Posted by Ritch on July 23, 2002, at 20:54:09
In reply to Re: Depakote, Lamictal Prozac??? » Ritch, posted by Geezer on July 23, 2002, at 14:14:35
> Thanks Mitch - always appreciate the help. Do you happen to know the blood level range for Lamictal?
>
> Geezer
Hi,
Evidently, blood levels are not routinely monitored for lamotrigine. I just checked the monograph for it. The only mention that comes close to your issue is the note that valproic acid decreases elmination of lamotrogine by about 50% and that maximum dose of lamotrigine with valproic acid is 150mg/day in two divided doses. Sounds like you are already there. I believe you can get a draw to show a baseline reading, and then have another draw done when you change medication. You mentioned dizziness while taking Prozac. Dizziness is probably one of the most common sfx with lamotrigine. Have you or your pdocs considered going with a three-way combo of VPA+Lamotrigine+Lithium?Mitch
poster:Ritch
thread:113330
URL: http://www.dr-bob.org/babble/20020718/msgs/113479.html