Posted by blueboy on July 14, 2008, at 12:51:38
In reply to Lamictal starting dose usually 25 or 50mgs????????, posted by qbsbrown on July 13, 2008, at 21:21:42
> I've started Lamictal at 50mgs before with no problems. I just saw a new PDOC, and he wants me to follow the starter kit that has you at 25mgs for 2 weeks.
>
> Is this the norm, or are people starting at 50mgs?
>I'd start at 25mg for two weeks, for these reasons:
- Your chances of developing a rash are higher starting at 50mg. Apparently the current thinking is that starting out too quickly could cause a person to have to discontinue Lamictal, even though the person might have tolerated it at high dosage if it were titrated more slowly.
So, would you rather start slowly and be using it in six months, or start quickly and risk losing the possibility of taking it?
- Besides losing the ability to take Lamictal, the rash could conceivably (very rarely) be *nasty*, even fatal.
- If you tell your pdoc about it after the fact, he isn't going to trust you to follow prescriptions. Bad idea. You could lie to him, but that's an even worse idea.
poster:blueboy
thread:839620
URL: http://www.dr-bob.org/babble/20080706/msgs/839668.html