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General Parenting
lamictal update and question......
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<blockquote data-quote="pepperidge" data-source="post: 423398" data-attributes="member: 2322"><p>Jena,</p><p></p><p>I certainly think Lamictal is worth a try. But you have to be willing to invest two months or so into really trialing it unless you see consistently bad side effects. If you are going to do it, do it well so you know whether it is a go or not. Otherwise you are going to spend the next few years wondering if you should retry Lamictal.</p><p></p><p>And if it does help, it might in principle give her enough stablity to try an SSRI. But you are talking weeks I think before beginning a trial of an SSRI. Based on my experience, I would be really reluctant to add in an SSRI until you are sure you are at a therapeutic dose of Lamictal, which seems to begin around 200 mg and goes up from there. If you try an SSRI too soon and you see screwy stuff you won't know whether it is the Lamictal, whether the Lamictal wasn't high enough, or the SSRI.</p><p></p><p>Assuming she doesn't have true bipolar she may just have to wait until she gets older and maybe can tolerate an SSRI better. </p><p></p><p>What I don't understand is why you don't think about a different AP. Seroquel again, or even Risperdal, which might help with the anxiety but maybe will not lead to as significant a weight gain as you are seeing on Zyprexa.</p></blockquote><p></p>
[QUOTE="pepperidge, post: 423398, member: 2322"] Jena, I certainly think Lamictal is worth a try. But you have to be willing to invest two months or so into really trialing it unless you see consistently bad side effects. If you are going to do it, do it well so you know whether it is a go or not. Otherwise you are going to spend the next few years wondering if you should retry Lamictal. And if it does help, it might in principle give her enough stablity to try an SSRI. But you are talking weeks I think before beginning a trial of an SSRI. Based on my experience, I would be really reluctant to add in an SSRI until you are sure you are at a therapeutic dose of Lamictal, which seems to begin around 200 mg and goes up from there. If you try an SSRI too soon and you see screwy stuff you won't know whether it is the Lamictal, whether the Lamictal wasn't high enough, or the SSRI. Assuming she doesn't have true bipolar she may just have to wait until she gets older and maybe can tolerate an SSRI better. What I don't understand is why you don't think about a different AP. Seroquel again, or even Risperdal, which might help with the anxiety but maybe will not lead to as significant a weight gain as you are seeing on Zyprexa. [/QUOTE]
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