it controls hypomania."

Jenna replied: "I have been on lamictal for a few months now and I have experienced some hypomania....but at least i haven't had a depressive episode"

Question on B12 and mania..? My brother in law has been treated for bipolar disorder for the last 4 years. He's been on everything from lithium to depakote to lamictal. He's rarely ever had any significant relief from mania and absolutely no relief from depression. Any kind of ssri or snri would make him insanely manic so there wasn't much he could do to feel better. After doing some research online he started taking b12 supplements daily. He took methylcobalamin sublingual tablets. After supplementing for only 1 week he said he felt better than he ever did in his life. It's been 3 months now that he's been on the b12 and his personality and mood have changed dramatically. I've never seen him so stable in my whole life!! It's almost like hes a new person..no joke. His manic moods and grosse behavior have all vanished and he is the happiest he's ever been with no signs of mania whatsoever. His doctor is shocked with this change as well and is now reccomending b12 to some of his patients. Did anyone else ever experience this from b12 (methylcobalamin). I read the methyl form absorbs alot better in the body too. Why couldnt the prescribed drugs help him and a vitamin is? Anyone know why this helps or does anyone have any similar experiences? This stuff is amazing and I still dont know why it isnt well researched or publiczied.

Listening Whispers replied: "Thank you for sharing this, I honestly have no answers to your questions but I am going to try this myself now! It can't hurt. Thank you! And I am so happy he is feeling good, it's wonderful to feel back in control of your own life."

Geodon only for short term? I have a friend who is being treated through medicaid. I don't feel she is getting quality care and think she is over medicated. She is on Lamictal, Effexor, Wellbutrin and Geodon. The drug I take most issue with is Geodon. Isn't Geodon used only for short term treatment of acute agitation in schizophrenia and/or bipolar mania? Not meant for long term maintenance?

Cissy replied: "After looking up Geodin, I want it. I'm tired of taking the pills that one pill will take care of. I don't like wellbutrin because it doesn't mix well with many different drugs. Lamictal and Effexor I've been taking for years and they do me good. They don't make you high, or confused. What they do is help you to see that everything isn't a tragedy. Without knowing what she is diagnosed with that's all I can tell you. peace"

Ms Kitty replied: "I am on long term geodon. In Bipolar is helps with both mania (especially) but it also helps with the depression. She is on a very common drug cocktail and just because she is on an anti psychotic doesn;t mean she is psychotic. It is used in high doses as acute treatment and in low doses for maintenance treatment. If she is stable, thank your lucky starts and do not mess with her meds. I love the Geodon.. it was the first drug to give me back my life. I'm on Lamictal, Geodon, Wellbutrin, and Klonopin."

Migraine treatment suggestions? I have a rather difficult time finding medications to treat my migraines. Unfortunately, I also have bipolar and this means I cannot take medications such as Relpax, Immitrex, and Maxalt, as they interfere with the seratonin level in my brain and cause mania. Same goes for anti-depressants. Unfortunately, I also have low blood pressure, so it can't be anything that will lower my blood pressure. I've been taking Fiorocet as an abortive (works sometimes,) and I was recently discontinued from Topamax due to psychological side effects. I'd ideally like a medication that can be used to treat both bipolar and migraines as I believe mine are related. I cannot take Lamictal or any other medication that lists memory loss (or something similar) as a side effect. I am very susceptable to that. Please offfer suggestions that I can talk with my psychiatrist and neurologist about, so that I have some idea what is available. I need a daily preventative AND an abortive. THANK YOU!!!

mrtazzone replied: "I do not know if ether of thses of those medications in them, But have you tryed Dones Pills or Excedrin? I Had very bad Migrains as a child and tryed alot of differant things and these 2 seemed to do the most for me."

mompoo replied: "One aspirin, One tylenol, and a cup of coffee...."

