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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 lushkins on June 9, 2005, at 12:13:58
I have taken 600mg of lamictal instead of 300mg totally by accident. Anyone got any advise on what I should do? its been a 5-6 hrs since that and I just feel anxious and on edge.
Should I skip tomorows dose? take it as usual? or take less?
Anyone in the know or expereince with info would be greatly apprecited.
Posted by Larry Hoover on June 9, 2005, at 12:32:01
In reply to DOUBLE dosed!!!, posted by lushkins on June 9, 2005, at 12:13:58
> I have taken 600mg of lamictal instead of 300mg totally by accident. Anyone got any advise on what I should do? its been a 5-6 hrs since that and I just feel anxious and on edge.
I am offering my opinion as a rank amateur, but one who can read and interpret the literature.
As lamotrigine is rapidly absorbed, you'd likely have experienced the effect of the peak plasma concentration by now. The symptoms you describe are not in themselves of concern. If you experience difficulty in focussing your eyes, or muscle weakness, obtain emergency medical care for observation purposes. There is no specific treatment, except the passage of time, in any case. The risks, slight though they may be, involve loss of muscle strength in breathing, and you show no signs of that at all. They'd offer supportive care, until your body got past that difficulty.
> Should I skip tomorows dose? take it as usual? or take less?
Lamotrigine has a relatively long, but highly variable half-life. Your own body will have adjusted uniquely to your dose regimen, so it's hard to make solid predictions. I would take your regular doses from here on in. The peak concentration that you created here will simply subside over time, and by maintaining your normal dose regimen, you'll go back to the way things were without risking creating the opposite effect, a sudden dip in concentration.
> Anyone in the know or expereince with info would be greatly apprecited.That's the best I've got. Watchful waiting, and just try not to do it again.
Best,
Lar
Posted by ed_uk on June 9, 2005, at 12:43:58
In reply to DOUBLE dosed!!!, posted by lushkins on June 9, 2005, at 12:13:58
Hi,
>I have taken 600mg of lamictal........
I wouldn't worry too much. I've heard of people taking up to 800mg/day on a long term basis. Call the doctor if you feel worse.........but I expect you'll be just fine :-)
Ed.
Posted by lushkins on June 9, 2005, at 12:57:58
In reply to Re: DOUBLE dosed!!! » lushkins, posted by ed_uk on June 9, 2005, at 12:43:58
Cheers guys, I didn't think it would be too much off a problem, it was really a case of if I should take my next dose as usual. This is what I think I will do. So far it hasn't caused me to much problems, just anxiety and an inability to concentrate like I normally can. Which is a bit of a problem considering I have an exam tomorrow. Not to worry. Thanks again.
This is the end of the thread.
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