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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by speck on April 2, 2002, at 7:01:54
Common knowledge says that this med has to be increased slowly to avoid an alergic reaction. But HOW slowly? A 25 mg increase dose a week could take 3 months to get to a 300 mg dose. What are you supposed to do in meantime while you wait to see if the drug even works? Especially if this is a choice of last recourse? I already have augmented with topomax and neuronton. I am at a loss on this one.
Posted by Dr. Kramer on April 2, 2002, at 12:40:29
In reply to Kramer: lamictal increases, posted by speck on April 2, 2002, at 7:01:54
> Common knowledge says that this med has to be increased slowly to avoid an alergic reaction. But HOW slowly? A 25 mg increase dose a week could take 3 months to get to a 300 mg dose. What are you supposed to do in meantime while you wait to see if the drug even works? Especially if this is a choice of last recourse? I already have augmented with topomax and neuronton. I am at a loss on this one.
Agreed. If this wasn't an issue with Lamictal, it would be an absolute drug of choice. I've gone up 50/wk in reasonably sized folks not on concurrent VPA, but no faster.
Posted by Zo on April 3, 2002, at 1:25:51
In reply to Kramer: lamictal increases, posted by speck on April 2, 2002, at 7:01:54
It's not just the possibility of the rash. . .I felt *wretched* from going up too fast. . too fast for me, anyway. Fine after I backed off and increased more slowly. Terrific med.
Zo
This is the end of the thread.
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