causalitist replied: "seratonin just so happens to be the only way we have of treating migraines besides simply using crude painkillers...such as the barbituate/caffiene/tylenol combo your taking now. caffiene MAY help some by itself... but not as an everyday thing since youll build a tolerance."

need to know replied: "Now I don't have migraines anymore, but I used to. I am also not bi-polar. But...I tried a chiropractor for the pain in my neck shoulders low back and the headaches. I have been going for a year now and I have not had a migraine in 5 months. I did have a light headache last night, but once my neck popped(after lying on a neck roll, a rolled up towel) the pain was instantly gone. I would suggest either going to a masseuse for a massage or seeing a chiropractor. A chiropractor can take ex-rays that Will tell you if there is a problem with a pinched nerve or a disc out of place. These can cause headaches. None of these options would interfere with your blood pressure or other meds for the b-polar condition. My nephew is bi-polar so I know how difficult that is to deal with. Some meds only make him worse. Unfortunately, I am not a Dr. and do not have any drug info to help you with. But, you could try, chamomile tea, melatonin, passion flower, as they help you relax. They may help relieve your pain as you relax. I have been told that caffeine helps with headaches, although it did not help me at all. Hope this helps some, Good luck!"

Some Dude replied: "http://www.neurologyreviews.com/feb04/nr_feb04_foramen.html"

Bipolar & ADD need help with treatment? I have been taking adderall for five years, and now realize that it has been triggering mania. My mother and sister are both bipolar (schizoaffective disorder). So now in my early 20's I am experiencing symtoms. I went to two doctors this week. One gave me seroquil and the first does made me very angry. So I am not taking that again today. But now I have to deal with my ADD symptoms and cant take adderall because it will trigger the maina side of bipolar. Which has already ruined my life. I'm so confused and need help, and DO NOT HAVE THE MONEY, to go out and try a bunch of doctors. I have about $100 bucks to my name, that wont even cover one doctors visit or one prescription. So I'm just here suffering. I want to try Lamictal as, that is whay my mom and sister are on. Has anyone had any luck, treating bipolar disorder? I just want to function like a normal person and beable to work. I'm very sad that I got bipolar. They say its a gift, but make no mistake, its a CURSE!!

Brissy Gal replied: "Taken from the link provided below: For years, the dogma was that stimulants should be avoided for bipolar patients because they will cause mania. Although mood charting sometimes reveals that stimulants will promote cycling, they may occasionally be quite effective in bipolar depression as an adjunct to a mood stabilizer regimen. Some patients, perhaps especially those with comorbid ADD, will in fact have a mood stabilizing effect from stimulants; there are cases in the literature of acute mania responding to stimulants extremely rapidly (see. e.g., Bschor et al). More often, a bipolar II patient with prominent depression will benefit from the addition of a stimulant with diminished anergy; of course, monitoring for a destabilizing effect is necessary, and mood charting here will be useful. Careful and close follow-up of response to stimulants is clearly warranted, but they should not be absolutely shunned, either in depressed or manic phases."

Bill replied: "That's horrible. Do you have insurance? If you don't I think you can get very cheap insurance. The best way to treat bipolar is probably with drugs. So your first step may be to try to get some low-income insurance. Also, did you tell your doctor that the Seroquil made you angry on the first dose? I'm personally not sure how that is possible because psychosomatic drugs take at least a week to have any psychological affect. Then again that may only be for the intended effect."

stacia replied: "First off, you should call the pdoc you saw about your reaction to Seroquel. It is not common, but mileage varies on all these meds. Some pdocs are trying Provigil to treat ADD in bipolar to some success. The draw back is that it's only approved by the FDA for narcolepsy and sleep disorders. In other words, insurance usually won't cover it for a bipolar use, and it is an expensive med. There also are other ADD meds besides Adderall that might worth trying. Bottom line, you need to treat the bipolar first. ADD is a big deal, but it is secondary to dealing with BP. I take Lamictal and it works very well at the depression side of the equation. It is too activating for me to take as monotherapy, however. I take Lithium as well to deal with the hypo/manic side of things. The combination has worked very well. Yeh, anyone who says BP is a blessing doesn't have it. I am not ADD to I can't really speak to that first hand. A good site to check out for meds is . There are some people with bipolar who had ADD on the talk board. That would probably be a better place to ask your questions than Y/A."

