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Re: Lamictal and Folic Acid » fires

Posted by Larry Hoover on December 27, 2005, at 12:41:09

In reply to Re: Lamictal and Folic Acid » linkadge, posted by fires on December 23, 2005, at 19:26:02

> > Many anticonvulsants can affect the way folic acid is utilized. Does the prescribing information give any idea ?
> >
> > I know that folic acid is generally advised for those taking depakote.
> >
> > From www.rxlist.com under lamotragine, I found..
> >
> > "Folate concentrations were also reduced in male rats given repeated oral doses of lamotrigine. Reduced concentrations were partially returned to normal when supplemented with folinic acid."
> >
> >
> >
> > Linkadge
> >
> >
>
>
> That's the exact text that I found on some site -maybe rxlist. I remember it because of the use of the term "folinic acid".
>
> I take 1200 mcg of folic acid per day + weekly nascobal (B-12) and I still have homocysteine levels at the high end of normal. I'm glad I'm not a rat.
>
> Thanks

You don't mention pyridoxine (B6). Folate/B12/B6 work together. The commonly used pyridoxine hydrochloride may be ineffective in some people, due to poor phosphorylation, so some people find P-5-P (pyridoxal-5-phosphate) more useful. Also, high niacin intake can provoke hyperhomocysteinemia in some individuals. It becomes a matter of balancing hyperlipidemia against hyperhomocysteinemia, if you're also using niacin as a drug.

Lar

 

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poster:Larry Hoover thread:589643
URL: http://www.dr-bob.org/babble/20051221/msgs/592426.html