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Re: Can You Compare Lamictal to Trileptal?

Posted by psychosage on May 26, 2006, at 13:24:54

In reply to Re: Can You Compare Lamictal to Trileptal? » SLS, posted by Phillipa on May 26, 2006, at 12:45:27

The therapeutic range for Trileptal is usually 600mg (usually 900mg)-1200mg, and it can be as high as 2400mg for epilepsy.

I have been between 600-1200mg while at target dose, but you titrate slow.

So, I think at 150mg you are just getting the sleepiness side effect which should go away in a week. Unless your enzyme system is different or there are unknown racial differences for metabolism in Trileptal and, you are a minority, a low dose of Trileptal would seem subtherapeutic.

Does Novartis have a medical assistance program?

You could always try Tegretol, Trileptal's original cousin. I don't know how much equepro costs which is sustained-release Tegretol. Tegretol is much less expensive except the side effect profile is more risky than Trileptal.

I am just starting Lamictal, and it doesn't push me down into dizziness and fuzzy brain as much yet.

I would say 25mg of Lamictal might be like 300mg of Trileptal or less even.

I think they are like apples and oranges as Trileptal is a mild antimanic more than an antidepressant with mood-enhancing qualities.


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