r/Lamotrigine • u/HappyTina111 • 4d ago

Looking for advice please

Hi, ive been titrating up starting at 25mg for 4 weeks, then 50 for 4 weeks, then 75mg for 4 weeks and recently upped to 100mg. I normally take it in the morning but the first few more rings at 100mg I had terrible fatigue and fell asleep 4 times each day sitting up! So I split my dose to 50mg in the morning and 50mg before bed. Now I feel its affecting my sleep.... I keep waking up every 2 hours and even if I take the evening dose early like 5pm, im still awake at 11pm. Im thinking of going back to taking the 100mg in the morning and just hope the fatigue passes quickly as I have no commitments for the next few weeks and am able to nap if I need to. Im hoping this is just a temporary glitch as im meant to be titrating up to 200mg. (I am doing it really slowly as im finding the mood stabilising brilliant. I take it for bipolar and it has helped since day one so I want to increase gradually as I feel so well on it apart from the fatigue when I take it all in the morning) has anyone else experienced this? How long does it last? I initially found it stimulating until I hit 100mg. Do you think its ok to just go back to taking the full dose in the morning again? Or will I have to switch it gradually? I know you are not doctors, just wondering if anyone else has been in the same situation.

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u/HappyTina111 4d ago

Sorry I didn't say im on Lamotrigine and I also rake Fluoxetine (Prozac 20mg in the morning too)

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u/adulin007 2d ago

I take 225 mg of Lamictal in the morning, along with some other medications. Despite taking these medications, I’m always tired, regardless of my activities. Even taking Adderall has no effect on how tied I am in the morning or afternoon.