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Lamictal For Insomnia And Anxiety?


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11 replies to this topic

#1 theultimatecrazydude

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Posted 28 January 2013 - 02:28 PM

Started seeing a psychiatrist two weeks ago.  She prescribed me Lexapro for depression and anxiety and remeron 7.5mg at night for insomnia.  The Remeron gave me restless legs and a hangove like  I never experienced before.  Today she kept me at 10mg of Lexapro and told me to start taking Lamictal for anxiety and sleep at night.  By reading this forum it doesn't look like a good choice.  Has anyone had any success with this type of diagnosis?  Do you think she is "experimenting" to see if I am bi-polar or something?  I told her I am often irritable and do not like people much very often so I don't know if that persuaded her to try it.  She did say she has been using it as a mood stabilizer and to calm anxiety.  I really do not think I am bi polar but who knows.  I do have bi polar relatives.


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#2 theultimatecrazydude

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Posted 31 January 2013 - 08:58 AM

Basically this medication is no where near an insomnia or anxiety medication.  It is great for flaring up OCD episodes from my childhood and pooping my pants over a thunderstorm last night causing me to take a few ativans.


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#3 Each Coming Night

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Posted 31 January 2013 - 10:35 AM

From what I've read it definitely is not an anxiolytic, but it does seem to work well for people with unipolar depression, as well as its more established indications for epilepsy and bipolar II.

 

It's notorious for causing insomnia and anxiety while titrating up, so maybe you could look at taking it in the morning along with the Lexapro and using the ativan to help with insomnia as needed.


Edited by Each Coming Night, 31 January 2013 - 10:36 AM.

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#4 Blue Heron

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Posted 31 January 2013 - 10:37 AM

If I were you, I'd be looking for a new pdoc.


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"Note also how we don’t worry about taking medicine for pain the way we often do about taking 'happiness' pills like antidepressants. We worry that by artificially changing our mood we risk not being 'us.' But no one feels inauthentic because he took ibuprofen to relieve his back pain."

--"Happiness and Its Discontents," essay in the New York Times by Daniel M. Haybron, the author of the book, Happiness: A Very Short Introduction.

 

"What's your true self and what's your fake self. Yeah, and where are you on that scale? And how's it working for you? And sometimes you got to go with the fake one, and sometimes faking it 'til [you] make it is the best path, ... I mean sometimes for ... anybody I've known who's struggling ... you got to put your feet on the ground every day and say, you know, don't embrace the struggle, you're going to sink like a rock."

-- David O. Russell, the director of Silver Linings Playbook, in an interview with Terry Gross

(I took out most of the "you knows.")

 

 


#5 Sunset Soon Forgotten

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Posted 31 January 2013 - 10:47 AM

I agree with BlueHeron. Lamictal has been wonderful at obliterating my depression, but my anxiety has shot through the roof, and I'm very lucky if I get to sleep by 4 AM.


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Many of my posts are edited or have typos because I often post from my phone. I do my best to edit before any responses have been made.
 

Current meds, working well so far: Remeron (mirtazapine) 30mg hs, Lamictal 125mg bid, Amitriptyline 50mg hs, Xanax 0.5mg qid, Zanaflex (tizanadine) 6mg bid
 
Crazy Meds that didn't work, or made me worse, or had side effects from hell, or were discontinued because my pdoc was playing med roulette: (definitely incomplete, in alphabetical order, mostly but not exclusively by trade names): Agomelatine, Ambien, Ativan, BuSpar, Celexa, Clozapine, Cogentin (for oromandibular dystonia due to APs and AAPs), Depakote, Deseryl, Effexor, Imipramine, Klonopin, Lexapro, Lithium, Mellaril, Paxil, Perphenzine, Prozac, Risperdal, Tegratol, Triavil (at a different time than just amitriptyline or just perphenazine), Valium, Wellbutrin, Zoloft, Zopiclone, Zyprexa 

 
I'm a new day rising

I'm a brand-new sky to hang the stars upon tonight

But I'm a little divided

Should I stay or run away, and leave it all behind?
- foo fighters
 
 


#6 theultimatecrazydude

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Posted 31 January 2013 - 01:42 PM

If I were you, I'd be looking for a new pdoc.

