Re: Apathy-Lamictal or depression?
Unfortunately when you start a new med it's hard to tell exactly what it causing what. The lamictal has to have time to work with the Topomax in your system and do what it's supposed to do. It takes some time for the meds to get to their full potential. Generally if you give it 2 to 3 weeks and notice no difference or worsening symptoms, it's clear that you need to talk to your pdoc about a different med. There are literally hundreds of combination's that can be used or tried. Using Topomax for BP is relatively new, it's a cross over drug that was not made to treat BP. Maybe it's time to talk to your pdoc about stopping the Topomax and going to a more usual combo of Lamictal and an anti-depressant. Just remember your treatment has to involve you, never just let your pdoc dictate what you have to do, what you have to take, etc. Yes he does know the intricacies of the disease, but each and every person responds differently with different symptoms and to different meds.
Take care and hang in there, it will get better and more manageable with time.