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Paxil with-Lamictal -- what can happen?
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<blockquote data-quote="smallworld" data-source="post: 110090" data-attributes="member: 2423"><p>It is not uncommon for those with mood disorders to take Lamictal with a low dose of an SSRI as an add-on for depression. My daughter (easy child/difficult child 2), for example, is taking a combo of Lamictal with Lexapro, which is in the same family of medications as Paxil. We, of course, did it the opposite way from your husband in that the Lamictal was prescribed first, and when her depression was not adequately addressed, the Lexapro was added. As far as I know, there is no drug-to-drug interaction between Lamictal and SSRIs (but I, like Sara, would trust the pharmacist). </p><p></p><p>Lamictal can be very effective for addressing the depressive end of BiPolar (BP), and our psychiatrists have told us that it's even being used quite a lot for treatment-resistant unipolar depression. So I'm not at all surprised that given your husband's depressive symptoms, Lamictal was chosen to treat his seizure disorder. It may well be that he can reduce or discontinue his Paxil once he's at a therapeutic level of Lamictal. But it will obviously be a trial and error process to see if it works (Lamictal's not that great for treating anxiety).</p><p></p><p>Mood symptoms can mimic ADHD-like symptoms so I'm wondering if what he's really feeling is depression-related rather than true ADHD. I personally wouldn't recommend adding Adderall back in until he's at a therapeutic level of Lamictal. It may very well be that his focus improves once his seizures are properly medicated. </p><p></p><p>Is there a chance he won't need any medications once he has the surgery?</p></blockquote><p></p>
[QUOTE="smallworld, post: 110090, member: 2423"] It is not uncommon for those with mood disorders to take Lamictal with a low dose of an SSRI as an add-on for depression. My daughter (easy child/difficult child 2), for example, is taking a combo of Lamictal with Lexapro, which is in the same family of medications as Paxil. We, of course, did it the opposite way from your husband in that the Lamictal was prescribed first, and when her depression was not adequately addressed, the Lexapro was added. As far as I know, there is no drug-to-drug interaction between Lamictal and SSRIs (but I, like Sara, would trust the pharmacist). Lamictal can be very effective for addressing the depressive end of BiPolar (BP), and our psychiatrists have told us that it's even being used quite a lot for treatment-resistant unipolar depression. So I'm not at all surprised that given your husband's depressive symptoms, Lamictal was chosen to treat his seizure disorder. It may well be that he can reduce or discontinue his Paxil once he's at a therapeutic level of Lamictal. But it will obviously be a trial and error process to see if it works (Lamictal's not that great for treating anxiety). Mood symptoms can mimic ADHD-like symptoms so I'm wondering if what he's really feeling is depression-related rather than true ADHD. I personally wouldn't recommend adding Adderall back in until he's at a therapeutic level of Lamictal. It may very well be that his focus improves once his seizures are properly medicated. Is there a chance he won't need any medications once he has the surgery? [/QUOTE]
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