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Dr. Bob is Robert Hsiung, MD,
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Posted by poop'd-out on November 22, 2003, at 1:10:54
In reply to Re: Lamictal- dosage recommendations for depression? » linnette, posted by Flipsactown on November 20, 2003, at 0:38:42
>
> I noticed a dramatic lifting of my depression at 200mgs in my 6th week. At 300mgs, I felt even better. However, I am also on 100mgs prozac and 60mgs of remeron.Hi there,
Sorry to but in but I am really struggling with whether or not to stay on the Lamictal. I am only at 75mg right now, about 6 weeks.I was just wondering what you experienced prior to reaching the 200mgs. It seems like that is the number where most people experience relief.
Right now I am experiencing extreme tiredness, and just feel like a space cadet, not happy at all. Prior to this I experienced irritability and anxiety, go figure. Did you experience these symptoms also before you started feeling better?
I also take Zoloft, Neurontin and Tegretol, which I know affects the lamictal dosage. I may just be on too many meds I don't know. Having trouble typing this even. Any input would be soo appreciated!
Posted by linnette on November 22, 2003, at 10:33:52
In reply to Re: Lamictal- dosage recommendations for depression? » Flipsactown, posted by Flipsactown on November 20, 2003, at 3:17:02
Hi Flipsactown,
Thanks much for the feedback. I am doing a little better, still at the 200 mg, but look f/w to seeing my pdoc soon. I must say that it is encouraging to know that mayhe I have some room to go higher if things don't level out here soon moodwise. And it wouldn't be the end of the world if I had to restart and AD.On a postiive note, my appetite is much better, and it isn't so darn hard for me to get out of bed in the morning. So it must be working although very subtle. Thanks again for the feedback. I will keep you posted.
Linnette
Posted by flipsactown on November 22, 2003, at 12:03:43
In reply to Re: Lamictal- dosage recommendations for depression? » Flipsactown, posted by poop'd-out on November 22, 2003, at 1:10:54
Unknown Poster,
Yes, I did experience the extreme tiredness you are referring to. Hang in there until you are at 200mgs before you make up your mind whether to stay on lamictal or not.
Flipsactown
> >
> > I noticed a dramatic lifting of my depression at 200mgs in my 6th week. At 300mgs, I felt even better. However, I am also on 100mgs prozac and 60mgs of remeron.
>
> Hi there,
> Sorry to but in but I am really struggling with whether or not to stay on the Lamictal. I am only at 75mg right now, about 6 weeks.
>
> I was just wondering what you experienced prior to reaching the 200mgs. It seems like that is the number where most people experience relief.
>
> Right now I am experiencing extreme tiredness, and just feel like a space cadet, not happy at all. Prior to this I experienced irritability and anxiety, go figure. Did you experience these symptoms also before you started feeling better?
> I also take Zoloft, Neurontin and Tegretol, which I know affects the lamictal dosage. I may just be on too many meds I don't know. Having trouble typing this even. Any input would be soo appreciated!
Posted by SLS on November 22, 2003, at 13:37:25
In reply to Re: Lamictal- dosage recommendations for depression? » linnette, posted by Flipsactown on November 20, 2003, at 0:38:42
> I noticed a dramatic lifting of my depression at 200mgs in my 6th week. At 300mgs, I felt even better.
Hi.At 300mg, did you experience any trouble with memory or feel stupid and numb to things around you?
Thanks.
- Scott
Posted by SLS on November 22, 2003, at 13:47:18
In reply to Re: Lamictal- dosage recommendations for depression? » Flipsactown, posted by poop'd-out on November 22, 2003, at 1:10:54
> I also take Zoloft, Neurontin and Tegretol, which I know affects the lamictal dosage. I may just be on too many meds I don't know. Having trouble typing this even. Any input would be soo appreciated!
The interactions between these drugs are rather complicated. How is the level of Lamictal affected by the other drugs?
- Scott
Posted by Flipsactown on November 22, 2003, at 14:47:38
In reply to Re: Lamictal- dosage recommendations for depression? » Flipsactown, posted by SLS on November 22, 2003, at 13:37:25
No, I did not "have trouble with memory or stupid and numb to things around me." I feel fine and depression free. I have to attribute being depression free with the higher dose of lamictal combined with the prozac and remeron. When I tried to stop remeron, the depression came back and when I was only on prozac and remeron I was depressed because of the poop out factor. Bottomline, at least for me, lamictal works best when taken with other A/D or A/D's.
