Psycho-Babble Medication Thread 822705

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Re: Starting Lamictal Quintal

Posted by Phillipa on April 12, 2008, at 20:46:32

In reply to Re: Starting Lamictal Phillipa, posted by Quintal on April 12, 2008, at 20:09:32

Q you've been up all night? Or you're planning to be? Must still be very cold there. Well cold front hitting here tonight. No mania right? Love Phillipa

 

Re: Starting Lamictal Quintal

Posted by llurpsienoodle on April 12, 2008, at 20:57:15

In reply to Re: Starting Lamictal Phillipa, posted by Quintal on April 12, 2008, at 20:09:32

Q, I have a lot of house to clean. again, I kindly extend the invitation... I'll cook for you. I dunno about lager, but you can have a cocktail while you whistle while you work?

how long you've been up for? since 5 am?

 

Re: Starting Lamictal

Posted by elanor roosevelt on April 12, 2008, at 21:59:18

In reply to Starting Lamictal, posted by Quintal on April 11, 2008, at 12:02:41

i'm on week 3 of 25mg
and successfully stabilized at a mood called angry

 

Re: Starting Lamictal

Posted by undopaminergic on April 13, 2008, at 2:14:25

In reply to Starting Lamictal, posted by Quintal on April 11, 2008, at 12:02:41

> I'm really not happy about that, but I'm afraid of being perceived as 'difficult' if I don't take the dose he has prescribed. This is what held me back from saying anything during the appointment.
>

If you think it will matter, just tell him what he wants to hear. I agree with everyone else that 50 mg is too much to start with and that 100 mg on day 2 is way too much too soon.

 

Re: Starting Lamictal Phillipa

Posted by Quintal on April 13, 2008, at 19:39:31

In reply to Re: Starting Lamictal Quintal, posted by Phillipa on April 12, 2008, at 20:46:32

No, I was only up until 3, then slept like a baby until this afternoon. Took 11.25mg Zopiclone and 1mg lorazepam though. I don't know what I'm going to do tonight. Lamitcal is giving me a lot of background energy, it's like there's a light on in my head that won't go off.

Q

 

Re: Starting Lamictal llurpsienoodle

Posted by Quintal on April 13, 2008, at 19:49:27

In reply to Re: Starting Lamictal Quintal, posted by llurpsienoodle on April 12, 2008, at 20:57:15

I was actually thinking of hiring one myself. I'd forgotten my mother used to have one, then I took over, or was trained to, and did it for free.

http://www.nakedcleaners.co.uk/

I'm thinking of going for either Dynamite or Skipper.

Q

 

Re: Starting Lamictal elanor roosevelt

Posted by Quintal on April 13, 2008, at 20:05:38

In reply to Re: Starting Lamictal, posted by elanor roosevelt on April 12, 2008, at 21:59:18

Good luck with it too! I'm feeling less irritable and angry already. I was putting some blinds up today and the screw wouldn't go in. Normally I would have wanted to smash the ***** thing through the window, but Lamictal pacified me to a certain extent.

Q

 

Re: Starting Lamictal undopaminergic

Posted by Quintal on April 13, 2008, at 20:07:24

In reply to Re: Starting Lamictal, posted by undopaminergic on April 13, 2008, at 2:14:25

Yeah, I may just say I've been taking the dose he prescribed. It's working well at 25mg anyway, so it's not as if I'm delaying the therapeutic effect by taking a lower dose.

Q

 

Re: Starting Lamictal Quintal

Posted by kaleidoscope on April 14, 2008, at 15:25:32

In reply to Re: Starting Lamictal llurpsienoodle, posted by Quintal on April 13, 2008, at 19:49:27

Dynamite or Skipper lol

I looked at the pics!