lisa1cares replied: "I see my bipolar as a gift but do go through them times when I just want rid of it. but one thing is for sure bipolar is a big part of me and with out it I don't know if I would like what I was left with. you could go to the ER and maybe they could help you or see your GP they will be able to give you samples to tied you over till you have a little money. you can also call your local health department they will be able to send you to a cheep doctor or even free in some cases. for me I liked being on carbamazepine it helped great and not to many side effect. I have also had some bad anger stuff go on with some of the meds I have tried. good luck take care"

Is it common to have vocal tics with Bipolar I disorder? BP 1 family member recently started up a low-pitched, quiet growl when concentrating of not conversing. This has started after a very severe year-long mania that's been brought down with Lamictal. This is an older person in his fifties, never before treated or diagnosed until recently, but should have been diagnosed years ago from the severity and destructiveness of his last manic episode. It's a quiet growl, sustained and repeated, if concentrating, if not in conversation with another, or when just walking alone. I would call it a tic as he seems unaware of himself doing it.

jacked fibras replied: "yes,it is"

Cyd replied: "The vocal tics usually aren't caused by Bipolar but by a medication that their on. The same happened to me and when we reduced the dosage then the tics went away."

Bipolar w/ anxiety? I have bipolar disorder - I have had it for 13 years. I have developed severe anxiety and it's commingling with depression. I cannot take antidepressants because they induce mania in me - I have tried most SSRIs and Wellbutrin. At the moment I take Tegretol (I used to take Lamictal but came off because of side effects). How does one treat depression and anxiety in bipolar without antidepressants? I also cannot take Lithium.

star replied: "you really need to discuss this with your psychiatrist. My cousin is a psychiatrist and she tells me that some of her patients just stop taking meds against her advice and then they eventually realize that they cannot control themselves without drug therapy. Talk to a psychiatrist to discuss your options, they will tell you based on the severity of your signs and symptoms what is best for you. Also try to exercise more, it can help with depression sometimes. Actually, most of these meds recommend that you exercise daily while taking them."

laurarara replied: "Atypical antipsychotics might be the way to go - Abilify, Zyprexa, Geodon, and many more have been approved to treat bipolar disorder."

Erin H replied: "I was diagnosed with Bipolar Disorder 13 years ago and it is a true challenge to find the drug cocktail that is right for you. I currently take 200mg Lamictal, 200mg Zoloft, 5mg of Abilify and .5mg Zoloft as needed. Antidepressants can cause mania if not taken with the correct dose of a mood stabilizer that works for you. I am a bit alarmed that you are not taking one, even if it is a low dose, where you say you are suffering from depression and anxiety. How many have you tried? I know you are under a doctors care, but maybe you can see a different psychiatrist, preferably one that specializes in bipolar disorder so you can get the help you need. Do you have a strong support system at home? When I have symptoms, I educate myself further on the disease which makes me KNOW that the thoughts I am thinking are due to my disorder and know not to act on what I am thinking. Please talk to your doctor about your options, it is hard, but trust me, it is treatable (I should know). Take care."

combackkidxxx replied: "you used to take lamictal? you probably had too high of a dose because that stuff isn't popular for it's side effects. antidepressants make mania worse, for some it helps depression but others it makes that worse too. hopefully that doesn't cut off, but go to that it gives you a list of medications that are used to treat BP. good luck"

AutismisReal replied: "You are already taking something to manage the bipolar disorder; is there a chance a med adjustment can help with the anxiety? Take a look at the research of Andrew Stoll regarding high dose Omega 3 fatty acids and bipolar/depression. He wrote a book called "The Omega 3 Connection". You can take fish oil while taking other drugs and you shouldn't stop your meds. You don't have to purchase his products (OmegaBrite) to get results. It is tough for us to tell you what supplements, herbs or meds you can take since we don't have a clue how they will interact with the meds you are already taking. Be careful. Have you tried some of the older tricyclic anti-depressants? If you don't tolerate those (nortriptyline, amitriptyline) than maybe you shouldn't be taking Tegretol since they are similar in chemical structure. Talk to your doctor. If you don't get any help, find another doctor. You shouldn't have to do this research on your own."