Flipsactown
>
> > I noticed a dramatic lifting of my depression at 200mgs in my 6th week. At 300mgs, I felt even better.
>
>
> Hi.
>
> At 300mg, did you experience any trouble with memory or feel stupid and numb to things around you?
>
> Thanks.
>
>
> - Scott
Posted by SLS on November 22, 2003, at 14:50:23
In reply to Re: Lamictal- dosage recommendations for depression? » SLS, posted by Flipsactown on November 22, 2003, at 14:47:38
Thanks for responding.
> Bottomline, at least for me, lamictal works best when taken with other A/D or A/D's.
That's been my experience too.
- Scott
Posted by poop'd-out on November 22, 2003, at 23:50:15
In reply to Re: Lamictal- dosage recommendations for depression? » poop'd-out, posted by SLS on November 22, 2003, at 13:47:18
> > I also take Zoloft, Neurontin and Tegretol, which I know affects the lamictal dosage. I may just be on too many meds I don't know. Having trouble typing this even. Any input would be soo appreciated!
>
>
> The interactions between these drugs are rather complicated. How is the level of Lamictal affected by the other drugs?
>
>
> - Scott
Hi Scott,The only thing that I know is that tegretol supposedly does the opposite of what depakote does. Instead of doubling the amount of lamictal in your system(depakote), the tegretol halves the amount of lamictal. But, the lamictal also increases the amounts of zoloft and tegretol, by how much I don't know.
This is just from literature that I have read and from what my Doc confirms.Beth
Posted by poop'd-out on November 23, 2003, at 0:03:36
In reply to Re: Lamictal- dosage recommendations for depression? » poop'd-out, posted by flipsactown on November 22, 2003, at 12:03:43
> Unknown Poster,
>
> Yes, I did experience the extreme tiredness you are referring to. Hang in there until you are at 200mgs before you make up your mind whether to stay on lamictal or not.
>
> Flipsactown
>
>
>
Flipsactown,Thank you for your response. Sometimes it is sooo hard to hang in there before the benefits kick in. I think I have a habit of giving up too soon.
Today was actually much better. Of course, I didn't get much sleep last night, and that sleep deprivation thing really seems to help me. I just can't do it all the time because my body suffers, bummer.
Unfortunately, I have had to increase the dose much slower than you did because I have had some benign skin issues at the beginning.
Thank you for your feedback, it really did help and gives me hope. We all need a little hope!
Thanks again,
I'm Beth by the way, I don't want to be unknown poster!
Posted by SLS on November 23, 2003, at 9:57:20
In reply to Re: Lamictal- dosage recommendations for depression? » SLS, posted by poop'd-out on November 22, 2003, at 23:50:15
> > > I also take Zoloft, Neurontin and Tegretol, which I know affects the lamictal dosage. I may just be on too many meds I don't know. Having trouble typing this even. Any input would be soo appreciated!
> >
> >
> > The interactions between these drugs are rather complicated. How is the level of Lamictal affected by the other drugs?
> >
> >
> > - Scott
>
>
> Hi Scott,
>
> The only thing that I know is that tegretol supposedly does the opposite of what depakote does. Instead of doubling the amount of lamictal in your system(depakote), the tegretol halves the amount of lamictal. But, the lamictal also increases the amounts of zoloft and tegretol, by how much I don't know.
> This is just from literature that I have read and from what my Doc confirms.
>
> Beth
Hi Beth.I can't find anything that describes an increase of either Tegretol or Zoloft by Lamictal. However, there have been reports of Zoloft increasing levels of Lamictal to the point of toxicity. I have a chart that indicates the following:
lamotrigine - reduced by carbamazepine; increased by sertraline
gabapentin - no changes
sertraline - increased by carbamazepine
carbamazepine - increased by sertraline
- Scott
Posted by linnette on November 23, 2003, at 14:04:52
In reply to Re: Lamictal- dosage recommendations for depression? » poop'd-out, posted by SLS on November 23, 2003, at 9:57:20
Hi Beth,
I currently am on 200 mg lamictal. Like Scott, in my research (and personal experience), I discovered that the zoloft increases the amount of lamictal in the bloodstream for some people and last year I think that is what happened to me.
