Home > bipolar, caffeine, family, Lamotrigine, meds, mixed-mood, side-effects, sleep, symptoms, work > Status Report #12 (Lamotrigine, Caffeine, and Sleep)

Status Report #12 (Lamotrigine, Caffeine, and Sleep)

I finally started Lamotrigine this week. I had been holding off because I thought it was expensive. With my drug plan it turned out to be less than $6.00. Stupid me for waiting two weeks. Tonight will be my fourth 25mg dose and so far I can only report a runny nose. We’ll see what happens when I ramp up the dose. The last thing I need is to be more sleepy than I already am.

According to my doctor the dreaded fatal skin rash “only” affects children, and it only occurs when the med is stopped suddenly and then restarted at full dose. Hopefully these will not apply to me.

I’m not depressed (this is always my big concern) but I just haven’t had a lot of time to write in the past few days. My mixed mood seems to be better. The agitation and unfocusedness are mostly gone as long as I monitor my caffeine intake. Rather than drinking over a box of 12x355ml a day I’m stretching a box out over three days. In the mean time I’m drinking a lot more water. As a result I’m pretty sleepy during the day, but it’s better than the agitation.

Monday through Friday I’ve started to get up at 4:30am and go to bed at 9:00pm. That’s what has made it hard to do blog writing. Once I’m used to being up so early I’ll be more useful in the early morning. My husband is back at work and in order to carpool with him I need to get up that early (I also have to walk the three dogs). He has to be at work in Toronto for 6:45am and he drops me off in Mississauga at 6:15am. The upside is that I can leave work at 3:15pm when my husband comes to pick me up.

Today, I got up at 7:00am and I’ve had six hours of naps since noon, but that’s because I needed it. I’ll bet I sleep like normal tonight.

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  1. April 15, 2012 at 8:06 am

    Your doctor isn’t being 100% accurate. The skin rash is much more likely in children, but does affect adults. It occurs primarily when you start the medication too quickly at too high a dose, though stopping-starting could do it too (maybe saying that to keep you from going off and on it?) It usually shows up in the first 2-8 weeks, if it’s going to happen.

    I was surprised that everyone says Lamictal is so expensive – maybe that’s the brand name? Lamotrigine is $1.97 with my insurance, and they put the uninsured price at $20/month. I noticed more of a difference from going up levels than anything else. It gave me quite a bit of rapid cycling at the time, but then everything pretty much smoothed out.

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