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I just did a post called My Meds are Working- there are some fantastic comments under the post. I have learned a lot from readers.
Here are the facts on generic Lamictal (Lamotrigine). There can be problems with the generic formula. This does not mean it won’t work for you- it does for many people. It does mean that you will need to monitor your moods once you switch. It’s a gradual change if the meds are not working- it seems to be around five weeks.
I really want to stress that generics are good things in many ways- costs, availability, etc. But as people with bipolar disorder, we have to take charge of our own health care. If you use my Health Cards treatment system, it’s a good idea to read your normal card while you take the generics.
Doctors can prescribe ‘brand’ Lamictal if the generics don’t work for you. I can’t believe [ Read More ]
If you read my blog below, you can tell I’ve really had trouble lately in terms of getting my work done. I always have struggles, but I use the ideas in my books and just keep going. When it’s hard for me to even sit down, then I know something is not right physically.
My friend Sherri called last night and said, “Are you ok! I just read your blog and I’m worried about you!”
Hmm.. I didn’t mean to sound that bad! But it has been pretty bad. I have many ways to figure out what is wrong when I’m having mood swings- the first is to check the triggers. I know that troublesome relationships cause me a lot of trouble- which leads to mood swings- book deadlines that are too intense can also make me quite ill, but I always keep working.
This time, nothing is going on. There are no triggers. Yes, [ Read More ]
Well, I have been traveling for a week- first to Texas and now in Florida. It has been great, but I have had a lot of sleep and medication problems.
I am really uncomfortable as I write this- I have what I call the Lamictal twitches and I feel like I’m going to crawl out of my skin. I hate it. I’m pretty sure I took my dose this morning, so this is odd. It’s amazing how uncomfortable these side effects can be. It’s hard to live with sometimes- but the Lamictal is worth it for me.
Actually, I should say Lamotrigine as I am now on the generic. Who knows if the side effects worsened because of the medication change. I have not seen a change in my moods, so that is all that matters. There is a big discussion on the generic Lamictal on the blog- if you go to the [ Read More ]
Here is a comment from Gina about running out of (Lamotrigine):
Hi Julie,
I’m gonna run out of Lamictal before the year ends and insurance won’t cover any till after 1/1. I take 400mg per day, what can I do to stretch this out? I can’t afford to buy them! The doctor didn’t have any samples. Any ideas?
I called GSK and because I can’t scrape up $600 worth of receipts for this year they won’t help me. Other drs office has no samples. It was like $18 per day to get just enough to get me into next year. It’s nerve wracking coming off 400 mg per day down to so little though. I definitely had some bad timing this year. I’m on medicare part D and am in the gap [ Read More ]
I just received the following question from Janine:
Julie,
I was just prescribed Lamictal and doing a little research it seems most people are starting on 25 mg and slowly increasing. I have just started today…100mg a day for a week, and then I bump up to 200mg next week. Is this too much too soon?
**
Hi Janine,
My coauthor Dr. John Preston as well as many of my doctor friends say that medication dosing is a fine science. For many, it’s a shot in the dark when you start. There are definitely guidelines as to what drugs to use and at what dose, but so much depends on you and your background. Are you on any other drugs? Have you had trouble with drugs? Do you have more mania than depression? How well does your doctor know your symptoms? etc….
Here is a great question from Dana regarding medications.
Hi Julie,
I’m on the Lamictal starter pack and still taking 25 mg a day. I’ve been increasingly manic, irritable and aggressive. I have no tolerance for other people and haven’t been able to attend school. Is this normal? Will it be better at 100mg?
Dana
**
Hi Dana,
First of all, it’s great that you’re aware of what’s going on. Sometimes side effects happen so subtly that people stay in a state of physical and mental agitation before they realize what’s happening.
Lamictal, like all drugs works in different doses for different people. For example, my mother gets a lot of help from 75mg and I’m on 500mg. If she goes above 75mg she gets the jaw clenching that comes with the drug. If I go under 500mg I get pretty bad withdrawal symptoms including bad twitching and super bad leg pain.
The health information contained herein is provided for general education purposes only. This site should not be seen as a substitute for an official diagnosis or for professional health care.
Any ideas? 
