Posted by colin wallace on January 11, 2003, at 4:59:58
In reply to Re: Lamictal-Colin Wallace, posted by catmint on January 11, 2003, at 2:56:13
> >I find it an unusual med. in that I can be feeling great for a while and then it 'cuts out' very suddenly and without warning.
>
> Hey Colin,
> I know exacty what you mean. Sometimes I feel like Lamictal is like a stimulant in that I can feel the effects wear off after 4 or 5 hours. I have been doing pretty good at 10 mg in the morning and then 2.5 mg 4-5 hours later. My vision is blurred, but the headaches and insomnia are gone. I wonder about you and polarbear talking about ADs and adding them. I know Laura takes a small dose of them. She seems to be doing great. I hope you and I stay feeling good. Sounds like you need a new pdoc and how!
> Keep in touch
> AmyHey Amy,
Glad you've stuck with it so far- are your mood swings and anger improving noticably too?
I think divided doses are are a good bet for the reasons you pointed out, but I find that I can't sleep if I take it too late in the day.
At 150mg I still have a lot of leeway before I consider adding an AD- I won't even consider it before around 250mg, as I don't want to be on more than 300mg Lamictal if I can help it.
I think you'll find that pretty soon(once you pass 25mg) you'll suddenly bottom out on the small dose, and the tiny increments stop working.At that point it's time to whack up the dose by 12.5mg- and it gets much easier to tolerate in a short time.50mg was the turning point for me-after that it was plain sailing, and 25mg increments were/are easy.
Glad you're getting results, and hey, no rash this time eh?!Keep well,
Col.
poster:colin wallace
thread:99337
URL: http://www.dr-bob.org/babble/20030106/msgs/135298.html