Lamictal therapeutic level

Common Questions and Answers about Lamictal therapeutic level

lamictal

767237 tn?1332640177 t trying to **** me off but when I asked for any warning signals of toxicity (about the lithium) she started saying that NONE of my meds are even close to a therapeutic level. It kind of pissed me off! I just thought that was a pretty strong statement to make to someone, not being a doctor. But your right my pdoc knows what she's doing and I just need to trust her. To be completely honest I'm feeling extremely manic, jumpy, AND IRRITABLE!!!!!!!!!
Avatar f tn t have any experience with Lamictal, but lots of other people on here are currently taking it.. so hopefully someone taking lamictal will answer your question. I think the question here is, how long have you been taking the meds? If you have been taking them 2 months + then it could be that this dose is not enough to control your symptoms.. if you have been taking them for 6 weeks or less it could be that they have not reached a therapeutic dose in your blood.
574118 tn?1305135284 My lamictal was 2mg infantile and was working well until i had seizure with paxil. So each time i take a new drug i never reacvh what is called a therapeutic level. Why should i, if already my therapeutic level is so low instead of ruining my liver,... Could this apply to lithium as well, i.e. should i hope to shove swallow a 100mg say only or because the mechanism is different here that i should in any case reach at least 800 to start with.
Avatar n tn My neuro is switching my meds from Lamictal to Topamax. Although it's only my fourth day at 25mg of Topa, I'm very sleepy! I'm not being weaned at all from Lamictal until I've reached my therapeutic dose of Topa. Is it possible I've misunderstood the nurse? In other words, is this typical? Any other time I've been weaned off of one and switched to another med, it's been simultaneously. I'm wondering if this is why I'm so tired. Thanks is advance!
Avatar f tn I was on Lamictal for a couple of years and it was a great medicine for me. Excellent mood stabilizer in my opinion. Finding a therapeutic level took a little while and you have to go up slowly with Lamictal but I think it is a good med.
Avatar n tn Just recently he went to the family doctor for routine blood work and they called the other day to say his lamictal level was 9.5. They say a normal level is 1 to 4. Should we be concerned about this number? What should we do? Our neurologist is in Colorado and is a 3.5 hour drive. We have never had any problems and now are wondering if we need to do something.
767237 tn?1332640177 So I guess my advice is to stick with plan to get your Lithium up to therapeutic levels, it will eventually level you out. From what you describe it sounds like you are hypomanic as you getting stuff done and functioning its OK to be irritable once and awhile....we all do. Take care and be kind to yourself!
Avatar f tn Sometimes with Lamictal I find that getting a blood level can be helpful. Also Geodon and Lamictal is very different from just a higher dose of Lamictal in terms of therapeutic effects - do you need to have a replacement for Geodon? Third I would look at the time course of your symptoms, when did you start feeling which symptoms? You have had two changes in medications - what were the effects of those changes.
Avatar f tn HI,I was put on Lamictal yesterday...Dr feels it might help with my deprssion as i cant seem to take antidepressants.I was in abilify but i started about 3 weeks into gettting extremely dizzy so she had me stop it last week,i saw her on Monday and she put me on 25 mg of Lam ictal as to build up to more....
1220347 tn?1345428521 re already on Lamictal, they will maybe want to just stay the course and increase it to the therapeutic level, 200mg or above (although very recent studies suggest that there are no added benefits above 200mg...)). With Lamictal, it's generally unsafe to increase the medication's dosage too quickly, because this increases the chances of developing a serious and potentially fatal skin rash (Stevens-Johnson syndrome). This is why doses are titrated up very slowly.
574118 tn?1305135284 The guillotine is a French device used much during the French revolution for carrying out executions by decapitation and apparently is still used. now i am just returning from a visit to my pdoc. Today mania started because I dared to take seroxat/paxil for 20 days 20mg but what can I do, I had depression. I stopped going to work and tomorrow I shall send a paper saying I have vyrimia i.e. attacked by a virius. Last time i said my mother was severly ill. I hope they believe me this time.
Avatar f tn dEFINitely GOIng into a mannia i do believe don't know if its the lamictal are what!?? Pregnant and mood swing so doctor put me in lamictal to try to help because you can take small doses why pregnant thsis dose may not be helpi ng though! on spring break not at home oh God!
Avatar f tn Unfortunately, we have only tried lamictal and my daughter got a horrible ringworm rash, which could have been actually triggered by lamictal so she's now on keppra. Thank you!
