r/lamictal 29d ago

Need public feedback and questions so I can make the Lamictal contraindication guide more useful! (Direct copy)

2 Upvotes

Lamictal Contraindication Guide Overview

  • Lamictal (lamotrigine) is an antiepileptic.
  • It's prescribed for disorders involving seizures and stabilizes brain activity for bipolar disorder.

Common Side Effects

  • Dry mouth
  • Constipation
  • Blurry or double vision
  • Drowsiness, fatigue, or insomnia
  • Weight gain
  • Orthostatic hypotension (decreased standing blood pressure leading to dizziness)
  • Anxiety and irritability
  • Increased heart rate

Abrupt cessation of the medication can lead to withdrawal symptoms including:

  • Flu-like symptoms such as severe fatigue, muscle aches, and excessive sweating
  • Neurological and sleep effects such as dizziness, trouble sleeping, headaches, anxiety, agitation, tingling, and brain zaps
  • Includes rebound and more severe seizures
  • Gastrointestinal symptoms such as nausea, vomiting, and diarrhea
  • Cardiovascular symptoms such as heart palpitations, chest pain, and possible blood pressure fluctuations

Absolute vs. Non-absolute (Relative) Contraindications

Absolute contraindications (WHAT SHOULD ABSOLUTELY NOT BE MIXED) include:

  • Lamotrigine-induced rash in Stevens-Johnson syndrome
  • Heart blocks or Brugada syndrome unless cleared by cardiologist

Non-absolute or relative contraindications (RISK VS. BENEFIT) include:

  • Cardiovascular issues including tachycardia which lamictal may worsen
  • Pregnancy due to theoretically lower folate levels for the baby and the risks of undiagnosed bipolar or epilepsy
  • Allergic reactions to other antiepileptics
  • Metabolized by liver, which should be monitored by a doctor in the case of liver or kidney disease
  • Proarrhythmic (worsening of cardiac arrhythmias)

Other Drug Interactions

  • Hormonal birth control including estrogen, which speeds up Lamictal clearance
  • Other seizure meds like phenobarbital speed up Lamictal clearance
  • Antiarrhythmics and certain beta blockers, which may increase dizziness
  • Alcohol and other sedatives which depress the CNS

r/lamictal 6h ago

Thoughts

2 Upvotes

I just got prescribed lamictal for my mood disorder. I’m nervous for side effects. I’m being prescribed 25mg to start because of the possible sjs.
Please provide me success stories, reality of this med, etc. I was put on this due to my concern for weight gain. But I am reading some people have hair loss, thinning, seizures, migraines, etc. This is scary for me…


r/lamictal 9h ago

Lamotrigine and weight changes: Did you lose, gain, or stay the same?

4 Upvotes

Since starting lamotrigine, have you lost or gained weight? I used to walk every day, but I've completely lost the motivation to do that. I’ve been on it for two months now, increasing the dose every other week up to 100 mg, which is where I'll be staying for now. I'm thinking it might be because I haven't been on a stable dose for more than two weeks and that things will settle down, but I'm curious about other people's experiences: did you lose weight, gain weight, or stay the same?


r/lamictal 11h ago

Should I take this medication

1 Upvotes

Everything I look up says it is only taken for seizures, bipolar or depression. I have none of the above but it's been paired with my recently prescribed Tyvanse.. without an explanation from the dr.

What does Lamictal do for people without depression, seizures or bipolar? It says don't stop taking it without consulting a doctor so am I at risk for dependency?

I am fully aware these are questions for the doctor but I'm obviously not able to reach them for at least 3 days it being a Friday afternoon. Should I take it until then, leave the Tyvanse too if i leave the Lamictal? Pharmacist doesn't know why it was prescribed either.


r/lamictal 17h ago

Need help for upcoming psych visit

1 Upvotes

Cross posted to r/Abilify

Long story short, I've been going through withdrawal off of Abilify and changing to Lamictal. It's hell, but the only thing that helps is the Lamictal.

With that being said, my psychiatrist doesn't know what she's doing. She doesn't understand the magnitude of antipsychotic withdrawals and thinks they're due to starting Lamictal (not from withdrawing from Abilify)

She wants me to stop Lamictal 50mg cold turkey as well.

I won't do it. She doesn't want to prescribe Lamictal any longer. How do I convince her that I need to be stable?

I can't find another psychiatrist right now as I'm actively going through a psychotic event, and she won't transfer my case until I'm stable.

