Bumping this up with an update... I need help.
- I started taking paroxetine in the last december and it improved my mood greatly, lowered my anxiety and all. Didn't helped 100% with impulsive thoughts, but it was already a start as I was VERY suicidal and self-harming a lot.
- In february (I think. Need to check for accuracy) I had an hypomaniac episode and was put in lamotrigine, it did managed my peaks. Doctor also lowered my 20mg paroxetine dose to 10mg.
- Started feeling depressed again. Not as much as before, but depressed and slightly suicidal again.
- Ran off of lamotrigine for like... a week and entered hypomania again. 3 days without sleep. Saw the doctor while hypomaniac and couldn't tell if I was really depressed before bc while tired and rushing, I couldn't take off this stupid smile of my face and acted confused during the appointment. He asked me to stay one more month with this medication (10mg of paroxetine and 50mg of lamotrigine) without interruptions, so we could track it better. This was 3 weeks ago.
- I started becoming depressed last weekend again. Couldn't focus, couldn't do anything or focus on deadlines (I'm finishing my semester at uni) and started contemplating suicide. Had a mild breakdown.
- This weeked I had a major breakdown and I don't know how I can even be typing here. I'm very suicidal, 100% hopeless and once more, can't do ****.
So really, no one EVER experienced depressive episodes induced by lamotrigine? I'm having a hard time tracking if this is med interaction, lower dose of antidepressant, lamotrigine or a major mood swing.
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27 y.o.
dx:bipolar II with self-harm and dissociative features; BPD
rx: paroxetine hcl 20mg; lithium 450mg, quetiapine 200mg; fluoxetine 20mg; clonazepam for emergencies only; zolpiden for emergencies only
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