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Re: Which generic version of lamotrigine works best?

Posted by PeterMartin on August 22, 2019, at 3:10:38

In reply to Which generic version of lamotrigine works best?, posted by SLS on August 20, 2019, at 10:38:33

This has been a big problem for me. There's a lengthy thread on Medschat where most people found TARO to be the best available genetic:

That said there is one on where people seemed to suggest Unichem.

I've switched between 5 or so (TARO, Unichem, Alembic, Cipla, Aurobindo). I always seem to come back to TARO which Costco by me (Cali) uses as their contracted kind. If anything it's more like than Teva/brand. The worst for me was Cipla which seemed to give me akathesia after just a day on two different attempts.

If brand wasn't ridiculously expensive I'd probably opt for that.

Lamictal is a difficult drug to lower the dose on in my experience. For that reason I've been reluctant to try simply increasing my 200 to say 300 to see if that would make a difference. My other meds have fallen in line though so at the moment TARO seems to be doing the trick.

Apotex makes a version in Canada (sold elsewhere in the world) that doesn't have lactose. That's was one type I wanted to try but was unable to get.

A whole bunch of other genetic makers make the extended version. Like you said the generic TEVA isn't really Teva so that's not good. I actually responded terribly to the actavis extended version. I did pretty well on a couple of the others but at the time I didn't realize there could be such a large difference.

Someone on Reddit swore by the PAR oral disintegrating tables. That's a type I never tried.

Wish I had a better suggestion. Thanks if anyone else has any.




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