HOW EFFECTIVE IS LAMICTIL (LAMOTRIGINE) FOR TREATING DYSLIMBIA? 
Ask The Doctor Dr. Leland Heller Biological Unhappiness 
HOW EFFECTIVE IS LAMICTIL (LAMOTRIGINE) FOR TREATING DYSLIMBIA? 
Question: My doctor is trialing me on this new med. It doesn’t seem to have the same calming effects as does Depakote, nor do its antidepressant properties quell the impulsiveness and impatience as well as did Celexa. The one great thing about it is that it gave me and my husband our intimacy back. I’ll never go back on an SSRI for that reason. What other meds or meds combos do you know of that effectively treat Dyslimbia, depression and anxiety combined? Dr. Heller’s Answer: Lamictal has overall been disappointing. It’s an alternative when the patient is allergic to Tegretol (carbamazepine) or Depakote (valproic acid or valproate). Treating all the diagnoses is crucial. If the cognitive generalized anxiety disorder is present, BuSpar (buspirone) is needed. If OCD or OCPD are present, then high SSRI doses are needed. Panic disorder requires a moderate SSRI dose and a benzodiazepine. If the BPD is present the Prozac (fluoxetine) / Tegretol (carbamazepine) combination is unbeatable. I usually treat my BPD/panic patients with this combination when I have to prescribe benzodiazepines – which can worsen the severity of losing control of one’s behavior. 
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