Thoughts on Using Seroquel & Lamictal Together?What are Recommended Dosages?
[Home] [Bipolar News] [Bipolar Disorder] [Medications] [Treatments] [Bipolar Disorder/Job/School] [Disabilities] [Ask the Doctor] [Ask David] [Self-Injury] [Personal Stories] [Graham's Column] [Steven's Column] [Storm's Column] [Columnist Archives] [Suicide] [Community Support] [Family Members] [Expressions] [Greeting Cards] [Books] [Awards] [Links & Rings] [About Us] [Contact Us]


Q:  Thoughts on Using Seroquel & Lamictal Together?  What are Recommended Dosages?

What are your thoughts on using Seroquel and Lamictal together?? What are your recommended dosages for both? 

The Patient is a 75 year old woman with DX of Dementia and Bipolar disorder She has manic episodes and can not maintain control screaming demanding impulsive a danger to herself and a fall risk etc. 

Thank you

Dear Ms. G

The starting place, in attempting to answer a question about a 75-year-old woman with dementia and bipolar disorder, is an extremely thorough assessment of the patient's past history and current symptoms.  As I cannot do that step, I will turn directly to your question. Seroquel and Lamictal can easily be used together.  If lamotrigine was first and Seroquel was then added, one must always ask whether Seroquel alone might be providing enough antidepressant effect, which it has on its own, to do without the Lamictal. As you know, in older folks, medications can multiply like rabbits. 

As for dosages, one certainly must begin with the old adage "start low and go slow".  Don't forget to keep Depakote on the list of options.  It is generally very well tolerated in elderly people, and is another candidate which can address both agitation and manic-side symptoms (in general I would prefer it to Seroquel as it is less sedating overall, a major concern in the elderly; and prefer it to lamotrigine as well, because the latter generally would be less reliable for treating agitation, although it might work. 

Just some ideas for you to review with the treating physician --

Dr. Phelps


Published May, 2008

Bipolar World   1998, 1999, 2000, 2001, 2002, 2003, 2004, 2005, 2006, 2007, 2008, 2009, 2010, 2011, 2012, 2013, 2014
Allie Bloom, David Schafer, M.Ed. (Blackdog)
Partners:  John Haeckel, Judith (Duff) 
Founder:  Colleen Sullivan

Email Us at Bipolar World


About Us  Add a Link  Advance Directives  Alternative Treatments  Ask the Doctor   Ask Dr. Plyler about Bipolar Disorder   Ask The Doctor/ Topic Archives  Awards  Benny the Bipolar Puppy  Bipolar Chat  Bipolar Children  Bipolar Disorder News  Bipolar Help Contract  Bipolar World Forums  Book Reviews  Bookstore  BP & Other mental Illness   Clinical Research Trials & FDA Drug Approval   Community Support   Contact Us  The Continuum of Mania and Depression   Coping   Criteria    Criteria and Diagnosis  Criteria-World Health Disabilities,  DSMV-IV   Dual Diagnosis  eGroups  Expressions (Poetry, Inspiration, Humor, Art Gallery, Memorials  Family Members   Getting Help for a Loved One who Refuses Treatment  Greeting Cards  History of Mental Illness  Indigo  Job and School  Links  Manage Your Medications  Medications   Medication and Weight Gain    News of the Day  Parent Chat  Pay for Meds  Personal Stories  Self Help  Self Injury  Significant Others  Stigma and Mental Health Law  Storm's Column  Suicide!!!  The Suicide Wall  Table of Contents   Treatments  Treatment Compliance  US Disability  Veteran's Chat  What's New?