Avatar f tn was diagnosed as being bipolar. The prescription that he got was a generic form of Lamictal. I visited him today & saw the pill bottle, it says "41" but there were only 9 pills left in the container. The date was Dec. 19 - that's only been 7 days ago & it says to take "1 for the lst 7 days & then take 2 a day". I asked him why there were so few in the bottle & he said the pharmacy didn't have enough to fill the entire prescription.
1806584 tn?1316208037 We are on Lamictal, Lithium and Abilify and are thinking of going Lamictal alone also. How is Lamictal monotherapy going for your, and were you able to wean off Abilify from 10 to 0?
Avatar f tn Hi I'm much older than your daughter I'm 42 female, weight 116lbs. I really havent lost too much weight about 5 lbs. I tend to be very sensitive to meds, although I really don't think the lamictal has reached its therapeutic level yet, still feeling sz's. I will stay on 375mg until I see MD on the 16th, at that point I should be on 100mg of lamictal so we will see what he wants to do with the keppra.
Avatar m tn I know better than to drink when I am taking anti-depressants. Can you take more than 200mg for Bipolar? I thought that was the therapeutic dose for bipolar and anymore was a waste. I'm losing my mind again. I have 2 little kids and no DR right now. Still have refills on my meds. I feel so mad all the time. i feel horrible about my outburst.
1039200 tn?1314912008 Thank you for your reassurance, it seems that the medication I am on does need adjusting. For starters I would rather be on a therapeutic level of seroquel than an sub clinical level (for obvious resaons) and so will need to talk to my psychiatrist about this. It's also interesting how varied the effects of medication have on different people, I was naiive enough to think that I would be put on one medication and that would be it.
Avatar f tn Once I reached the therapeutic dose of Lamictal, I stopped Abilify and immediately experienced rapid fluctuations between depression and mania and my therapist told me to go back on Abilify at a reduced 2.5 mg. In addition, since beginning Lamictal + Abilify I have consistently gained 40 pounds.... 10 of which were gained within the 2 weeks I restarted Abilify at 2.5 mg. As someone who has a history of body dysmorphia and eating disorders, I NEED a different treatment.
574118 tn?1305135284 Yet i know well that the therapeutic dose is 100mg for someone who weighs 90kg i.e. 200lbs approx. so how come i am OK. Will I go back to depression? My question if someone is OK on some dosage is that alright or it will have to go up eventually. Again, suppose it will continue OK like this, is this medically wrong ? and no matter what dose is OK for me my illness will worsen unless i reach the 100mg at least.
Avatar f tn They wanted me to drop lithium to finish it right when the Lamictal was at a therapeutic dose. I went down on lithium as recommended by the pharmacy, not my doctor, and titrating Lamictal like the pharmacy recommends too. I trust my doctor, but I think I scare her and my therapist a little. I guess black out mania is pretty scary, but I think my mind is resistant to mediocre. On lithium I went totally nuts. I want to be careful while adding anything to my brain chemistry.
Avatar m tn Couldn't say which is best to use but Lamictal was the most effective for me as well as other people and generally used more than the others. Trileptal unlike Tegretol (which its clinically similar to) does not require a blood test. Neurontin and Topomax don't but they are generally used as adjuncts. I was not able to tolerate Keppra because of personality changes and its not used often for this exact reason.
Avatar f tn I was put on 200mg Lamictal 2 months ago, and my doc is upping my dose to 400mg. I have been extremely depressed the last few of weeks and can't get out of it, which is the reason she upped it, since it is supposed to help w/ depression also. What is the max therapeutic dose that anyone knows of? Has anyone ever taken that high of a dose and what were the effects? I'm also on Topamax for migraines. Those are the ONLY medications I am taking. The Lamictal does seem to be working though.
735919 tn?1236444549 I've been on Lamictal since October, and it's been a godsend to me. It is slow to titrate up to therapuedic levels - but it's done a world of good. I'm about 85-90% depression free all the time. The difference now is, I get down if something external happens, like regular folks do, everyone gets blue at times.
574118 tn?1305135284 I've just come off of trying to switch to Seroquel monotherpy. I maxed out on 800mg of Seroquel before I was able to totally get off of lithium and hadn't even started to lower my Lamictal dose. I don't tolerate lithium well and side effects have gotten much worse over time. Lamictal has been okay for me as long as we watch the dose - it's very reactive to hormones and that has been a huge problem. Was soooo looking forward to only one mood stabilizer...