11/6/2006
How To Take Lamictal (Lamotrigine)
LAMICTAL (lamotrigine)
LAMICTAL (lamotrigine) is formally classified as an anticonvulsant drug. However, it has been used for many years for migraines and pain. It is also effective for treating bipolar depression.
WARNING: STOP THE MEDICATION IMMEDIATELY IF A RASH APPEARS.
To minimize the possibility of rash:
If the medication is discontinued due to rash, it may be tried again. However, the rash must be completely gone. The starting dose needs to be even lower, and raised more slowly. If the rash recurs, stop the medication immediately. |
Lamictal comes in scored tablets of 25, 100, 150, and 200mg. It is most cost effective to buy the larger sizes and cut them in half.
| Week | Morning dose | Bedtime dose |
| 1 | — | 12.5mg |
| 2 | 12.5mg | 12.5mg |
| 3 | 12.5mg | 25mg |
| 4 | 25mg | 50mg |
| 5 | 50mg | 50mg |
| 6 | 50mg | 75mg |
| 7 | 75mg | 75mg |
| 8 | 75mg | 100mg |
| 9 | 100mg | 100mg |
The dose may need to be increased to a total of 250-400mg.
SIDE EFFECTS
If significant side effects occur (e.g. dizziness on 25mg), the dose may be reduced even further.
To decrease side effects (especially risk of rash) take each dose for 2 weeks.
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2 Comments »
4/4/2007
Kenny :
Hello, I am bi-polar 2, and when I started Lamictal, it worked great, but it may coincidentally have caused Vasculitis of my skin. I had acne like bumps all over my legs, and some other areas. I stopped the Lamictal and this eventually went away. I am not sure if it is connected or not? I read online of a few rare cases linking the two together in studies of rare cases. Would it be safe for me to try it again (about a year after I last took it)? I am now on seroquel, and I think it has caused me much depression and weight gain due to increased appetite. Can you please offer your opinion? Sincerely, Kenny
Kenny :
Another problem I am having is extreme difficulty breathing and severe stomach cramps that make it hard for me to breathe- especially while sitting down. I am wondering if this may be related to me taking 3 different sleeping pills? I take Lunesta, Rozeram and Ambien. I only take one pill a night, but I was told by a pharmacist and a doctor that it is okay to mix them up as long as I do not take more than one a night. Months back, another doctor recommended the opposite to the current doctor opinions and suggested I stick with one medication. I also realized that they should only be taken for a short while and not indefinitely from further research, but before this research I had been taking sleeping pills for maybe a year or so???? What side effects/damage could I have caused here? What is a good way to rectify the damage knowing I must also quit the sleeping pills for a long time and future use should be only for special occasions. Thanks again, Kenny Kenny