Last year I was on 150 mg zoloft and only at 75 mg of lamictal. I was so confused that I could only sit on the sofa, and it was very scary, and also felt very close to blacking out on several occasions.
I did some research and when I showed my pdoc the article I found about zoloft increasing lamictal, my pdoc took a copy, handed it back to me and said not another word.
I knew that the lamictal was helping me, but my pdoc wouldn't listen. I am now off zoloft and primarily on lamictal, and although it is still a bumpy road, I think I will be ok, and haven't had a repeat of last year's experience.
I am not saying that this would happen to all people on this combination, but rather that it could be the case. How much zoloft are you taking? Depending on that, you may just want to either decrease the dose of zoloft,(with your doc's approval of course).
I am so far overall impressed with the lamictal. But as Flipsactown and Scott advised, some folks do need to be on and AD along with their lamictal. I guess I was just tired of trying to figure out what med was doing what, so am giving the lamictal a go on it's own. If I should have to re-add the zoloft, I will.
Everyone's experience is different. What works for one may not work for another but input and support is good.
Hope this helps some. Good luck to you and hang in there.
Linnette
Posted by poop'd-out on December 8, 2003, at 12:10:37
In reply to Re: Lamictal- dosage recommendations for depression?, posted by linnette on November 23, 2003, at 14:04:52
> Hi Beth,
>
> I currently am on 200 mg lamictal. Like Scott, in my research (and personal experience), I discovered that the zoloft increases the amount of lamictal in the bloodstream for some people and last year I think that is what happened to me.
>
> Last year I was on 150 mg zoloft and only at 75 mg of lamictal. I was so confused that I could only sit on the sofa, and it was very scary, and also felt very close to blacking out on several occasions.
>
> I did some research and when I showed my pdoc the article I found about zoloft increasing lamictal, my pdoc took a copy, handed it back to me and said not another word.
>
> I knew that the lamictal was helping me, but my pdoc wouldn't listen. I am now off zoloft and primarily on lamictal, and although it is still a bumpy road, I think I will be ok, and haven't had a repeat of last year's experience.
>
> I am not saying that this would happen to all people on this combination, but rather that it could be the case. How much zoloft are you taking? Depending on that, you may just want to either decrease the dose of zoloft,(with your doc's approval of course).
>
> I am so far overall impressed with the lamictal. But as Flipsactown and Scott advised, some folks do need to be on and AD along with their lamictal. I guess I was just tired of trying to figure out what med was doing what, so am giving the lamictal a go on it's own. If I should have to re-add the zoloft, I will.
>
> Everyone's experience is different. What works for one may not work for another but input and support is good.
>
> Hope this helps some. Good luck to you and hang in there.
>
> Linnette
>Hi Linette,
Sorry this took so long to reply to. I really do
appreciate all the info I can get.I am currently on 100mg of Zoloft, so far the confusion hasn't been much of a problem, but I do see my doc today so I am going to mention the Lam/zoloft interactions.
I have finally reached 100mg on Lam, and I think I am starting to feel better, I will keep my fingers crossed.
It is very complicated with all the different meds that we are on to figure whats doing what and whats interacting with what, that's why we see Docs, right? But, we have to do our own research and take care of ourselves, we are the ones on all this stuff, huh? I like my doc but I guess he's only human so I let him know everything I learn and he listens and appreciates the input I give him.
How are you feeling these days, let's try to keep in touch.
Take care,
Beth
Posted by zenhussy on December 8, 2003, at 12:41:56
In reply to Re: Lamictal- dosage recommendations for depression?, posted by poop'd-out on December 8, 2003, at 12:10:37
>>From November 22, 2003>>Sorry to but in but I am really struggling with whether or not to stay on the Lamictal. I am only at 75mg right now, about 6 weeks.
>From December 8, 2003> I have finally reached 100mg on Lam, and I think I am starting to feel better, I will keep my fingers crossed.
Hi Beth,
From what I can gather you began augmenting your Zoloft with Lamictal back in mid October? And now you are finally at the 100 mg mark? What increments have you been increasing with?
As with any cocktail it can be difficult to distinguish what medication is causing what se. I'm beginning to wonder about how spacey the lamotrigine might be making me. I've only been on a bit under a month and am discouraged by the molasses like titration. I fully understand the reasons for going so slowly but dang it is such a long haul.
