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automagrt

Lamictal/trileptal Combo?

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Posted

Anyone else out there taking Lamictal AND Trileptal? I went to the Amen Clinic and had a Spect scan and the psychiatrist i saw thought I should either increase the Lamictal or add Trileptal to the 40mg Cymbalta and 150mg Lamictal I'm already on. I started off at 75mg and after 2 weeks wasn't really noticing anything so I'm at 150mg now, which I've been on for about a week. Can't say I've noticed anything different. I was initially on 200mg Lamictal but we decreased it because I was having night sweats and short term memory problems. I'm thinking now that the memory problems may have been related more to the Xanax which I've been on for the last 3 years but stopped a month ago. So maybe I should just forget the Trileptal and increase the Lamictal? I hate having to spend an extra $20/month on the Trileptal.

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Posted

Anyone else out there taking Lamictal AND Trileptal? I went to the Amen Clinic and had a Spect scan and the psychiatrist i saw thought I should either increase the Lamictal or add Trileptal to the 40mg Cymbalta and 150mg Lamictal I'm already on. I started off at 75mg and after 2 weeks wasn't really noticing anything so I'm at 150mg now, which I've been on for about a week. Can't say I've noticed anything different. I was initially on 200mg Lamictal but we decreased it because I was having night sweats and short term memory problems. I'm thinking now that the memory problems may have been related more to the Xanax which I've been on for the last 3 years but stopped a month ago. So maybe I should just forget the Trileptal and increase the Lamictal? I hate having to spend an extra $20/month on the Trileptal.

Yea, automagrt, Xanax made me have short-term memory problems, too, among other things. Is your doctor giving you a choice to start Trileptal? Maybe you can increase your Lamictal up slowly, like add 25mg, and see how you do after about two weeks. Just ask your doc if you can do it slowly and give yourself time to assess how you feel with each 25mg increase.

I just started Lamictal at 25mg for two weeks, then up to 50mg probably for two weeks. My doc is being very cautious with this because ramping up on it quickly can give you some weird side-effects. How long did it take for you to get to 200mg?

Peace,

Lucinda

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Posted

I think I started it by using the starter pack. I'm not sure how long it took, I'm thinking a couple of weeks. The reason I backed down from the 200mg was because of the memory and vivid dreams. For some reason I was thinking it was related to the Lamictal, but the more I've read about Xanax, the more I'm thinking it's related to it instead of the Lamictal. However, I haven't noticed much improvement in memory since I've been off the Xanax, which has been about a month, although I still take it every now and then. From what I recall, I didn't notice much of a difference in my mood between the 200mg and 150mg of Lamictal, so I don't know how much going back up to 200mg would help.

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Posted

I think I started it by using the starter pack. I'm not sure how long it took, I'm thinking a couple of weeks. The reason I backed down from the 200mg was because of the memory and vivid dreams. For some reason I was thinking it was related to the Lamictal, but the more I've read about Xanax, the more I'm thinking it's related to it instead of the Lamictal. However, I haven't noticed much improvement in memory since I've been off the Xanax, which has been about a month, although I still take it every now and then. From what I recall, I didn't notice much of a difference in my mood between the 200mg and 150mg of Lamictal, so I don't know how much going back up to 200mg would help.

I am starting at 25mg and don't feel much better at all. I feel more angry and mixed up. Hope this clears up. Upping dosage by 25mg per week. Till I reach 100 then go from there.

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Posted

I was on a combination of Lamictal and Trileptal several years back. In my experience, the combination was awful. I had a really hard time on the side effects. I was dizzy all the time, had blurred vision, felt like I was walking around in a daze sometimes. I had a really tough semester of law school while on it. Trileptal also made me breakout badly on my face, in the form of large acne that wouldn't go away (which was unusual for me and embarrassing). My pdoc at the time finally listened to me and took me off of Trileptal. As for Lamictal, I suffered from dizziness from it until I switched from taking it in the morning to the night..

I hope the SE don't affect you as badly as they affected me. I can't say as to what you should do in your situation, but I'm so glad I'm not on Trileptal anymore.

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Posted (edited)

LaurieUT, thanks for the info. I haven't had any of the SE's you mentioned, although now that you mentioned it I have seemed to be breaking out a lot. Don't know if it's related. I've also noticed that I've been kinda scatter-brained lately. Again, may have nothing to do with the Trileptal. I see my pdoc next week and I'll probably just see about stopping it and maybe increasing the Lamictal as I can't say it's helped with anything.

Edited by automagrt

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Posted

:wwww:Just recently, my psychiatrist added Trileptal to my Lamictal, which I've taken successfully for several years. The dose is being increased very slowly to avoid problems. However, since the second increase, I've been miserable. I itch all over and I'm so restless and uncomfortable, I'm unable to sit still. It feels as though a storm is going on inside of me. I feel more and more agitated, attempting to find some measure of relief. Has anyone else experienced such side-effects? I'm quite reluctant to complain, as we've tried almost every psychiatric drug on the list, to no avail. I am a rapid-cycling Bipolar 1 and I'm quickly approaching my limit, the end of my rope. Any suggestions?

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