This may be the case. I asked her why she was giving me bi-polar medication and she claimed it would slow my thinking and anxiety down at night and she has used it before in her 30 years of experience. I knew it was a bi-polar med because I have a bi-polar friend on it and says its brilliant.

After our first meeting, I guessed after the Remeron failure she would go Seroquel since I mentioned it had been brought up by a general practitioner to me a while back as a med used for insomnia. I think I am stopping Lamictal today and at the follow-up bring up Seroquel again.

The only meds as of now that will definitely get me asleep are pretty much any benzo. But she told me that I was misusing benzos by using them as a sleep aid.

I would hate to have to go through finding a new doctor since my last psych sucked even worse and wouldn't step outside of ssri's or snri's. But it may come to having to wait another 8 weeks to get into to a new practice.
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#7 EnergizerHoney

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Posted 02 March 2013 - 01:56 AM

Yeah, lamictal for me had no effect on my anxiety/panic dx. I wish I did.
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Bipolar 1, Panic Disorder
Lamictal 400mg, Seroquel 200mg, Klonopin 1mg prn
Failed: all anti depressants

#8 Sunset Soon Forgotten

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Posted 02 March 2013 - 08:28 AM

Actually Lamictal has helped a bit with racing thoughts and intrusive thoughts. But I still get anxious, and it doesn't help with sleep.

 

I'd advise you to stay on it until you see your pdoc. If you're on a very low dose, it will do no harm to just stop- at higher doses you'll run into discontinuation syndrome. But if you're still on a low dose, you aren't seeing the full effect yet.


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Many of my posts are edited or have typos because I often post from my phone. I do my best to edit before any responses have been made.
 

Current meds, working well so far: Remeron (mirtazapine) 30mg hs, Lamictal 125mg bid, Amitriptyline 50mg hs, Xanax 0.5mg qid, Zanaflex (tizanadine) 6mg bid
 
Crazy Meds that didn't work, or made me worse, or had side effects from hell, or were discontinued because my pdoc was playing med roulette: (definitely incomplete, in alphabetical order, mostly but not exclusively by trade names): Agomelatine, Ambien, Ativan, BuSpar, Celexa, Clozapine, Cogentin (for oromandibular dystonia due to APs and AAPs), Depakote, Deseryl, Effexor, Imipramine, Klonopin, Lexapro, Lithium, Mellaril, Paxil, Perphenzine, Prozac, Risperdal, Tegratol, Triavil (at a different time than just amitriptyline or just perphenazine), Valium, Wellbutrin, Zoloft, Zopiclone, Zyprexa 

 
I'm a new day rising

I'm a brand-new sky to hang the stars upon tonight

But I'm a little divided

Should I stay or run away, and leave it all behind?
- foo fighters
 
 


#9 Viceman

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Posted 05 April 2013 - 11:45 AM

I agree, I just started Lamictal not too long ago and so far all it's done is increase my anxiety but... it does make me drowsy and helps with sleep.

I also take Melatonin or Xanax to help me sleep, if I can't. You're not misusing a benzo to go to sleep.. my pdoc prescribed Xanax to me at first FOR sleep.


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Current dx: Mood disorder NOS with psychotic features, OCD

Past dx: Bipolar NOS, Schizoaffective, Bipolar II, ADD

 

Current rx: Lamictal 200 mg, Depakote ER 500 mg, Klonopin 0.5 - 1 mg, Zyprexa 2.5 mg

Past rx: Lexapro, Seroquel, Abilify, Xanax IR and ER, Vyvanse, Risperdal, Celexa


#10 notfred

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Posted 05 April 2013 - 02:35 PM

Lamictal is not sedating for many people so it has no utility as a sleeping med.


