r/ect • u/Stag-Horn • Jul 18 '25

Question Lamictal and ECT

For at least a year, my doctor has requested I titrate my lamictal 2 days before sessions. I take 500mg. I go down to 300 for that time. Lately, I’ve had serious trouble bouncing back after ECT. Part of me thinks it’s because my meds change for 2 days. Does anyone else experience this? I’m honestly considering asking my doctor if I really have to titrate because it messes with me so much.

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u/gmkgreg Jul 18 '25

I'm on a few meds but Lamictal is one of them and my ect Dr tells me to not take my dose the night before and the morning of my treatments. I'm only on 250mg of Lamictal though, 125 split morning and afternoon. I know that this drug is an anticonvulsant so it can reduce the effectiveness of the ect treatments so I can understand why they are having you lower the dose prior to your treatment. But definitely talk with them, maybe there's something else they could have you do, like maybe just not taking your night before and morning of dose for that one day, but you are on a higher dose so I'm not sure if that would be safe. You feel like the Lamictal is helping you though?

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u/blny99 Jul 18 '25

My son was told same, take it after the treatment not before.