[nycgal448]

I am on 200 mg of lamictal, it is wearing me out.. fast.
I am usually spent by 3pm everyday. Anyone have same effects
off this med? All my others are fine. I used to be on 100mg,
but she raised it, to stabalize me more, or I woulda been inpatient.
I am thinking I really dont wanna rock the boat and have her lower
it, cuz the cocktail of meds I am on now are great. I will just have
to bite the bullet.

[vans1974]

Originally Posted by nycgal448

I am on 200 mg of lamictal, it is wearing me out.. fast.
I am usually spent by 3pm everyday. Anyone have same effects
off this med? All my others are fine. I used to be on 100mg,
but she raised it, to stabalize me more, or I woulda been inpatient.
I am thinking I really dont wanna rock the boat and have her lower
it, cuz the cocktail of meds I am on now are great. I will just have
to bite the bullet.

Hey nycgal, Lamictal isn't typically sedating...I take 600mg and find it activating, but everyone's different. What other meds are you on? What time of the day do you take Lamictal?

[nycgal448]

I take Lamictal 200mg and Effexor 150 mg, in the morn, then Seroquil 500 mg at nite before bedtime.

[Taptaptaptile]

I take 125mg of lamictal in the morning and 125mg at night
I don't really feel it affects me that much

Do you get a a seroquel hangover at that dose?

I've been on Lamictal for 2.5 weeks. I'm currently at 50mg/day and I am very sedated from it. I start out the day okay, but by afternoon I'm absolutely loopy with tiredness. The medication does seem to be helping my moods stabilize, though, so I'm going to stay on it. I'm thinking that after a while, the tiredness will subside.

[vans1974]

Originally Posted by nycgal448

I take Lamictal 200mg and Effexor 150 mg, in the morn, then Seroquil 500 mg at nite before bedtime.

I'd check with a pharmacist, but I'm sure the Seroquel is the cause of your fatigue, especially at that high dose! Also, try taking Lamictal all at night! You're still on the lower dose of that as well! Btw, Latuda is much more effective than Seroquel for mood stability, bipolar depression, doesn't cause weight gain and doesn't make you drowsy. Best of luck!

[nycgal448]

Thx guyz. I need to be on the high dose of Seroquil. I have had some
positive changes; less impulsitivity, less manic, idk. I see good change tho.
she did split the Lamictal up, 100 mg in morn and 100 in evening, but I
have not taken that second dose, I am afraid I will have a hard time in
the morn. catch 22; HELP!!!

[nycgal448]

I wuz supposed to have been inpatient again, then she doubled
my dosages. i wuz back at stable.. well, as best I can. So yea,
I need these dosages.

[Stronger]

I'm on lamictal 100mg, as well as Zoloft 200mg. But I also have to be on slow Fe because the lamictal makes me anemic. Anemia can cause tiredness and a lot of other things, so that might be a possibility... Never hurts to check your hematocrit level.

[jadedbutterfly]

Originally Posted by nycgal448

I take Lamictal 200mg and Effexor 150 mg, in the morn, then Seroquil 500 mg at nite before bedtime.

I take my Lamictal and Seroquel at bedtime because I was having the same issue with lamictal making me drowsy.... could ask your pdoc if you could try that.

[Lauliza]

Originally Posted by nycgal448

Thx guyz. I need to be on the high dose of Seroquil. I have had some
positive changes; less impulsitivity, less manic, idk. I see good change tho.
she did split the Lamictal up, 100 mg in morn and 100 in evening, but I
have not taken that second dose, I am afraid I will have a hard time in
the morn. catch 22; HELP!!!

I took Lamictal for a while and never had a problem with fatigue. I usually took it in the morning or split the dose just like you. I had troubling cognitive side effects however. My memory was poor and vocabulary- word recall was getting bad. I could barely carry on a conversation. My pdoc took me off it as I felt like it was beginning to affect my job performance. Once I was off it, I felt like myself again. I was disappointed because it was very good for my mood.

[lafaver55]

Originally Posted by nycgal448

I am on 200 mg of lamictal, it is wearing me out.. fast.
I am usually spent by 3pm everyday. Anyone have same effects
off this med? All my others are fine. I used to be on 100mg,
but she raised it, to stabalize me more, or I woulda been inpatient.
I am thinking I really dont wanna rock the boat and have her lower
it, cuz the cocktail of meds I am on now are great. I will just have
to bite the bullet.

Did you just start the increased dose? Sometimes it takes a few days Beats not gaing the weight on Seroquel.

[dillpickle1983]

I take 200mg of Lamictal in the morning. I find it somewhat activating. We're all different so maybe its better for you to take it at night.

Sent from the pickle jar using Tapatalk.

Originally Posted by vans1974

Hey nycgal, Lamictal isn't typically sedating...I take 600mg and find it activating, but everyone's different. What other meds are you on? What time of the day do you take Lamictal?

Yikes.... I ran into trouble with Lamictal withdrawal last year and did a lot of reading. The max dose for Lamictal is 400 and that is if you are taking specific drugs at the same time. If you aren't the max is 200. The manufacturer says that there is no therapeutic benefit by taking more. All you get is more side affects.