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Dx: Major Depressive Disorder, Attention Deficit Disorder PI, Refractory Insomnia, CSA, Temporal Lobe Epilepsy, Dyspraxia, Tremor
Psyc meds: Aplenzin 522 mg, Abilify 15 mg, Vyvanse 70 mg, Lunesta 6 mg, Levetiracetam 2000 mg, Propranolol ER 60 mg
Other: Fenofibrate, Atorvastatin, Lisinopril, Hctz, Asprin, Metformin, Januvia, Ranitidine, Cetirizine, Nasalide, Montelukast
PRN's: Lorazepam, Alprazolam, Dextroamphetamine, Propranolol, Cyproheptadine, Patanol, Prednisone, Ipratropium, Ondansetron, Hydrocodone, Doxepin
Supplements: Fish Oil 6 g, Multi-vitamin/mineral, vitamin D 1,500 IU

I am in full remission (296.36) from Depression. ADD, insomnia, Epilepsy, and the Pseudoparkinsonian tremor are well controlled.

 

J'ai seul la clef de cette parade sauvage.
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"I think you are on enough medications." --my pdoc
 

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#11 Blue Heron

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Posted 06 April 2013 - 10:02 AM

Lamictal is not sedating for many people so it has no utility as a sleeping med.

 

It may help the people for whom it is sedating. It just wouldn't be the best choice for people whose first concern is insomnia.


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"Note also how we don’t worry about taking medicine for pain the way we often do about taking 'happiness' pills like antidepressants. We worry that by artificially changing our mood we risk not being 'us.' But no one feels inauthentic because he took ibuprofen to relieve his back pain."

--"Happiness and Its Discontents," essay in the New York Times by Daniel M. Haybron, the author of the book, Happiness: A Very Short Introduction.

 

"What's your true self and what's your fake self. Yeah, and where are you on that scale? And how's it working for you? And sometimes you got to go with the fake one, and sometimes faking it 'til [you] make it is the best path, ... I mean sometimes for ... anybody I've known who's struggling ... you got to put your feet on the ground every day and say, you know, don't embrace the struggle, you're going to sink like a rock."

-- David O. Russell, the director of Silver Linings Playbook, in an interview with Terry Gross

(I took out most of the "you knows.")

 

 


#12 notfred

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Posted 06 April 2013 - 11:38 AM

Considering for many it CAUSES insomnia I don't think it has any utility as a sleeping med. 


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Dx: Major Depressive Disorder, Attention Deficit Disorder PI, Refractory Insomnia, CSA, Temporal Lobe Epilepsy, Dyspraxia, Tremor
Psyc meds: Aplenzin 522 mg, Abilify 15 mg, Vyvanse 70 mg, Lunesta 6 mg, Levetiracetam 2000 mg, Propranolol ER 60 mg
Other: Fenofibrate, Atorvastatin, Lisinopril, Hctz, Asprin, Metformin, Januvia, Ranitidine, Cetirizine, Nasalide, Montelukast
PRN's: Lorazepam, Alprazolam, Dextroamphetamine, Propranolol, Cyproheptadine, Patanol, Prednisone, Ipratropium, Ondansetron, Hydrocodone, Doxepin
Supplements: Fish Oil 6 g, Multi-vitamin/mineral, vitamin D 1,500 IU

I am in full remission (296.36) from Depression. ADD, insomnia, Epilepsy, and the Pseudoparkinsonian tremor are well controlled.

 

J'ai seul la clef de cette parade sauvage.
Arthur Rimbaud, Les Illuminations, Parade

"I think you are on enough medications." --my pdoc
 

Dr. Frankenstein: You know, I'm a rather brilliant surgeon. Perhaps I can help you with that hump.

Igor: What hump?

 



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