Any hope for treatment refractory bipolar disorder? I'm 20, been depressed/anxious my entire life, diagnosed with Bipolar when I was 12. Seen upwards of 7 psychiatrists, 5 psychologists (DBT, CBT, etc). Diagnosed with Treatment Resistant Bipolar 1 Rapid Cycling Not Otherwise Specified. Lithium's pretty good with the mania but nothing has ever been able to treat the depression. It's taken over my life and I just want hope that one day this illness will not dictate everything I do. My doctors are just blindly guessing at this point and a lot of them will just decline to treat me because they don't know what to do. Here is what I am taking currently: Lithium Lamictal Abilify Klonopin N Acetyl Cysteine Here's what I've taken in the past: Zoloft, Trazodone, Zyprexa, Neurontin, Inositol, Depakote, Paxil, Wellbutrin, Lithium, Xanax, Valium, Seroquel, Lamictal, Lorazepam, Prozac, Ambien, Strattera, Lunesta, Melatonin, Abilify, Cytomel, Cymbalta, Provigil, Fish Oil, Effexor, Lexapro, Buspar, Rozarem, Geodon, Emsam I try so hard to fight this. I'm educated, knowledgeable, read books and medical papers about anything relating to my illness. I want to be better; there are periods when I think I am but then I cycle back down. There is just something messed up in my brain and I don't know what it is. Can anyone give me any kind of hope? Has anyone been through this? Does anyone know of something that could help me? I want to be able to go to school and have friends and get out of bed. I'm smart, I'm creative, I work hard, but the only thing that I ever get to talk or think about is medication. Please don't tell me to go off my medication, I've tried that and it doesn't have good results. I need SOMETHING. I'm willing to give you copies of my med records, lab work, detailed accounts of my history, med reactions, anything. I know this is sort of a stupid way to go about this but I feel like I've exhausted all my options. Please help me. I am desperate. I don't know what to do. I've tried ECT but I have to go off of Lamictal and Klonopin to do it and I end up much worse off than I was before.

Nike replied: "there's one called Electroconvulsive Therapy(ECT) but this has a side effect, it might cause memory impairment."

me replied: "If there is nothing left for you to try do try ECT, i knw someone who had it and it helped them a lot. I know its a scary decision to have this but they knock you out and you wont feel anything. You have to have a course of treatment like one a week for a set time. but its good a treating treatment resistant depression, in clinical depression and bipolar. good luck"

LyssaLady replied: "I'm in your shoes right now. I'm 22 and have been sick since I was 12 too. I'vfe tried pretty much all of the meds that you just listed. I am taking Lamictal, ambien and oxycodone right now for pain from gaining weight, bones hurt, back problems and really bad panic attacks. The oxycodone, even though an opiate get's rid of most of the times that i cycle and decreases the times I cycle. It's hard to find a doctor that would perscribe a person with a mental disorder painkillers but the key is to be very honest with the person and tell them how much pain you are in. I went to a neurologist tell him that I knew that oxy was an opiate but it kept me from cycling when I needed it so I could live my life and still work on finding other means of keeping me under control. I haven't completed DBT therapy yet and I am going to try again and also try ampthetamines for my hyperactiveness and my inability to concentrate. For some reason on journals I've read that people like us take adderall or Wellbutrin and that seems to stop the cycles(both are ADD medications). I'v ebeen on countless meds too to get myself to sleep. I take 2 10mg ambien a night to get to sleep because that's how bad I worry about the future and I'm always wired. Also I found out that there is brain surgery that exists for people with mood disorders. They do the operations in China and it is actually a law over there that people our age need to get brain surgery in order to fix us. Problem is over there, the patients come out partly and permanantly brain damaged. I don't know what the procedure is called but all I know is that you need a neurologist, family doctor, and phsychiatrist to give a doctor permission to have this surgery done. I'm looking into this surgery and can't find anything yet. I'll let you know when I find some information? I hope this information helped. -LyssaLady"