Btw, I also found that the FDA revised warning on this drug a few years ago. Aseptic meningitis is another side affect. It's more common than the famous rash which isn't common at all. I believe I had aseptic meningitis and am still living with the consequences. My dr had me on 250 at the time and I had an unintended cold turkey withdrawal. It was horrible.

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[vans1974]

Originally Posted by Michanne

Yikes.... I ran into trouble with Lamictal withdrawal last year and did a lot of reading. The max dose for Lamictal is 400 and that is if you are taking specific drugs at the same time. If you aren't the max is 200. The manufacturer says that there is no therapeutic benefit by taking more. All you get is more side affects.

Btw, I also found that the FDA revised warning on this drug a few years ago. Aseptic meningitis is another side affect. It's more common than the famous rash which isn't common at all. I believe I had aseptic meningitis and am still living with the consequences. My dr had me on 250 at the time and I had an unintended cold turkey withdrawal. It was horrible.

Sent from my iPad using Tapatalk

Hey michanne, I've known of patients on 800mg of Lamictal. 600mg is the "soft ceiling" and anything above 1000mg becomes toxic. I recall the FDA stating that meningitis was just while initially starting the med! Sorry to hear you got it!!!

Originally Posted by vans1974

Hey michanne, I've known of patients on 800mg of Lamictal. 600mg is the "soft ceiling" and anything above 1000mg becomes toxic. I recall the FDA stating that meningitis was just while initially starting the med! Sorry to hear you got it!!!

No, meningitis can happen during withdrawal or reduction. They don't even know everything because it can be treated with Tylenol. People that get it think it is just a bad headache with chills. The problem is your brain has swelled which can mean long term or permanent damage.

I do know of a few doctors that will prescribe above recommendations but "within limits". Kind of like "more is better". In fact my overprescribing pa didn't read the documentation which is why I am no longer her patient. That's not the same as following guidance that anything above a certain amount is useless. It's not for me to say what anyone should do. I would not want to take anything more than what's therapeutic because you never know if you'll want to or need to reduce. Why put extra chemicals in your body if it's unnecessary? Just saying.

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[hellodarkness]

I just got rx for lamictal 25 mg but im afraid to take it because of the warning about severe rashes. Has anyone had any severe reactions? My sister died from Stevens Johnson's related to an allergic reaction to another drug 7 years ago.

I'm wondering if anyone has had an increase in anxiety or agitation from Lamictal?

Obviously, there are a lot of questions about this drug

Originally Posted by hellodarkness

I just got rx for lamictal 25 mg but im afraid to take it because of the warning about severe rashes. Has anyone had any severe reactions? My sister died from Stevens Johnson's related to an allergic reaction to another drug 7 years ago.

It is much rarer than you've been led to believe. There are signs you can look for and it can treated very easily. 25 is also a very conservative dose to start with. It is more likely when you increase it too fast.

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Originally Posted by Sister Rags

I'm wondering if anyone has had an increase in anxiety or agitation from Lamictal?

Obviously, there are a lot of questions about this drug

If you are experiencing it it is probably too high a dose or too quickly.

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Thank you, Michanne.

[bigblackdog]

Originally Posted by Anonymous817219

Yikes.... I ran into trouble with Lamictal withdrawal last year and did a lot of reading. The max dose for Lamictal is 400 and that is if you are taking specific drugs at the same time. If you aren't the max is 200. The manufacturer says that there is no therapeutic benefit by taking more. All you get is more side affects.

Btw, I also found that the FDA revised warning on this drug a few years ago. Aseptic meningitis is another side affect. It's more common than the famous rash which isn't common at all. I believe I had aseptic meningitis and am still living with the consequences. My dr had me on 250 at the time and I had an unintended cold turkey withdrawal. It was horrible.

Sent from my iPad using Tapatalk

My understanding is that 250 is the minimal effective dose for Bipolar and 200 for treatment resistant depression.

I did not have Lamictal rash, but I now get rash when I am in the sun....The first time, it felt like my face was on fire, luckily it was a cool night, so that I could sit outside to cool off. I use hydrocortisone on it, when I get it now....I recognize it earlier and now catch it when I just start to itch rather than everything is bright red, welted and inflamed.

[bigblackdog]

Originally Posted by Anonymous817219

It is much rarer than you've been led to believe. There are signs you can look for and it can treated very easily. 25 is also a very conservative dose to start with. It is more likely when you increase it too fast.

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I did not have severe reactions, but did develop the rash from sun exposure....that visit to the ER was scary...but nope, not Lamictal rash.

YOur doctor thinks that this is a good medication for you. Consider this....what if this is the drug that sets everything right? Don't you want to find out? I was cautious as well, because Lamictal can be a diva. But it's turned out to make a difference.

I did have side effects as I tapered up, but my docs all said that was when people are most likely to have side effects. They took me up from low dose over weeks...and I just went up 50 Friday. Headache today, but it's my typical headache--tension....when it becomes an ice pick in the eye, I will worry about it.

If you are really concerned, take a slower taper with your doctor, or talk to a pharmacist.