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....
>
> QDid tianeptine hlep with your neuropathic pain?
poster:bulldog2
thread:822705
URL: http://www.dr-bob.org/babble/20080420/msgs/824445.html