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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Lamotrigine The Right Medicine For Depression?

I am taking iamotrigine.200mg. Dr said I am bipolar. At the age of 72 my family tell me no way maybe old they feel that way only thing as I am getting old I am much more forgetful tried and no interested in anything all my life I took drugs like or pro-active went to all kinds of Dr found me to have a site and depressed do I need this drug or should I talk to my Dr more. Sorry for spelling
Wed, 21 Feb 2018
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Psychiatrist 's  Response
Hello! Welcome to HealthcareMagic!

In my opinion, it is necessary to do cognitive testing. Check B12 levels, Foliate, thyroid and make sure lipid tests are normal. Continue Lamotrigine at this dose.

Hope this clarifies your concerns. Thank you for the query.

Take care

Regards,
Dr. Gayathri, Psychiatrist
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Psychiatrist Dr. Bhagawan Rajana's  Response
hi sir,
I have gone through your question and understand your concerns

According to the history provided by you, I feel that your suffering from BPAD, currently in depressive episode.

Regarding your current medication: lamotrigene is one of the best drug for BPAD associated depression.It got somany benefits compared to other drugs in this regard with low or no weight gain, sedation and metabolic syndrome side effects.

If I were your consulting psychiatist, I would recommend to continue with lamotrigene only.The dose is also as per the recommentions only.But, don't cross 200mg/day.from then, side effects start increasing.

I also advise you to go for cognitive behavioural therapy as an add on present pharmacological management.

I also recommend you to start practicing healthy life style modifications like regular physical activity, good dietry habits, relaxation techniques and mindfulness.
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Is Lamotrigine The Right Medicine For Depression?

Hello! Welcome to HealthcareMagic! In my opinion, it is necessary to do cognitive testing. Check B12 levels, Foliate, thyroid and make sure lipid tests are normal. Continue Lamotrigine at this dose. Hope this clarifies your concerns. Thank you for the query. Take care Regards, Dr. Gayathri, Psychiatrist