Silver Surfer
kiwifarms.net
- Joined
- Dec 24, 2018
just dropping by to say lamictal does not stop mania. It’s used in treatment of bipolar do as a mood stabilizer. Supposed to limit range. Does not stop mania from occurring- you need a SGA for that (seroquel, zyprexa, risperdal) or good old fashioned lithium.
The fact that she’s on lamictal and Zoloft tells me one of 3 things: either 1. Her psych is negligent and poorly educated about lamictal, 2. She is not diagnosed bipolar - Zoloft is serotonergic and bipolar pt on SSRI only can precipitate mania. She could be on it bc - Lamictal is also recommended for affective instability in, oh idk, BPD. ORRRR… 3. If she is diagnosed BD, it’s most likely type 2 and she finds her mania sx enjoyable - which peeps with less extreme mania do.
Considering she reports spending hundreds of dollars during mania, #3 is unlikely. I mean toward #2 as truth but recognize #1 is likely in KY.
ETA there is no ducking clinical indication to check lamictal levels in psychiatry outside of pregnancy and concern for toxicity (unlikely at 150mg) so whoever keeps saying that can fuck off. We can call her a liar without making up bullshit.
The fact that she’s on lamictal and Zoloft tells me one of 3 things: either 1. Her psych is negligent and poorly educated about lamictal, 2. She is not diagnosed bipolar - Zoloft is serotonergic and bipolar pt on SSRI only can precipitate mania. She could be on it bc - Lamictal is also recommended for affective instability in, oh idk, BPD. ORRRR… 3. If she is diagnosed BD, it’s most likely type 2 and she finds her mania sx enjoyable - which peeps with less extreme mania do.
Considering she reports spending hundreds of dollars during mania, #3 is unlikely. I mean toward #2 as truth but recognize #1 is likely in KY.
ETA there is no ducking clinical indication to check lamictal levels in psychiatry outside of pregnancy and concern for toxicity (unlikely at 150mg) so whoever keeps saying that can fuck off. We can call her a liar without making up bullshit.