 

Re: Starting Lamictal kaleidoscope

Posted by Phillipa on April 14, 2008, at 17:36:19

In reply to Re: Starting Lamictal Quintal, posted by kaleidoscope on April 14, 2008, at 15:25:32

Humm I didn't look maybe I should look at the pic Love PJXXX

 

Re: Starting Lamictal

Posted by henryo on April 15, 2008, at 6:35:53

In reply to Starting Lamictal, posted by Quintal on April 11, 2008, at 12:02:41

have a look at my thread on a post above yours on my Lamictal experiences

 

Increased to 50mg

Posted by Quintal on April 18, 2008, at 13:16:01

In reply to Re: Starting Lamictal, posted by henryo on April 15, 2008, at 6:35:53

I started on 50mg today. So far I feel a little woozy, like being on a small dose of a benzo or something. No rashes. One of the most prominent effects has been that my neuropathic pain has almost vanished. I'm more stable and brighter, even though I quit tianeptine on Sunday (supply ran out). I was trying to describe what it feels like earlier - it's almost as though I'm watching my mood from afar, but without feeling detached or numb in any way. I remembered reading something about lamotrigine binding to the NMDA receptor, perhaps making it similar to ketamine (a dissociative aneaesthetic) in that regard - which I guess would explain the analgesic and dissociative effects. I wonder if that is why you can watch yourself sleeping at 400mg+ henryo?

Q

 

Re: Increased to 50mg Quintal

Posted by Phillipa on April 18, 2008, at 18:58:42

In reply to Increased to 50mg, posted by Quintal on April 18, 2008, at 13:16:01

Q you sound well. Phillipa

 

Re: Starting Lamictal kaleidoscope

Posted by Sigismund on April 18, 2008, at 18:59:50

In reply to Re: Starting Lamictal Quintal, posted by kaleidoscope on April 14, 2008, at 15:25:32

Sunjai

 

Re: Increased to 50mg Quintal

Posted by Sigismund on April 18, 2008, at 19:02:04

In reply to Increased to 50mg, posted by Quintal on April 18, 2008, at 13:16:01

>my neuropathic pain has almost vanished

You want to speak a little more about your neuropathic pain?

I don't really know what questions to ask.

 

Re: Increased to 50mg Sigismund

Posted by Quintal on April 19, 2008, at 7:22:12

In reply to Re: Increased to 50mg Quintal, posted by Sigismund on April 18, 2008, at 19:02:04

Well I don't know whether it is neuropathic pain for sure because I've never been diagnosed with anything, but then the doctors haven't taken it seriously. It's general nerve pain, as if the nerve endings are sore and inflamed (or perhaps hyper excitable?). Tactile allodynia seems to be a good match - extreme sensitivity to light touch, as if my skin is raw and burnt. I also get a lot of joint pain, perhaps from early onset arthritis like both my parents. Anywyay, it's much improved since starting lamotrigine. Within an hour of taking the first dose my skin started tingling and the raw feeling went away. I can still feel a certain amount of joint pain, but it manifests as more of a cold metallic feeling than actual pain.

Q

 

Re: Increased to 50mg

Posted by bulldog2 on April 20, 2008, at 16:29:18

In reply to Re: Increased to 50mg Sigismund, posted by Quintal on April 19, 2008, at 7:22:12

> Well I don't know whether it is neuropathic pain for sure because I've never been diagnosed with anything, but then the doctors haven't taken it seriously. It's general nerve pain, as if the nerve endings are sore and inflamed (or perhaps hyper excitable?). Tactile allodynia seems to be a good match - extreme sensitivity to light touch, as if my skin is raw and burnt. I also get a lot of joint pain, perhaps from early onset arthritis like both my parents. Anywyay, it's much improved since starting lamotrigine. Within an hour of taking the first dose my skin started tingling and the raw feeling went away. I can still feel a certain amount of joint pain, but it manifests as more of a cold metallic feeling than actual pain.
>
> Q

Interesting I got that same sensation from neurontin..

 

Re: Starting Lamictal

Posted by bulldog2 on April 20, 2008, at 16:30:17

In reply to Starting Lamictal, posted by Quintal on April 11, 2008, at 12:02:41

> I just got back from my pdoc appointment. I saw his understudy today and he agreed that Lamictal was a good choice since it worked well in the past. He refused Parnate for now because he wants to discuss it with pdoc in chief, since it's such a powerful drug and all. He made an appointment for me to see Big pdoc in two weeks, which is very fast for the NHS. In the meantime I'm supposed to be titrating up to 100mg of Lamictal, but I think the titration rate he's given me is much too fast. Now I'm wishing I'd said something at the time, because the patient information leaflet says to alert the doctor if you've ever had a rash during previous lamotrigine treatment, and I got a rash on each occasion I tried Lamictal.
>
> I can't remember for sure, but I think I started on something like 12.5mg the first time, and I got a rash even on that low dose. This pdoc advised me to start on 50mg tonight, then move up to 100mg tomorrow. I'm really not happy about that, but I'm afraid of being perceived as 'difficult' if I don't take the dose he has prescribed. This is what held me back from saying anything during the appointment. In any case, it's Friday evening now and they'll be closed, so I can't even ring the mental health team for advice. I'll either have to wait till Monday, risk taking the full 50mg (don't think I'll dare raise it to 100mg until I'm sure I'm having no reaction to 50mg), or split a 50mg tablet into halves, or even quarters. Decisions, decisions....
>
> Q

Did tianeptine hlep with your neuropathic pain?