It helps tremendously to read about how it can and does help people if they are patient enough to get up to a therapeutic dosage that is right for them! The patience part is one thing I'm not feeling very positive about at the moment.
Good luck with your pdoc today.
zenhussy
Posted by poop'd-out on December 9, 2003, at 0:09:01
In reply to Re: Lamictal- dosage recommendations for depression? » poop'd-out, posted by zenhussy on December 8, 2003, at 12:41:56
> >>From November 22, 2003>>Sorry to but in but I am really struggling with whether or not to stay on the Lamictal. I am only at 75mg right now, about 6 weeks.
>
> >From December 8, 2003> I have finally reached 100mg on Lam, and I think I am starting to feel better, I will keep my fingers crossed.
>
> Hi Beth,
>
> From what I can gather you began augmenting your Zoloft with Lamictal back in mid October? And now you are finally at the 100 mg mark? What increments have you been increasing with?
>Hi zenhussy,
Yes, it was the first week in Oct that I started. I have had to go slow because of minor skin issues. I was doing 12.5 mg increases to begin with then after 50mg, 25mg increases every two weeks(Docs order) or 12.5 every week if I wanted.
> As with any cocktail it can be difficult to distinguish what medication is causing what se. I'm beginning to wonder about how spacey the lamotrigine might be making me. I've only been on a bit under a month and am discouraged by the molasses like titration. I fully understand the reasons for going so slowly but dang it is such a long haul.
>As you read, I was feeling the exact same way as you were not that long ago, I didn't reach 75 til almost at a month and a half. So you are getting there quicker than I did! I did feel extremely spacey almost verging on dopiness, also just wanting to sleep all the time, not fun at all. I just read what alot of other people were doing and decided to just hang in there.
It is very discouraging to wait while you feel like crap. I wouldn't quit yet unless you are having severe reactions. I really did have to force myself to hang in there. From what I read alot of people did not get relief til they reached 200mg(so far away).
> It helps tremendously to read about how it can and does help people if they are patient enough to get up to a therapeutic dosage that is right for them! The patience part is one thing I'm not feeling very positive about at the moment.
>Believe me I felt the same way. I just keep telling myself, it's just another few months out of my life, and I don't feel that sparkling anyways, and and... what if it does work and I didn't give it a chance.
> Good luck with your pdoc today.
>Thanks, I did see him and we have decided to hang with 100mg for now. I don't feel bad today, but not great either. That could be a pms thing though. Haven't found a cure for that. I would definitely say I am MUCH better than I was a month ago. I am about 2 months into this thing now. I hope this helps, another poster was one of the reasons I decided to stay on the Lam just a little bit longer.
Hang in there,
Beth
Posted by linnette on December 9, 2003, at 2:32:31
In reply to Re: Lamictal- dosage recommendations for depression?, posted by poop'd-out on December 8, 2003, at 12:10:37
Hi Beth,
Thanks for following up. I'm not doing too well as of mid week last week. Very agitated, sick to my stomach, anxious, tearful, terrible insomnia, (ie depression). I suspect my other meds in my cocktail (zoloft and nortriptyline) have finally washed out of my system, so here I sit with this. I hate this. I had an appt with my pdoc last Tuesday, and he upp'd my dose of lamictal to 250 and I just couldn't tolerate it.I have also had the flu so it is hard to tell what is causing all of this distress.
But right now I feel like I need something just to make me sleep for awhile. The little bit of xanax that I take, isn't cutting it, and neither does adding a little. I will see how the rest of the week goes.
Linnette
Posted by katia on December 10, 2003, at 0:09:16
In reply to Re: Lamictal- dosage recommendations for depression?, posted by linnette on December 9, 2003, at 2:32:31
I seem to be gaining weight since starting Lamictal - I'm at 175mg. I"m also on 7mg of Seroquel and 600-900 of Neurontin for sleep.
anyone else experience weight gain?
katia
Posted by girl1969 on December 11, 2003, at 19:25:43
In reply to Weight gain on Lamictal anyone?, posted by katia on December 10, 2003, at 0:09:16
I just switched to lamictal from zyprexa due to weight gain. I have lost 20 pounds in the month since I switched. I would guess that the seroquel is responsible for the weight gain - it happened to me, too.
Good luck!