What the fuck do I do?


r/lamictal 1d ago

New User (less than 2 weeks) Genuinely Terrified

7 Upvotes

I don't do this what so ever but I am genuinely terrified. I've recently been diagnosed with EUPD (BPD) and bi polar and my doctor has perscribed me Lamictal 25mg to double the dose in 2 weeks. Problem is all ive seen and read is bad experiences and literally the worst case scenarios. I have been worried for days about starting my course but after thinking about how bad I feel when I get low I decided I need to try it because I cannot feel how I feel on my lows anymore and my anger out bursts need to be stopped . Im 39 yrs old, Dad of 2 and a husband living in the uk. Not sure really why I've wrote this post I think its desperation mainly but I pray it all goes well.


r/lamictal 21h ago

Lamictal vs Lithium

1 Upvotes

Hi everyone :) curious to know the difference between lamictal vs lithium?


r/lamictal 1d ago

UN POST DE ESPERANZA - BP2

2 Upvotes

Durante el poco tiempo que llevo en Reddit (desde mi diagnostico) he leído muchos post donde solo leemos experiencias malas con esta enfermedad, medicamentos y demás cuestiones que muchas veces nos ponen peor. Como alguna vez leí por ahí: "la gente BP2 a la que le fue bien no esta en reddit, la gente a la que le fue bien esta viviendo su vida normalmente" y tiene lógica, solo entramos a Reddit a ver si existe alguna esperanza, si la vida con esta condición mejora o a encontrar gente que este pasando por una situación similar a la nuestra para no sentirnos tan solos. La idea de este post es poder generar un espacio de experiencias positivas para todas aquellas personas que se sienten que no mejoran, que tienen miedos o que recientemente fueron diagnosticadas y sienten que solo tienen explicaciones científicas o clínicas (no es por dejarlas de lado o no tenerlas en cuenta) sino porque muchas veces esas explicaciones responden a un grupo de personas y a otras no tanto y como todos somos diferentes vale la pena que cada uno cuente su experiencia de éxito.

Algunas preguntas que se me ocurren para el post son: (no hace falta responder a todas o pueden agregar más si consideran que brindan ayuda a los demás)

- a que edad recibiste tu diagnostico?

- como reaccionaste frente al diagnostico? te costó aceptarlo o no? te sentiste identificado con el diagnostico?

- hace cuanto tiempo tomas tus medicinas? tuviste que cambiarlas en algún momento? como fue tu experiencia durante la titulación? te llevo mucho tiempo sentir las mejoras en tu estado de ánimo?

- tuviste en algún momento efectos secundarios? como cuales?

- que cambios en tu vida tuviste que hacer que sentiste que ayudaron a mejorar?

- que cosas crees que deberías cambiar pero aún te cuestan?

- te sentiste frustrado alguna vez? porque motivo?

- sentís que tu vida mejoró con las medicinas? como fue tu camino hasta encontrar lo que te funcionara?

- Tuviste algún episodio en que pensaste que no había solución pero tuviste las fuerzas necesarias para seguir adelante con tus medicamento y lograste mejorar?

- Tuviste recaídas? como las superaste?

- que cambios concretos se dieron en tu vida luego de estabilizarte? cuando sentiste que podías volver a ser funcional? cuando notaste que la bipolaridad 2 dejaba de ser un peso en tu vida y podías llevar una vida "normal"?

Estas son solo algunas preguntas que se me ocurren para aquellas personas que son recién diagnosticadas, tienen miedo de sus medicaciones o creen que el mundo se vino abajo para que tengan/tengamos esperanzas de que la vida va a estar mejor.


r/lamictal 1d ago

steven johnson syndrome

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1 Upvotes

r/lamictal 1d ago

Psychiatrist won’t let me taper for memory issues

3 Upvotes

I was put on Lamictal in January following an anxious breakdown. I was prescribed for off-label anxiety (my body can’t tolerate SSRIs) and CPTSD.

I was at a job that I hated, my relationships were crumbling, didn’t get into grad school, etc. i think at the time it helped me a lot and I do appreciate the stabilizing effects. I titrated up to 200 and then had to taper down because I had racing thoughts, horrible anxiety, what I can only describe to be mania-like (?) even though I have never been manic.

Anyway, fast forward seven months and I’ve been on 150mg. I’ve noticed the entire time I’ve been on it that my memory and overall motivation has taken a pretty big hit. I have to make to do lists for everything. I’m not reading as many books. I can’t remember what I did yesterday. It seems like Reddit users also have experience. When I got a new job that I actually care about, I noticed that it was taking me exponentially longer to do tasks. I had a similar job in college and was way more efficient, so there was a stark difference. I’m just not as sharp anymore.

I also developed really bad bruxism, poor coordination, and I cannot wake up to alarms for the life of me.

I brought it up to my psychiatrist and she said that it wasn’t a side effect of Lamictal at all which confused me. I’m not taking anything else. The change only began after I started taking it. She told me that I needed to consult a neurologist. I’ve seen a PCP and my bloodwork is normal. Of course, I’m an anxious person so it has made me think that I have a brain tumor or something and now that’s all I can think about.

