life is shining with 2mg/u think abnormal

[adel_ezz]

Hi
I am perplexed with my dose of 2mg chewable infantile lamotrigine. I feel great and depression gone. My new pdoc advised 8mg infantile to start with, but i cut it in half but felt agitated so i cut again into another half to settle for 2mg infantile in the morning.

Yet i know well that the therapeutic dose is 100mg for someone who weighs 90kg i.e. 200lbs approx. so how come i am OK. Will I go back to depression?

My question if someone is OK on some dosage is that alright or it will have to go up eventually. Again, suppose it will continue OK like this, is this medically wrong ? and no matter what dose is OK for me my illness will worsen unless i reach the 100mg at least. To put it differently, for the better sake of my BP so that it doesn't worsen with time should I use a therapeutic dose irrespective of what I feel. I let my father ask this question today to a young doctor, he said it means the person is not ill for start, yet I know well I am BP1 , suffer regularly from serious depression (perhaps meaning BP2 not 1) had mania once with psychosis, held the tail of a tiger in the zoo and spent huge amount of money while manic.

So who is wrong ? me , or my BP (not specific BP) or the young doc, or am i dreaming and nothing of the sort happenned?? and I am imagining things. Sure not the latter since I expect that you return my mail
thanks ezz  

[Fallen_A]

Its not uncommon that you get agitated of Lamictal, caus it a side-effect. That I was told by psychiatrist, if you get out of a depression easily you should be aware of  hypomania /mania/mixed. Keep that in mind and if you decide to get higher in dosage you should do that very slowly. Cause, Lamictal have not stop up (mania) and are best for depression.

I started directly on 25mg and now I stopped at 50mg. The side-effects was taking over cause I was going up in dosage to fast.

50 mg which could be my dosage?. I don't know yet, but I will let the future tell. It was for me rocket speed out of a very deep depression. From a day to the next. Then I was told to change to lithium. But I have told my doctor off. Today I have still Lamictal and I like that a lot and haven't been hypo manic or depressed since I started. So we take first week for week, now month by month.

Here in Sweden the recommended dosage is between 100mg to 150mg for bipolar and some even higher.

*my English ***** a lot*

  

[ILADVOCATE]

No the Lamictal could be helping at this point. It would not be placebo. Its just hardly at a clinical dose for it to work effectively. The reason I or other people didn't provide specific answers is because only a psychiatrist can discuss exactly what amount would work for what person. Its not just because its the regulations here. I wouldn't do that offsite as well. I would suggest to keep a Mood Tracker here and give that to your psychiatrist. Then they could see exactly what's going on and come to a better conclusion.

[adel_ezz]

Thanks ILADVOCATE

I know why I didn't receive answers to my mail because if they say this can't happen then I will count this dosage as placebo and I may become sad waiting for true depression to come. On the contrary believe it or not it made a hell of a difference.

in any case, it's more wise not to bother you here and wait to see my pdoc.
thanks
ezz

[ILADVOCATE]

I'd say its best to follow your psychiatrist's instructions as regards dosage. They can determine what's an effective dose by monitoring you and talking things over with you. I think this psychiatrist has the right course of action and some good ideas so its best to talk it over with them.