Posted by poop'd-out on December 12, 2003, at 14:45:51
In reply to Re: Lamictal- dosage recommendations for depression?, posted by linnette on December 9, 2003, at 2:32:31
> Hi Beth,
> Thanks for following up. I'm not doing too well as of mid week last week. Very agitated, sick to my stomach, anxious, tearful, terrible insomnia, (ie depression). I suspect my other meds in my cocktail (zoloft and nortriptyline) have finally washed out of my system, so here I sit with this. I hate this. I had an appt with my pdoc last Tuesday, and he upp'd my dose of lamictal to 250 and I just couldn't tolerate it.
>
> I have also had the flu so it is hard to tell what is causing all of this distress.
>
> But right now I feel like I need something just to make me sleep for awhile. The little bit of xanax that I take, isn't cutting it, and neither does adding a little. I will see how the rest of the week goes.
>
> LinnetteHi Linnette,
I am so sorry you are feeling so badly. I am at the opposite end of the spectrum right now where all I want to do is sleep. Maybe we should get together and even eachother out.
How long have you been off your other meds? I'm sure alot of what you are feeling is some withdrawals, it always takes awhile for my system to adjust to that. From what I remember it was your decision to discontinue these, were you feeling that badly? I know alot of times when I add a new med I have to tweak around with what drugs I take and at what time to find a balance. Were you taking all of the meds at the same time? I take my zoloft(100mg) at night. I was taking 50 at lunch and 50 at night. I have had to do this many times, figure out what to take when etc.. alot of times just changing when you take what, and what you take with what can make a world of difference. That has been my experience anyway. Whew, that sure was alot of 'what with whats'.
I am sorry to hear you have the flu, that can really make it hard to tell how you are truly feeling. So many times I have had the flu and I am not even sure if its the flu or depression or just me and on and on...my depression can be very physical(can't hardly move, pain, extreme weariness) same symptoms as the flu.
I don't think I could tolerate the Lamictal without other meds. I sometimes get very irritable(more like rage) when I am depressed and other times just can't move don't want to do anything depressed. I definitely have felt the agitation the Lamictal can cause, and I really think my tegretol keeps it somewhat under control.
Of course, at this point all of what your experiencing could just be getting the other meds out of your system, oooh what we have to go through. You poor thing, it just sounds like you need a good night's sleep, I wish I could help. The only thing I can offer is my experience, I never have trouble sleeping, but the times that I did were when I have gotten off meds(for about 2 weeks at least), but the Lamictal is notorious for causing insomnia from what I have read with other posts. I'm sure you knew that though.
Keep in touch please and maybe we can help eachother through this. My hope is that by the time you read this you will be doing much better!!
Beth = )
Posted by zenhussy on December 13, 2003, at 19:56:07
In reply to Re: Lamictal- dosage recommendations for depression?, posted by poop'd-out on December 12, 2003, at 14:45:51
I've now been on lamotrigine for almost four weeks. This Tuesday I move up to the 37.5 mg mark for another two weeks. People around me are reporting that I seem much more 'here' and 'present' and vibrant as of late. I personally feel the same waffliness of moods as always. Perhaps not as severe but I just don't know. *sigh of frustration*
Has anyone had any experience with sudden sleepiness on lamotrigine about 3-5 hours after taking it?
I'm missing life due to sleeping now. I'm used to the insomnia but to have almost a week spent sleeping four or so hours midday is ridiculous.
Does this pass? What experiences do people have with taking this medication at nighttime?
Yawn,
zenhussy
Posted by Flipsactown on December 14, 2003, at 10:49:12
In reply to Re: Lamictal----sudden sleepiness? , posted by zenhussy on December 13, 2003, at 19:56:07
I have been on lamictal, currently at 400mg, nearly 3 months and have not experienced the sleepiness you are referring to. I also take prozac and remeron and I know remeron has a sedating effect, so it could be that I am sleeping so well with remeron which I take at bedtime that I don't get sleepy during the day.
Flipsactown> I've now been on lamotrigine for almost four weeks. This Tuesday I move up to the 37.5 mg mark for another two weeks. People around me are reporting that I seem much more 'here' and 'present' and vibrant as of late. I personally feel the same waffliness of moods as always. Perhaps not as severe but I just don't know. *sigh of frustration*
>
> Has anyone had any experience with sudden sleepiness on lamotrigine about 3-5 hours after taking it?
