Posted by SLS on August 2, 2005, at 11:12:39
In reply to who take trileptal AND lamictal???, posted by woolav on August 2, 2005, at 9:38:49
> I am taking both and am wondering who else does?
> I have bp2.
> I take 300mg of lamictal (which means I have to break a tab in half, since they come in 200mg tabs. And it is the grossest tasting med EVER. I am thinking of asking my pdoc to raise me to 400mg so I dont have to break it. I also take a total of 600mg of trileptal.
> I wonder if the extra 100mg of lamictal will make a difference or not.
> Hmmmmm
> SHi Woolov.
I am currently taking Lamictal 150mg with Trileptal 900mg. I wouldn't hesitate to remain on both of them except that I am experiencing excema and severe dandruff. I believe both drugs cause this. Maybe they act synergistically, I don't know. I will probably drop one or the other. I can't decide, though.
Lamictal, when used for depression, is not a consistent drug when it comes to dose-response. Many people get a brief improvement upon a dosage increase (and sometimes decrease). However, once one reaches the higher dosages and find no advantage, reducing back to the lower dosage can cause a rebound depression that feels like a relapse; so much so, that people are convinced that they must stay at the higher dosages and perhaps experience unwanted side effects. I was at 300mg for quite awhile. Getting back to 150mg intitially was a struggle, but a gradual taper helps. At 150mg, I feel no worse than I did at 300mg.
I would definitely give the combination some time to work. However, I would think about moving up the Trileptal to 900mg.
Good luck.
- Scott
poster:SLS
thread:536647
URL: http://www.dr-bob.org/babble/20050728/msgs/536672.html