Can a med react so quickly

[Vinton]

I'm on epival 750 mgs and effexor 75 mgs .

My GP is starting me on lamictal 25 mgs and the first day reduced epival to 500 mgs. On the fifth day I felt good (normal) and by supper time my mod started to change. The day I was so depressed and today I feel a bit better. So can this reduction react so fast?

I'm bipolar II.

 

[David Baxter PhD]

I think what we are learning is that it is hard to predict how or how quickly psychotropic medications will affect an individual. For example, it used to be presumed that patients who reported feeling better on an SSRI antidepressant within the first week were exhibiting a placebo effect, since for most people the benefits took up to 4-6 weeks to become evident. We now know that's incorrect - some patients simply respond quickly.