>
> I'm missing life due to sleeping now. I'm used to the insomnia but to have almost a week spent sleeping four or so hours midday is ridiculous.
>
> Does this pass? What experiences do people have with taking this medication at nighttime?
>
> Yawn,
> zenhussy
Posted by katia on December 14, 2003, at 15:22:52
In reply to Re: Lamictal----sudden sleepiness? » zenhussy, posted by Flipsactown on December 14, 2003, at 10:49:12
anyone out there on Lamictal get very dizzy and nauseous at 200mg?
I'm so dizzy like an inner ear thing is going on - also my stomach is not feeling well. Everything going right through me in the liquid form...
A queazy nervousness in my stomach...
I'm also on 11ish g. of fish oil.
I also started the ATkins Diet four days ago - however I was feeling this before then. It's awful. I constantly feel as if I could throw up. AND NO I'M NOT PREGNANT. A sex life - what's that?
So it could be from one of the above or something else. But it's awful. And I don't think it's a cold or the flu b/c it's been going on for a week now, esp.in the last three days...Atkin's?
How would eliminating carbs do this to me?As far as sleepiness on Lam. - it's the opposite for me.
Anyone have insights, comments???
thanks.
Katia
Posted by Flipsactown on December 14, 2003, at 16:50:56
In reply to Lamictal dizziness or nauseousness?, posted by katia on December 14, 2003, at 15:22:52
Sorry to hear that you are having problems with your meds, specifically lamictal. I have been on lamictal nearly 3 months now, currently at 400mgs, and have not experienced any of the side effects you are referring to. However, everyone reacts differently to meds. Could it be the combo of lamictal and the fish oil? I don't know but that would be my guess. Good luck.
Flipsactown
> anyone out there on Lamictal get very dizzy and nauseous at 200mg?
> I'm so dizzy like an inner ear thing is going on - also my stomach is not feeling well. Everything going right through me in the liquid form...
> A queazy nervousness in my stomach...
> I'm also on 11ish g. of fish oil.
> I also started the ATkins Diet four days ago - however I was feeling this before then. It's awful. I constantly feel as if I could throw up. AND NO I'M NOT PREGNANT. A sex life - what's that?
> So it could be from one of the above or something else. But it's awful. And I don't think it's a cold or the flu b/c it's been going on for a week now, esp.in the last three days...Atkin's?
> How would eliminating carbs do this to me?
>
> As far as sleepiness on Lam. - it's the opposite for me.
>
> Anyone have insights, comments???
> thanks.
> Katia
>
Posted by katia on December 14, 2003, at 17:29:35
In reply to Re: Lamictal dizziness or nauseousness? » katia, posted by Flipsactown on December 14, 2003, at 16:50:56
Hi,
I think I got to the culprit = cheese. I don't normally eat it and on the Atkin's Diet I'm eating an oz. every day. I think that's the one - I'm slightly allergic. Hopefully that's it anyway. You just never know what's doing it when there are so many variables.I've heard conflicting stories about dosage for Lamictal. I've heard that over 200mg there really isn't a difference. You're at 400mg - what has been your experience at the dose increases after 200mg? Are you bipolar? Are you on any other meds?
Katia
Posted by Flipsactown on December 14, 2003, at 19:19:12
In reply to Re: Lamictal dizziness or nauseousness? » Flipsactown, posted by katia on December 14, 2003, at 17:29:35
Hello,
I have been on 400mgs less than 2 weeks, but I do noticed that I have never felt as depression free as I have since the time I first took prozac around 12 years ago when I experienced a dramatic lifting of depression. I am currently on 100mgs prozac and 90mgs of remeron along with lamictal for unipolar depression.
Flipsactown
> Hi,
> I think I got to the culprit = cheese. I don't normally eat it and on the Atkin's Diet I'm eating an oz. every day. I think that's the one - I'm slightly allergic. Hopefully that's it anyway. You just never know what's doing it when there are so many variables.
>
> I've heard conflicting stories about dosage for Lamictal. I've heard that over 200mg there really isn't a difference. You're at 400mg - what has been your experience at the dose increases after 200mg? Are you bipolar? Are you on any other meds?
> Katia
Posted by zenhussy on December 14, 2003, at 23:18:18
In reply to Re: Lamictal----sudden sleepiness? » zenhussy, posted by Flipsactown on December 14, 2003, at 10:49:12
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