![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 10 to 34 of 69. Go back in thread:
Posted by Phillipa on April 11, 2008, at 19:52:14
In reply to Re: Starting Lamictal, posted by bleauberry on April 11, 2008, at 18:19:57
Maybe that's what my autoimmune system does to most meds hence they don't work since Ana hight And Quintal please take small doses. Love Phillipa
Posted by Quintal on April 12, 2008, at 9:55:57
In reply to Re: Starting Lamictal » Quintal, posted by llurpsienoodle on April 11, 2008, at 17:03:45
I thought you were still taking Lamictal? I think they do have a titration pack here, but pdocs don't seem to use it. They don't get sample packs from drug reps though. I think we did a similar thing with Lamictal the first time - after 100mg or so the dose increments were 50mg a week. Anyway, so far so good. There's definite AD effect already, and I feel so much more stable. On the downside I had only two hours sleep last night with terrible nightmares, and woke to find hives in my groin :-( I'm hoping this is just a coincidence because I broke out in lumps while cleaning the windows a few days ago. I should probably take a Piriton.
Q
Posted by llurpsieNoOdle on April 12, 2008, at 10:01:29
In reply to Re: Starting Lamictal » llurpsienoodle, posted by Quintal on April 12, 2008, at 9:55:57
> I thought you were still taking Lamictal?
oops yes I am; sorry to give the wrong impression. I tried not taking it for a few days and I felt really strange, so I went back on it. Not quite sure what it's doing in my cocktail, but too messy right now to tweak anything.
hives? yikes. and the location! (sHoCk!!)
at least you're up for cleaning windows though. come and clean mine?
I'm glad to hear that you're feeling at least a smidgen better. (did I spell smidgen correctly?)
well, no matter, as long as Q is getting a bit of relief.
_llllll
Posted by Quintal on April 12, 2008, at 10:03:48
In reply to Re: Starting Lamictal, posted by bleauberry on April 11, 2008, at 18:19:57
I started with halves - 25mg, and so far things are good. I've already noticed a marked decrease in anger and irritability, and I feel much more 'brighter'. I hear what you're saying about the body recognizing the drug as foe rather than friend. I think he might have been thinking that since I've been on up to 300mg in the past that a fast titration will be okay, but Lamictal doesn't work like that. I think I'll just stick with 25mg for the first week anyway because I don't think it's safe to take it any faster.
Q
Posted by kaleidoscope on April 12, 2008, at 12:08:26
In reply to Re: Starting Lamictal » llurpsienoodle, posted by Quintal on April 12, 2008, at 9:55:57
>I think they do have a titration pack here, but pdocs don't seem to use it.
There is one, yes, but it's not much used (by anyone) - nor is it necessary since it's just as easy to prescribe some 25mg tablets generically. The titration pack is only available as 'Lamictal' so it's a waste of money anyway. Most people are started as per the SPC eg. 25mg/day for two weeks then 50mg/day for two weeks then 100mg/day etc. It might be a good idea to titrate even more gradually in your case.
Posted by Quintal on April 12, 2008, at 12:54:52
In reply to Re: Starting Lamictal » Quintal, posted by kaleidoscope on April 12, 2008, at 12:08:26
The tablets I got this time were brand name Lamictal anyway, so it wouldn't have mattered. At least I'd have got the right dosage! I did get a generic lamotrigine a few times , APA or APS I think, and some Spanish strawberry-flavoured orodispersible ones, but mostly it was GSK Lamitcal.
Q
Posted by kaleidoscope on April 12, 2008, at 13:32:16
In reply to Re: Starting Lamictal » kaleidoscope, posted by Quintal on April 12, 2008, at 12:54:52
Hi Q
APS/TEVA is widely used, so is Alpharma. Good look with Lamictal!
Posted by Quintal on April 12, 2008, at 17:50:13
In reply to Re: Starting Lamictal » Quintal, posted by llurpsieNoOdle on April 12, 2008, at 10:01:29
Ooh!!! I think I might be allergic to the blue colourant in the lorazepam tablets... just took 0.5mg and my hives are itching like crazy. Come to think of it, I'd just taken a lorazepam tablet the morning they appeared. I've taken a Piriton, so I hope this settles down before I go to bed.
Q
Posted by Phillipa on April 12, 2008, at 19:49:39
In reply to Re: Starting Lamictal, posted by Quintal on April 12, 2008, at 17:50:13
Q hope mystery solved. Another brand perhaps? Phillipa
Posted by Quintal on April 12, 2008, at 20:09:32
In reply to Re: Starting Lamictal » Quintal, posted by Phillipa on April 12, 2008, at 19:49:39
Yeah, that would be a good idea, but I don't think I'll be getting any more any time soon. I'm up hoovering my floors in the middle of the night - neighbours clean their coal fire out between 5-6:00AM every morning and make a huge racket that wakes me up, so I don't care if noise of hoovering wakes them up. Serves them right :-) Had two cans of lager in addition to lorazepam and zopiclone and am feeling fine.
Q
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
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?
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
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.
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
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
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
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
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!
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
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
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
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
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
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.
Go forward in thread:
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.