Eagles Fly replied: "I can hear your desperation. Most of the MDS. you mention I've heard about because my daughter, now 37 yrs. old has bipolar, her 10 year old daughter has bipolar and her teenage 15 year old daughter has bipolar + plus other issues that I can't remember them all. So that leaves me at the head of the line. I'm currently taking lamictal, ADD medication and anxiety medication and will no doubt be on lithium by my next appointment. I held off this long, but have to admitt, being first in line does say something like haredity or it's in the genes. Yes, there is a difference in the brain cells just with ADD alone, which seems to come right along with depression and bipolar. My sister has had depression issues all of her life and I suspect if she would see the right doctor, she too would be diognosed with bipolar. She also has ADD. An old friend of mine and my sister sounds the same as you. She too recycles. Since using new MEDS she has come a long way from how she was before the new MEDS. She's now taking a writing class and slowing getting up enough courage to drive her car again. She even sounds much better as time passes. Between my sister and me (I visit with my sister in Michigan) when the phone rings and it's our friend I seem to be the one to answer the phone. I can hear the difference every time I get to talk to her, as we all have something in common and try to learn from one another. You probably should be taking to my daughter. She too has read everything there's to read about bipolor and other mental illnesses. Her 15 year old daughter has many, many other issues to deal with. She's also is complexing to her doctors. How do you over ride depression besides taking MDS I don't have the answer. I know I've been told to keep busy, do exercises, eat a fish a day, you name it. I'm sure you're familiar with that routine. Bipolar is still hard for me to understand. It seems to have so many niches and cracks. With most mental illnesses it's a quessing game. You keep trying new MEDS until youthey get it right. The you can expect adustments in MEDS so they may work even better. My daughter just asked today when we had a bite to eat, "I wonder how other people would handle the things I have to do on a daily basis?" I think you're part of her answer. If you want to do pass the message maybe we can find a way for the two of you to talk ... contact me Take care"

jackie replied: "That is entirely too much medication in my opinion. As you probably well know by now that everyone is different and medications react differently from person to person. My son took every bipolar drug out there from abilify to zyprexa. While in the mental hospital for the seventh time in one year, my son met his girlfriend who had more what you have. After a long trial and error period, lamictal and seroquel is what she is taking. Did you ever try that combination. There are limitless combinations of drugs you can take. Your combination is NOT working. I suggest you start from the beginning. You are already on the lamictal so, no doubt, you ramped up slowly. Talk to your pdoc about limited your drug usage. Klonopin is usually prescribed to get to sleep but with that combination of drugs, I wouldnt think you would have any problems sleeping. You dont say how many milligrams of each drug. They prescribe different amounts of drugs for different illnesses. So the dosage is very important in getting an accurate diagnosis. My question to you is have you ever tried seroquel and lamictal? What was your reaction? Good luck. I wish you the very best in getting the answers you so desperately ask for."

