Posted by emme on July 22, 2009, at 21:13:32
In reply to Re: Tiny dose of Lamictil?, posted by SheilaC on July 22, 2009, at 20:35:43
Hi. It was a few years back, so I don't recall my exact titration schedule. I think I upped it by a couple of mg every 4 or 5 days to start, and then was able to increase it faster as I reached higher doses. It probably took a couple of months to hit a useful dose. Of course you won't know what your therapeutic dose is until you get there. It may be 50 mg, or it may be 200.
This is one drug that requires patience.
My standard dose has varied. I've been up as high as 350, although that was ultimately no more helpful than 100 mg. I spent a long time at 100 mg, but in the last 6 months or so, I've been able to decrease to 50 mg with good results. At 50 mg, I still have benefit but have lost the cognitive issues I had at higher doses.
I should say, though, that Lamictal alone doesn't cut it. The key was finding the right augmenting agent, which turned out to be Abilify. With this combination, I've been able to keep doses of both drugs low and minimize side effects.
> > I started Lamictal at 2 mg. It was a retrial - I had gotten a rash during my first attempt, in which I started at 12.5 mg.
> >
> > I have not had the gums/mouth problem, although I did feel fluish and had tight muscles for the first few weeks during the titration.
> >
> > Good luck.
> >
> > emme
> >
>
>
> Emme, what dose are you up to now? How long did you take at the 2mg, 5mg etc.? How long did it take you to get to your standard dose without side effects? Thanks for the info.
poster:emme
thread:908001
URL: http://www.dr-bob.org/babble/20090721/msgs/908048.html