Hi,
Here is a great question from Dana regarding medications.
Hi Julie,
I’m on the Lamictal starter pack and still taking 25 mg a day. I’ve been increasingly manic, irritable and aggressive. I have no tolerance for other people and haven’t been able to attend school. Is this normal? Will it be better at 100mg?
Dana
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Hi Dana,
First of all, it’s great that you’re aware of what’s going on. Sometimes side effects happen so subtly that people stay in a state of physical and mental agitation before they realize what’s happening.
Lamictal, like all drugs works in different doses for different people. For example, my mother gets a lot of help from 75mg and I’m on 500mg. If she goes above 75mg she gets the jaw clenching that comes with the drug. If I go under 500mg I get pretty bad withdrawal symptoms including bad twitching and super bad leg pain.
Your health care professional was really smart to start you on a small dose as going up slowly on Lamictal really helps minimize side effects.
It’s super important that you contact your doctor with your question. Any time a drug makes you feel manic, this is dangerous as it can lead to rapid cycling.
I have not heard of Lamictal causing mania and agitation, so that is new to me, but your health care professional will definitely know what do to. Here are questions you can ask yourself so that you can give your HCP the info needed:
Are you taking other meds that may be interacting with the Lamictal?
Did you stop a drug to go on this drug? IE, could you be having withdrawal from something else?
Have you had a trigger in your life that is messing with your sleep?
Speaking of sleep, the number one sign of mania is sleeping a lot less but not being tired. You may feel agitated and worn out, but not necessarily tired.
There are many things that could be happening, but it’s probably the drug. Only you and your HCP can work on dosage. Lamictal is notorious for withdrawal symptoms, so don’t do anything drastic. If you and your HCP decide to change the dose or the drug, do it slowly!
I hope this helps. Hang in there. It took me many, many years to find the right med at the right dose. It takes time, but you can find the same relief.
Julie