Posted by SLS on March 31, 2013, at 12:53:57
In reply to Re: My attempt to discontinue Lamictal = relapse. » SLS, posted by tensor on March 31, 2013, at 11:38:10
Hi Tensor.
> > So far, so good. I have been taking Lamictal 300 mg/day for 5 days, and cognitive side effects have not emerged. I have been feeling significantly better over the last 3 days. It is hard for me not to be optimistic, but my brain is notorious for resisting the therapeutic response to treatment. I usually relapse after 3 days of improvement. Obviously, I am still within that 3-day window. I could relapse tomorrow.
> >
> > The next few days will be critical.> Good news. How fast did you titrate?
Be aware that I tapered Lamictal quickly and discontinued it completely for only two days before I relapsed. I don't think our situations are comparable. Even if you didn't develop a rash reaction during your first trial of Lamictal, does not guarantee that you will not have a reaction upon restarting it. For me, I know when I am titrating too quickly if my eyes start itching.
If you want to be somewhat conservative, what makes sense to me is the following schedule. It is a more rapid titration than what is recommended by the manufacturer.
25 mg/day for one week
50 mg/day for one week
100 mg/day for one week
200 mg/day for at least two weeksI know it is tempting to titrate Lamictal more rapidly, and you might be able to do so without adverse effects. If you decide to be more aggressive, and you do develop a rash, just know that you can discontinue taking it and restart at a more gradual pace.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1041110
URL: http://www.dr-bob.org/babble/20130322/msgs/1041437.html