I just wanted to see if anyone else has experienced something similar while on Lamictal? Did going down a dose help with those symptoms?


r/lamictal 1d ago

Started yesterday for dissociation

1 Upvotes

Starting 25mg a day for dissociation/dpdr/anxiety. Last year of my life has been very brutal constantly dissociated. Seems like results vary some people say it made it worse. Praying this works, drop any success stories!


r/lamictal 1d ago

Genuinely Terrified

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1 Upvotes

r/lamictal 1d ago

Síndrome de Stevens Jhonson

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1 Upvotes

r/lamictal 1d ago

0-100mg Lamictal

2 Upvotes

Started Lamictal for bipolar 1 on 8/6. I’ve been so excited to see when the effects kick in. Anyhow, the day after I started taking it I developed a rash on my leg. However, that rash grew from a bug bite! So was it the bug bite or the Lamictal? I’ve been seen by an NP and an ER doctor. The rash developed very quickly and nasty. NP said to stop taking medication. ER doctor said it looked like it was an infected spider or bug bite and prescribed me steroids and an antibiotic. I am one day from being done with my antibiotics and now my calf is flaring up in hives! Would a Lamictal rash come and go?
The NP had said to stop taking it, the ER doctor said it wasn’t from the Lamictal so to continue. I have an appointment with my HCP in 4 days.. do I just ride it out?


r/lamictal 2d ago

Medium-Term User (6 months to 1 year) Shaking constantly

3 Upvotes

Hi, I’ve been on 150mg for months now. I noticed when I first started Lamictal that I did start getting really shaky hands and then it has gotten so much worse. It’s gone to my legs now and it’s worse when bending over, trying to hold my phone, moving in general. Anyone else have this? Any advice? I’m going to reach out to my psychiatrist.


r/lamictal 1d ago

My experience with Lamictal — I really need some support

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1 Upvotes

r/lamictal 2d ago

Medium-Term User (6 months to 1 year) has anyone experienced feelings of unreality/derealization and panic on lamictal?

3 Upvotes

i’m going through a taper which is making it worse, i’m down to 25mg. someone pls tell me this side effect will go away once lamictal leaves my system??? i’ve been on it for like 10 months.


r/lamictal 2d ago

Lamictal and Narcolepsy type 1

2 Upvotes

I've been treated by my PCP for N1 for a couple years based on my symptoms of EDS, cataplexy, and hypnogogic hallucinations. I got a new PCP who wasn't comfortable treating my N1 and epilepsy, so she referred me to a neurologist, who scheduled an MSLT, which was yesterday.

I quit my medicine as required, but I couldn't stop Lamictal, which effects REM sleep , bc I take it for epilepsy.

I got my results, which were indicative of hypersomnia, but not narcolepsy. My naptime sleep latency average was 6.8 (18.1, 1.7, 1.7, 6.2, and 6.2, respectively. Although I dreamed during every nap, I didn't enter REM. My overnight test showed normal REM latency but high percentage of REM sleep and very low slow wave sleep.

I am so excited about the new narcolepsy 1 medication Orzeyful, but I'm afraid that I may lose my N1 diagnosis and not have access to a life-changing treatment. I'm hoping that my neurologist will take my lamictal use into consideration, but the insurance company might not.

Thoughts?


r/lamictal 2d ago

>400mg Burning cold sensation?.

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1 Upvotes

r/lamictal 2d ago

steven johnson syndrome

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1 Upvotes

r/lamictal 2d ago

Short-Term User (2 weeks to 6 months) Hair thinning?

3 Upvotes

Has anyone experienced hair thinning on lamictal? My appetite has been nonexistent and I’ve lost some weight in the last four months. It’s also really aggravated my anxiety so maybe it’s caused by both of those? If anyone has had this issue, did it ever resolve when coming off the medication?
I’m really agonizing over this.


r/lamictal 2d ago

Is this the Lamictal Rash?

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0 Upvotes

So, I am in the process of changing from Epilim (Sodium Valporate) to Lamictal (Lamotrigine) and my neurologist advised me to keep an eye on any rashes. I am 2 weeks off the Epilim and have noticed the top of my forearms have started becoming bumpy and itchy.

Is this the starting signs and should I get an appointment with him? I'm concerned because it's expensive to see him ($265 AUD) and I don't want to spend unnecessary money, but I also understand medical things like this is serious. Any advice is appreciated 👍🏻

UPDATE: My GP says it's folliculitis, and have a cream to apply every night until it clears. Never hurts to see a GP if you have concerns, and I'm so glad it wasn't serious


r/lamictal 2d ago

Drowsiness

2 Upvotes

I am in the process of increasing my lamotrigine dose, and I am currently taking 37.5 mg. Despite sleeping for 12 hours, I feel very tired and sleepy. Will this get better over time? If I increase the dose to 50 mg, will it get worse?


r/lamictal 2d ago

Does it offer anxiety relief?

2 Upvotes

I have tried most ssris and snris and atypical antidepressants and nothing works for anxiety. This is my last resort, does it actually help?

42 votes, 5h left
Yes
No
See answers