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Re: My attempt to discontinue Lamictal = relapse. » SLS

Posted by tensor on March 31, 2013, at 14:43:25

In reply to Re: My attempt to discontinue Lamictal = relapse. » tensor, posted by SLS on March 31, 2013, at 12:53:57

> Be aware that I tapered Lamictal quickly and discontinued it completely for only two days before I relapsed. I don't think our situations are comparable. Even if you didn't develop a rash reaction during your first trial of Lamictal, does not guarantee that you will not have a reaction upon restarting it. For me, I know when I am titrating too quickly if my eyes start itching.
>
> If you want to be somewhat conservative, what makes sense to me is the following schedule. It is a more rapid titration than what is recommended by the manufacturer.
>
> 25 mg/day for one week
> 50 mg/day for one week
> 100 mg/day for one week
> 200 mg/day for at least two weeks
>
> I know it is tempting to titrate Lamictal more rapidly, and you might be able to do so without adverse effects. If you decide to be more aggressive, and you do develop a rash, just know that you can discontinue taking it and restart at a more gradual pace.
>
>
> - Scott

That was the titration rate I was thinking of, I need to call my pdoc on tuesday before starting. The amitriptyline is helping with the physical fatigue but I'm mentally exhausted most of the time.

Thanks,
tensor


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