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Posts Tagged ‘Lamotrigine’

Lamotrigine Revisited…

May 10, 2012 3 comments

I was doing great on Lamotrigine and really looking forward to using it–then the usual complication reared its ugly head. The medication is loaded with lactose. I didn’t notice with one tablet, and I thought it was other things with two tablets, but with three tablets I had a non-stop lactose reaction. So I went back down to two tablets, but the reaction didn’t go away. I went down to one tablet (after all I had been on two for two weeks and three for only two days) and still kept having a bad lactose reaction. Tonight has been about a week and I’m going to go off entirely.

My psychiatrist, who is retiring next month, is impossible to get a hold of, so I feel like I’m on my own. I don’t like taking myself off a med on my own, but I had no choice in this case. Maybe my next psychiatrist will put me on the one of the lactose-free versions of the drug (chewable Lamictal or dissolving Lamictal).

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

April 14, 2012 1 comment

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.

Status Report #10 (My Doctor is Retiring)

March 31, 2012 2 comments

Well, I found out yesterday that my long-time psychiatrist is retiring in July. I’ve been seeing him since 2003 and while I had another doctor before him, that doctor retired after only a few visits. In Ontario it can take 4-6 months to get a new psychiatrist, so if I start now I might have a replacement in August or September. This doctor was a good doctor as far as I’m concerned. He did very little psychoanalysis; his approach was more of asking what were my symptoms and prescribing the meds to control them. I know a lot of people would be horrified by that approach, but it was just what I needed.

I suppose that going to a new doctor will be like starting over, to a degree. I suppose I can just cut-and-paste parts of this blog (maybe he or she doesn’t need to see the post on bullshit), fill in some more detail (did I mention my mother is bipolar?), and print it out. Seriously. On a positive note, I used to work right in downtown Toronto, so my doctor is in downtown Toronto. Now I live and work in the greater Toronto area (GTA), 40km away, so this is my chance to get a doctor closer to where I live.

At the moment I am taking Divalproex and lithium, but for a long time my doctor has wanted to put me on Lamotrigine, which is yet another mood stabilizer–this one also effective against depression. I was on it for a short time a few years ago but I lost my health coverage. Now I have my health coverage back, so we are trying Lamotrigine again. Anything that keeps away the depression is fine by me. If it doesn’t work I can stop it.