New medication added to my ever-growing list...? Hi all! I'll try to make this short and sweet, but I must warn you...I'm a little hypomanic (okay ALOT hypomanic) today soooooo... I was diagnosed bipolar with anxiety/panic disorder w/agoraphobia a few years ago. This past January, I had another episode and have been out of work since. That episode led to another round of trial and error, tweaking and re-tweaking of meds. Finally found a cocktail that seemed to be working that consisted of Trazodone; Clonidine; Topomax; Lamictal; Wellbutrin and Celexa. Well, early last week I knew my mania was starting up again. By Thursday I wasn't sleeping. I've had 9 hours sleep since then...but yea, I'm running around like a mad woman. Saw the doc last night and she confirmed (what I already knew) I was hypomanic. Because of my devastating crashes, she put me on another medication...Invega. Has anyone ever taken this? It's like Risperadal w/out the side effects. It has been approved to treat Schizophrenia, but has not been approved yet to treat Bipolar. Anyone had any success? As much as I love being happy, energizer bunny girl...I dread the crash and am hoping this med will quell the mania and make the crash less painful. OH, and is anyone else on as many meds as me, or am I just super-duper nuts! ;) (no offense intended!) Thanks

monica replied: "Here is what helped me. Sorry if none of these are helpful. 1. Try Byron Katie. Her worksheets are on her website and her videos are on youtube. 2. If you get panic attacks, sign up for the free emails on the panicaway website. 3. Keep two journals. One for writing down all your feelings, this is really good for clearing out your anxieties and getting all your war onto paper, you can delete it straight after if you need to, it's just good to really see your stressful thinking. And the other can be your gratitude journal - write down all the things you are grateful for that happened today. 4. Try reading Patrick Holford's "Low GL diet" - blood sugar imbalances can cause havoc with your body and symptoms include depression, mood swings, tiredness, drowsiness after eating, cravings for sweet foods, headaches, heart palpitations, anxiety, irritability, agrressive outbursts, crying spells, excessive sweating, dizziness and trembling. is a charity and it has a free questionnaire you can fill out in order to get feedback on what you might be lacking in your diet. 5. If you are lacking in Vitamin B, You can suffer the following symptoms: Feeling unreal, Hearing your own thoughts, Anxiety and Inner tension, Inability to think straight, Suspicion of people, Good pain tolerance, seeing or hearing things abnormally, having delusions and frequent mood swings. Read Patrick Holford's Optimum Nutrition for the Mind or Low GL diet - this might help! 6. Read "Happiness is a Choice" by Barry Neils Kauffman. Here is a link about a girl who was suicidal and came out of her depression. 7. Read "The Four Agreements" by Don Miguel Ruiz. He discusses what he calls the mitote - the thousand voices in your head that can cause so much fear and confusion in all of us. He teaches how to deal with these images, voices and fears. 8. Talk and seek out any people you can confide in. Helplines are usually free and usually leave no mark on the phonebill Best wishes. xxx"

Anyone on or ever tried Invega for Bipolar? I actually asked this question, but with a different title today but didn't get any response. I was hoping to find some answers this way. Sorry for the repeat. I was diagnosed bipolar with anxiety/panic disorder w/agoraphobia a few years ago. This past January, I had another episode and have been out of work since. That episode led to another round of trial and error, tweaking and re-tweaking of meds. Finally found a cocktail that seemed to be working that consisted of Trazodone; Clonidine; Topomax; Lamictal; Wellbutrin and Celexa. Well, early last week I knew my mania was starting up again. By Thursday I wasn't sleeping. I've had 9 hours sleep since then...but yea, I'm running around like a mad woman. Saw the doc last night and she confirmed (what I already knew) I was hypomanic. Because of my devastating crashes, she put me on another medication...Invega. Has anyone ever taken this? It's like Risperadal w/out the side effects. It has been approved to treat Schizophrenia, but has not been approved yet to treat Bipolar. Anyone had any success? As much as I love being happy, energizer bunny girl...I dread the crash and am hoping this med will quell the mania and make the crash less painful. Thanks

ucrags84 replied: "Hi, have you asked your doctor about Depakote? I have used it to great success. The only issue is getting the right dosage, otherwise it doesn't seem to be too effective. That was my experience at least. I was under-dosed and my moods were under control about 50-60% of the time, which was a big improvement. With the right dosage, now it's like 70-85% under control, which is good enough for me. Hope that helps."

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