![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by qbsbrown on March 9, 2005, at 12:36:09
Hey guys, i was just wondering what others were doing. I've heard both, and my doc has me splitting them.
Are there pros or cons to either. I would assume take it all in the morn, if it causes insomnia. On the other hand, it can have me waking up at extremely early hours. Just trying to get a feel when the best time is.Regards,
Brian
Posted by woolav on March 9, 2005, at 18:20:14
In reply to Lamictal: Split doses, or all at once?????????????, posted by qbsbrown on March 9, 2005, at 12:36:09
i take lamictal too. my pdoc wants me to just take it at night because it causes sleepyness. So, i dont know where you heard it could cause isomnia. But maybe in different ppl it reacts differently. but for me, i have to take it at bedtime......
Posted by qbsbrown on March 9, 2005, at 21:28:31
In reply to Re: Lamictal: Split doses, or all at once?????????????, posted by woolav on March 9, 2005, at 18:20:14
Yes, lamictal can be activating, hence it's antidepressant properties. From a bipolar site, it seems that it's about a 50/50 split of people taking it day or night.
I've taken it at night, and stayed up til 5-6 am w/o being tired at all.
Guess it's all different for every individual.
Posted by MoparFan91 on March 10, 2005, at 0:19:26
In reply to Re: Lamictal: Split doses, or all at once?????????, posted by qbsbrown on March 9, 2005, at 21:28:31
I'm on 200mg of Lamictal right now, and I originally took it all in the morning. Despite the long 33 hour half-life, when it was taken once a day, I wasn't getting optimal relief, and my mood would seem to drop close to the next dose. When I got up to 200mg in the morning, I felt a little more tired. Now, I've split the dose to 100mg 2xday, and it seems to be working in a more consistent way and providing better coverage for depression around the clock. So far, I have no side effects from Lamictal.
I think I metabolize meds a bit faster than average because I seem to need to take meds more times a day than the average person. I had the same with Lexapro (which has a long half-life). Once a day dosing all in the morning (even at the max dose) didn't provide coverage for depression relief for the whole day, and I would start swinging downward when nighttime came. I would have been better off with twice a day dosing for Lexapro.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.