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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by crazyjoe on January 20, 2012, at 18:50:53
recently upped lamictal from 100 to 150 and decreased tegretol from 6oo to 400....its been 4 days now and extremely anxiuos....does lamictal usually make you more anxious
Posted by herpills on January 20, 2012, at 21:11:47
In reply to upped lamictal, posted by crazyjoe on January 20, 2012, at 18:50:53
> recently upped lamictal from 100 to 150 and decreased tegretol from 6oo to 400....its been 4 days now and extremely anxiuos....does lamictal usually make you more anxious
I take 150mg and it doesn't make me anxious. Maybe it will go away soon? Or it could be the reduction in the tegretol thats causing the anxiety...but I really don't know anythiing about tegretol...
Posted by crazyjoe on January 20, 2012, at 21:20:05
In reply to Re: upped lamictal » crazyjoe, posted by herpills on January 20, 2012, at 21:11:47
tend to think its the reduction in tegretol....going back to 600
Posted by papillon on January 21, 2012, at 10:01:04
In reply to Re: upped lamictal, posted by crazyjoe on January 20, 2012, at 21:20:05
Can you reduce the Tegretol more slowly? 500 or 550 instead of all the way down to 400 in one go?
Posted by crazyjoe on January 21, 2012, at 21:53:20
In reply to Re: upped lamictal, posted by papillon on January 21, 2012, at 10:01:04
you probably can but for now i think i'll stick with lamictal at 150 and tegretol at 6oo....did you know that tegretol reduces lamictal by approx.50so you are really only getting about 75 mg...yet there are reports that lamictal can raise tegretol levels...go figure...i'll see in a week about the lamictal ....at least the tegretol will still be at my same level....your thoughts and did you find lamictal sedating or stimulating
Posted by sleepygirl2 on January 22, 2012, at 13:13:23
In reply to Re: upped lamictal, posted by papillon on January 21, 2012, at 10:01:04
I found that raises in lamictal could cause a bit of the super happys or the super crankies in me, to use the clinical terms.
Posted by sleepygirl2 on January 22, 2012, at 13:15:08
In reply to Re: upped lamictal » papillon, posted by sleepygirl2 on January 22, 2012, at 13:13:23
Posted by papillon on January 23, 2012, at 3:29:17
In reply to Re: upped lamictal, posted by crazyjoe on January 21, 2012, at 21:53:20
I actually haven't found it sedating or activating. I haven't noticed any particular side effects either. Sometimes I wonder if it is actually doing anything, but I'm taking it to augment an anti-depressant and help stop a bad relapse; perhaps it's not what you see, but what you don't see.
I do know people who have found it very sedating and slowing (developing the "Lamictal Shuffle" and slurring their speech) - right from the initial dose. They discontinued Lamictal. Perhaps if you haven't yet found it activating or sedating, you won't experience such changes at all.
Interesting about the Trileptal. Lamictal does a similar thing with the contraceptive pill; they each lower the effectiveness of the other. My psychiatrist says you can't reliably measure your Lamictal level via blood draws, the way that you can for say Lithium and some anti-depressants; you'll get results, but they may not be meaningful. However, if you can measure Trileptal, perhaps you could monitor how it changes over time in response to changing doses of Lamictal? Or maybe that too would be unreliable because of the interplay with Lamictal... a question perhaps for your doctor! I could well be entirely off track.
Hope things are going well.
This is the end of the thread.
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