Hi gang,

I will try to keep it brief, but i also want to give enough info that people can help me.

I have had very severe depression for years that has recently been re-diagnosed as BP II. I agree with this update. I tried every med and combo for years and finally got pretty stable on a combo of Abilify, Lexapro, and Wellbutrin. This was great and all, but then I wanted to try to get pregnant. I tried to drop the Abilify. Complete disaster. Did TMS. Dropped the other meds. Very helpful at first, but then I started to have issues with hypomania. I could mostly tolerate those. But then I fell into a severe depression. Did more TMS and it wasn't as helpful, so I agreed to try a little Lamictal. I was at 50mg and in the process of stepping up when I found out that I was pregnant. I was doing well and super-happy about the pregnancy, so we left it at 50mg.

Then, as is my typical luck, I miscarried at 7 weeks. This threw me back into a terrible depression. I upped the dose to 100mg but my sleep has been awful. Vivid dreams, restless, and I even fell out of bed once. IDK if this is a result of the Lamictal or the general distress in my life. The dreams haven't been about what happened or anything.

If at all possible I want to stick with the lamictal. I also don't want to add any additional meds. I have done a search and it seems the vivid dreams are a possible side effect, but it isn't clear to me how common. I am also still very depressed and would like to up the dose if possible. Any insight? I see pdoc in a week.

Thanks,
EJ