 

Re: Starting Lamictal bulldog2

Posted by Quintal on April 20, 2008, at 16:35:47

In reply to Re: Starting Lamictal, posted by bulldog2 on April 20, 2008, at 16:30:17

Yes, tianeptine eased the pain. Not quite as well as lamotrigine though.

Q

 

Rash and restarting Lamictal and dosage

Posted by yxibow on April 23, 2008, at 2:35:33

In reply to Re: Starting Lamictal, posted by undopaminergic on April 13, 2008, at 2:14:25

Anybody can get Seborrheic Dermatitis at any time from reactions to soap or brushing or getting scratched by plants or even anxiety syndromes.

Taking Lamictal at the same time may bring on the thought that it is connected but correlation does not always imply causation.

However if one has had a substantial rash (not a small seb derm) on one's arm on a previous trial, then caution will robinson as for trying it again. A lot of doctors would say no.

But as a lot of posters have said, the titration is way too large -- it is always done slowly to offset Stevens-Johnsons Syndrome. 25 for two weeks and then 50 for two weeks and then maybe faster at 100 and 150 and 200, etc.

-- tidings

 

Re: Rash and restarting Lamictal and dosage

Posted by Quintal on April 23, 2008, at 11:01:57

In reply to Rash and restarting Lamictal and dosage, posted by yxibow on April 23, 2008, at 2:35:33

I saw him yesterday and told him I was only taking 50mg as the dose his understudy prescribed was far too much. He seemed okay about it and advised me to either go up to 75mg at the enxt increase, or up to 100mg, whichever I thought best. He's aiming for 150mg as the therapuetic dose.

The downside is that he didn't want to prescribe an antidepressant because we wouldn't know which drug was doing what. Right now I wouldn't be bothered, so long as the combo worked :-(

Q

 

Re: Rash and restarting Lamictal and dosage Quintal

Posted by yxibow on April 23, 2008, at 15:55:06

In reply to Re: Rash and restarting Lamictal and dosage, posted by Quintal on April 23, 2008, at 11:01:57

> I saw him yesterday and told him I was only taking 50mg as the dose his understudy prescribed was far too much. He seemed okay about it and advised me to either go up to 75mg at the enxt increase, or up to 100mg, whichever I thought best. He's aiming for 150mg as the therapuetic dose.
>
> The downside is that he didn't want to prescribe an antidepressant because we wouldn't know which drug was doing what. Right now I wouldn't be bothered, so long as the combo worked :-(
>
> Q


This is correct -- you don't add two things at once because you'll never know what actually worked. My doctor does the same thing.

It's your body and doctor so I can't interfere, but seriously, it is the protocol from what I have heard from another person who is taking far more Lamictal that you ease up by 25s to begin with.

Not to be a scaremonger but you don't want to cook your insides. SJS is one of those intensive-care-at-best scenarios. Yes, I still think about it, but we've now established at 100 for some weeks that I dont react so we've gone up more quickly.


Anyhow, good luck

--tidings

 

Re: Starting Lamictal

Posted by henryo on April 23, 2008, at 16:38:33

In reply to Re: Starting Lamictal dbc, posted by Quintal on April 11, 2008, at 14:44:09

1 in ten? I don't think so.

 

Re: Starting Lamictal

Posted by Quintal on April 23, 2008, at 18:25:24

In reply to Re: Starting Lamictal, posted by henryo on April 23, 2008, at 16:38:33

What do you think then?

Q

 

Re: Starting Lamictal Quintal

Posted by Phillipa on April 23, 2008, at 22:02:33

In reply to Re: Starting Lamictal, posted by Quintal on April 23, 2008, at 18:25:24

Q I agree with xiybow. Knows his stuff. Love Phillipa


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