From my recollection, I went from 300 mg to 0 mg in one fell swoop, while inpatient at a psych hospital. I was immediately switched to another anticonvulsant moodstabilizer and antipsychotic. Given this, it's hard to know what really happened because of the switch. I don't recall thinking about it, though I was pretty out there mentally at the time. Anyway, I never really heard of Lamictal withdrawal being that bad, especially when there is some taper involved. I've heard of other medications having far worse. As Lamictal tends to work best on bipolar depression, I'd maybe wonder if a little lowered mood may result. But if your mood heightens, that may be another possible result. As for physical stuff, I don't know. I would doubt it would be that bad. Again, never heard of it being so. I could be wrong.
I have had other anticonvulsant moodstabilizers lowered after years. About a two years ago, my old pdoc lowered my Tegretol from 1,200 mg to 600 mg. Nothing bad happened. Years before that I had been on a high dose of Depakote and was then taken off of it rapidly in the psych hospital. I don't recall thinking about withdrawals, but again, like the Lamictal I had psych stuff to worry about. It wasn't withdrawals that led to the hospitalization.
The worst withdrawal side effects I ever had were not from an anticonvulsant or even Lithium, but from Geodon, an antipsychotic. That was hell. I'm telling you. That I could discuss at length.
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Dx: Bipolar type 1
Psych Medications:
* Tegretol XR (carbamazepine ER) 800 mg
* Lamictal (lamotrigine) 150 mg
* Seroquel XR (quetiapine ER) 500 mg
I also take meds for blood pressure, cholesterol, and tachycardia.
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