Question 1

how long will it take to achieve a therapeutic trough level for epilepsy treatment while taking 500mg bid of lamictal?

Accepted Answer

Patient doses vary: Your therapeutic level may take several days and depends on several factors including your metabolism, your body weight, gender, as well as other medications you may be taking. This definitely isn't something that can be answered without knowing more information. Your prescribing physician will definitely be able to tell you with more accuracy.

Question 2

tegretol drops lamictal level by about 50 percent...on the flip side does lamictal raise tegretol levels?

Accepted Answer

Yes: lamictal can increase tegretol levels.

Question 3

will tegretol reduce the lamictal level by about 50%.....for example would 100mg of lamictal really be approx.. 50 mg with 600 tegretol?

Accepted Answer

Not really: If you are talking about using the meds to control seizures, no.  Cannot compare these meds on a basis of one being equal to or replacing x percent of another med. It is best to discuss with your neurologist re: adjusting doses of meds to control seizures. Hope this was helpful.  Best of luck. Dr R

Question 4

can lamictal 100 be taken at noon..and is 100 mg relatively low because it is taken with 600 tegretol..am i even getting a therapeutic dose?

Accepted Answer

LAMOTRIGINE: I do not know for what condition it was prescribed to you, my answer will depend upon the diagnosis and if you are also taking it with valporic acid or other enzyme-inducing seizure medicine  !  in this case Lamictal dose is reduced

Question 5

i use 100 lamictal ..600 tegretol...probably 50 lamictal because tegretol breaks it down in half..am i even getting a therapeutic dose of lamictal?

Accepted Answer

Depends: If you are having poor seizure control then your aeds need re-evaluation if not then your current treatment may be appropriate
 
the combination can also be used for bipolar disorder. Most psychiatriast evaluate these drugs by the level of mode stabilization and use levels to monitor for toxicity. If your mood is still not stable discuss with your doc about adjusting dose.

Question 6

i am type 2 diabetic nd been recently put on lamictal since i have been on it i have been having issues with my sugar levels being higher then usual?

Accepted Answer

DM II: A lot more information is needed to guide you appropriately. We need to know the treatment of diabetes that you are currently following, blood glucose results and other recent lab results. Feel free to re-submit your question or contact a physician.

Question 7

typical therapeutic dose of lamictal for bipolar?

Accepted Answer

Lamictal dose: depends on weight, use of other meds . Typically 100-125 mg twice a day. Be sure to follow titration schedule of physician. Too rapid a titration increases the risk of Stevens Johnson Syndrome or TEN .

Question 8

i am on lamictal for bi polar.  what is the highest theraputic dose i can take.  i am not on any other psyc meds. ?

Accepted Answer

Check with Doctor: I don't think it's a good idea to increase your dose based on what some of us might say here on healthtap. I hope you agree. I also wonder about the symptoms you have which might cause you to want a dosage increase. Too much Lamictal can have side-effects. The package insert for Lamictal recommends a maximum dose of 200 mgs/day, although i've seem some on higher doses than that. Again, ask the dr.

Question 9

this is for bipolar:600 tegretol , 100 lamictal....being that tegretol reduces lamictal by about 50%..is 50 mg even a therapeutic dose?

Accepted Answer

It always depends.: Dosing is always an individual thing, but in general 50mg of Lamictal is a small dose. It's possible that Lamictal could be very helpful for general anxiety as well.

Question 10

titrating up on lamictal monotherapy for bipolar 2 currently up to 50mg per day how does my doctor know when i reach a "therapeutic" dose? i know 200 mg is recommended but based on what criteria?

Accepted Answer

Great question: Wish I had a great answer. Some doctor here might, but I hope yours can give you a good answer at least. Ask what you should be looking for - both good and bad. Work as a team. My guess is that your report of symptom control w/ few if any side effects will be what the goal is. Discuss it. Best!

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Doctor answers about:

Lamictal therapeutic level

A member asked:

How long will it take to achieve a therapeutic trough level for epilepsy treatment while taking 500mg bid of lamictal?

A member asked:

Tegretol drops lamictal level by about 50 percent...on the flip side does lamictal raise tegretol levels?

A member asked:

Will tegretol reduce the lamictal level by about 50%.....for example would 100mg of lamictal really be approx.. 50 mg with 600 tegretol?

A member asked:

Can lamictal 100 be taken at noon..and is 100 mg relatively low because it is taken with 600 tegretol..am i even getting a therapeutic dose?

A member asked:

I use 100 lamictal ..600 tegretol...probably 50 lamictal because tegretol breaks it down in half..am i even getting a therapeutic dose of lamictal?

A member asked:

I am type 2 diabetic nd been recently put on lamictal since i have been on it i have been having issues with my sugar levels being higher then usual?

A member asked:

Typical therapeutic dose of lamictal for bipolar?

A member asked:

I am on lamictal for bi polar. what is the highest theraputic dose i can take. i am not on any other psyc meds. ?

A member asked:

This is for bipolar:600 tegretol , 100 lamictal....being that tegretol reduces lamictal by about 50%..is 50 mg even a therapeutic dose?

A member asked:

Titrating up on lamictal monotherapy for bipolar 2 currently up to 50mg per day how does my doctor know when i reach a "therapeutic" dose? i know 200 mg is recommended but based on what criteria?

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