treated for drug resistant depression, and add inattentive type and nothing help. I think it might be bipolar II, what's the best antidepressants and add meds for the inattentive type to take along with lamotrigine. Needs some idea to discuss with my psych
Best anti depressants, add meds for inattentive type to take along with lamotrigine?
Added 4 Jul 2012:
Thanks Mary, Ade, Sweet Hippie and every one else. Sorry I did not add more info. My depression goes as far back as 15 years old and have been depressed on and off since. Had some relief with Paxil 15 years ago good for anxiety at the time but not much for depression, but depression was not major so i managed to lead some what a normal life, but for the past 2 years, it has been hell and the meds make it even worse, no energy, no motivation, mind going on constantly, anhedonia and even food does not taste good. In my opinion i'm 5 times more depress now. was on Adderall, Focalin and now on Ritalin for add. Ritalin use to help for an hour now nothing. Past two years, for depression, I've been on different combo with either Lexapro, Prozac, Vibriid, Seroquel, zoloft, Paxil, Pexeva, Wellbutrin (work a little bit but not enough), Pristic, Lithium, cpap for sleep apnea, ECT... nothing. My primary Dr, Neurologist and psychiatrist have no clue what's going on. I'm seeing Psych tomorrow, ill update.
Added 8 Jul 2012:
I'm back. Psych still think it's depression and not bipolar 2. New meds now imipramine 25x3 a day and vyvanse 30. Imipramine will take 2 to 4 weeks to work, however, vyvanse suppose to work right away, so far nothing. Tomorrow i'll try 60 mg to see if that make any difference, if not i'll Psych to add may be a lower dose of adderall ir along with vyvanse. I'm just tired, but i'm gonna keep searching until i find the right drugs. Thanks everyone for your words of encouragement. It's funny that i get more hope from you guys than from my Psych.
4 Jul 2012
It sounds like we're dealing with a lot of the same things. I was just recently diagnosed with bipolar II, after years of drug resistant depression. I've been on 300 mg. of welbutrin and 10-20 mg. of ritalyn for a while now without much effect on depression. The ritalyn seems to increase anxiety for me. I've read that some with bipolar II have better success with dexedrine for their ADHD. I was just prescribed lamictal to go along with what I'm currently taking. I have hope that it will be the missing puzzle piece for me. Good luck with your search for the right meds for you. I know it's hard.
4 Jul 2012
Hi Mjoach - There are many that can be tried in combination with one another. You didn't mention what you have tried so here are some that have been quite effective:
Lithium, Lamotrigne, Depakote, Lamictal, Tegretol, Topamax, Neurotonin.
There are so many out there beyond these but these are common ones to try. One of our very nice ladies on this site take Lamictal but I can't remember what the other one is or if it is on this list here. Lmarini55 is her name, perhaps she will also see this and post a reply.
I wish you well and I understand this journey is rough... it is one that is tough for anyone who suffers from any form of depression or mental illness. There is something that will be right for you, though... be patient... it is coming and you WILL feel better.
Keep posting and let us know how your psych appt. went and what they suggested for you. New information is always helpful to others as well.
4 Jul 2012
Everyon's different so what works for me may not work for someone else. Having said that, I have ADD inattentive type too and major depression, and what works for me is Wellbutrin (I'm on 300mg, the extended release formula) for depression and Adderall for ADD. It might be worth asking about.
21 Feb 2013
Hey there, this is my first time writing into a forum discussion here. I just wanted to say that when nothing else seemed to help me Epitol(carbemizapam) worked well for a while. I took it when I left Lamictal. Also took Adderall, along with Klonipin, and xanax for occasional panic attacks. I took 300 mg of the epitol 2 times daily. I say that it was a major relief to me. I continued it for about 2 yrs, i am currently taking vibrid, along with my adderall and klonipin. So farI feel stabilized, with a little bit of my will coming back to get things accomplished. I'm still just a shell of my former self however, it feels like a step in the right direction. I fight with constant fatigue, even before I ever started meds. But for me and others I've talked to on Vibrid, this new drug Vibrid supposedly as an enabler to help you get some energy back. In fact for some people they become too energized by it. The same was said about Wellbutrin, which had no such affect on me.
Hang in there. Its been years for me as well. I was 15 when I lost my hold on what it feels like to truly be a happy and productive person. Since then I've basically been having to take it one day at a time, I'm 26 now. I can barely remember what it felt like to be truly happy, I held on to the memory so hard because I knew that I wanted it back so desperately. We are dealt the hand we are given us, I had no real traumatic events to trigger my downfall, just somthing quit working right, I've not given up hope that I can one day get back to a depressionless filled existence. But it is taking its sweet time.
4 Jul 2012
Hey there and greetings,
The mental illness thing is hard enough to deal with especially if you aren't on the right meds.
Lamotrigine or Lamictal saved my life when all other meds were no longer working. But I've been dealing with mental health illness for 43+ years and I'm now 56 years young.
Until you have been truly diagnosed bipolar II, treatment is a hit or miss kind of thing. I read your question and reread your question and as best as I can figure, you need to be on an anti-depressant, a mood stabilizer and either Adderall or Ritalin to help you concentrate. I mention those two meds because I know those and have been on them at different times.
While on one or the other of the ADD meds, I was able to finish tasks I started with out getting scattered. I'm not taking them now, but probably need to restart them. So they are good meds as far as ADD goes.
About anti-depressant meds, there are several classifications that are available to try to see what works for you. Lamictal is a mood stabilizer at best. It supposedly has anti-depressant, anxiolytic and mood stabilizing properties. It is not a med I would start you out with, but I'm not the shrink. Let me warn you..
Shrinks are as crazy as we are, if not crazier, my own brother is a prime example of crazy shrinks. He can't even keep a job... he's nuts. That was just a FYI statement.
Getting back to the antidepressants. I have no idea why shrinks are putting bipolar people on anti-psychotics as a first line med, the pharmaceutical companies are behind that I would imagine. I won't take them. My thinking is if you weren't psychotic before the med, you certainly will be after taking the med, my opinion. A good anti-depressant to start on is in the class of SSRI's, prozac is just as good as anything else. If that doesn't help, after a few months, you could try another SSRI or switch to a SNRI, Cymbalta is just a good as Effexor, again my opinion. I took Cymbalta for 10+ years and it worked great until it didn't. That's pretty much the way things go with psych meds, they work then don't. Just sayin'. There are many meds to try and, in truth, it is a hit or miss kind of thing, what works for one doesn't mean it will work for you.
I have tried to give you a little information as you start on the mental illness train... knowledge is power. You need to research psych meds. The newest isn't always better than the older ones, contrary to what drug companies advertise.
I'll friend you so that you can find me if you want, it's all up to you.
Wish you well on your journey.
- Lamotrigine Information for Consumers
- Lamotrigine Information for Healthcare Professionals (includes dosage details)
- Side Effects of Lamotrigine (detailed)
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