Neurologist Discusses Lamotrigine (Lamictal). For information on epilepsy medications and pregnancy, please visit: www.aedpregnancyregistry.org/
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@Synth20004 жыл бұрын
Andrew you just gained a subscriber. I can respect a doctor that knows his way with the soldering iron and has a proper cat and guitars!
@bemeeklezvelveeta67194 жыл бұрын
The only side effects I've noticed is a bad headache that goes down my spine, strange dreams, moderate insomnia, and confusion/forgetfulness. Not so bad compared to having total chaos in my mind at all times. It isn't a cure at all, but this medication is the only one that has helped me with bipolar 1 and PTSD. I hope it can help lots more people
@Rebelz1734 жыл бұрын
So what is the cure then? I’m looking for a cure. This is closer to a cure than you’re gonna get
@bemeeklezvelveeta67194 жыл бұрын
@@Rebelz173 I've been in therapy for half of my life now, and I only in the past year have actually learned to practice coping. I just forced myself to be happy basically. Which I know isn't really an answer, not everyone can do that, but I pushed myself to hypomania and I've done what I can to maintain that level of positivity. The lamictal is the best med I've ever taken because it puts me just above baseline, it makes my emotions stronger but to where I just feel very great and happy. A lot of anxiety still, I don't have anything to treat that really besided abusing Valium lol. Sorry for the long response but yeah I feel 100000000 times better than I ever have in my life this way
@audyo142 жыл бұрын
It also helps me with my PSTD but it actually helps me sleep. I'm glad it can help you too :)
@radmed9792 жыл бұрын
Ask your doc about prozosin I think it helps with the night terrors..... know what you mean.
@starrhupp4262 Жыл бұрын
thanks
@Agent_Butterman Жыл бұрын
Hey Dr. Reeves I just wanted to reach out and say thanks for the great information. I've watched a ton of videos since my recent diagnosis of epilepsy due to some gray matter heterotopia, and I found your videos to be much more real and personable than most of the stuff out there on youtube. The way you do everything in pretty much 1 take, the honest manner you speak in, and the funny chemistry between you and the camera woman help to create great content. Thank you!
@AndrewReevesNeurology Жыл бұрын
Thanks for your kind words, Patrick! That means a lot. I've long felt that in speaking with people, we doctors (mostly unintentionally) make things more complicated than they have to be. I wish you well with controlling seizures!
@davidcanty91189 ай бұрын
@@AndrewReevesNeurology9
@LeendertvanHoogenhuijze2 жыл бұрын
This is basically the talk my neurologist gave me but with a lot more patience and me not being completely overwhelmed so thanks a lot.
@brunoliamat3 жыл бұрын
Thanks for the video, mate. Lamotrigine was a life saver for me. Kudos from Brazil. PS: I'm a guitar crazy (no pun intended) too. Also like fiddling with pedals.
@sage36092 жыл бұрын
This video ruled a lot! Thanks for rocking it
@endograft6 ай бұрын
Thank you for your lecture, Dr Andrew!
@davidlynch59982 ай бұрын
I'm a musician and right away I saw that you have some righteous guitars, therefore I really put some stock in your explanation of lamictle, thank you sir
@tinic96303 жыл бұрын
Hi Andrew, thanks a lot for the video! I wanted to ask you if you could maybe talk about bipolar disorder. I think you have a very clear approach and would love to hear your thoughts. I'm about to start taking lamotrigine and I'm hoping it can help me with my mood swings. Lots of love from Argentina! ☺️
@erinwashkowsky85894 жыл бұрын
I’m so happy this was posted, I just started it for my seizures
@JohnAckerman933 жыл бұрын
I have been on this for about three years. I started out with 100 mg. I still had seizures while on the 100. I now take 150 mg, and it’s doing much better for me
@nikkistahr71053 жыл бұрын
@@JohnAckerman93 I am so happy to hear that! I am glad you found something that worked for you.
@ttrdf4 жыл бұрын
ur a cool guy. i study for step 3 and i hate neurology less now, thanks, best wishes, dr Reeves, :-)
@Alex-dk8dl3 жыл бұрын
I had childhood epilepsy that went away as a teen and was taken off meds. I recently started having seizures again in my late 30s. My neurologist just prescribed this drug for me. I was kinda nervous to start medicine after so long. You're good Doctor and most importantly, a good person. Thank you for your videos. Happy holidays 💚🧠🎄
@iamgolden9112 жыл бұрын
My daughter also had childhood epilepsy, now it’s getting really bad. They are starting her on this after a bad seizure this morning.
@iamgolden9112 жыл бұрын
@@AlwaysLoveEvery1 thank you! I just told my daughter about your situation and experience with lamictal. She’s feeling dizzy and groggy, does that go away? Do you remember how long?
@johnackerman20852 жыл бұрын
I was diagnosed with seizures back in 2018. I was first put on phenytoin as my seizure medication. The thing about this is that it completely changed my personality. I started becoming really snippy and rude. Thankfully I was taken off it, and was put on lamotrigine. I've got to say, this medication has done really well for me. I take 200 mg twice a day
@elaineowen2177 Жыл бұрын
He looks to be both a good person and cute.
@Kameron-The-Crafter Жыл бұрын
This drug was originally made to treat seizure. The bipolar was just secondary.
@danielpruna98843 жыл бұрын
Yes thank you for this video. It's appreciated.
@savorywoods2 жыл бұрын
I experienced mild diarrhea and muscle cramps in my legs. Crazy itching. Thanks for the information!!!
@michelleceo79352 жыл бұрын
crazy itching. works for me.
@jessamyers87614 жыл бұрын
Thanks for posting. I was just prescribed this today.
@heatherhartman64744 жыл бұрын
How is it so far?
@lyndayates75334 жыл бұрын
Me too. Awful.b
@millerbeers333 жыл бұрын
How did that work for you I'm in the same boat
@mariew.88623 жыл бұрын
Me too! Just took my first dose.
@wearelimitless54433 жыл бұрын
This is one of the big problems. No response. We need to share info to help eachother, unfortunately most come when (they) need info and or help and than they vanish. We all have to help eachother. If you read this I hope you're doing well and we would love an update on your progress.
@32starsandsugar4 жыл бұрын
great job Marble!
@dorothyglade90875 жыл бұрын
Thank you for the information!
@christopherbushinski66564 жыл бұрын
thank god. youre the only piece ive seen use the term SJS. Everyone else keeps saying" rash" lol
@lizmoran41593 жыл бұрын
Taking it 2 month . Refilled same prescription & strength just different pharm manufacturer . Broke out serve rash all over both arms and swelling inside my mouth and lips. Had no idea such small factor had such big factor
@rickj31124 жыл бұрын
Hi - I'm taking 250gms per day (100/150) for seizures and came on to this web site to check the side effects. I get double vision one or twice a week, but had never associated it with Lamotrigine.Thanks for that info, I had been getting concerned about my sight. A few other symptoms you mentioned such as impaired co-ordination have also put my mind at rest a bit. One aspect of that is something you will sympathise with, judging by the background to your video. I have been playing guitar with various bands for over 50 years, and I had noticed a slight lack of co-ordination, mainly string skipping. I'll just keep practising I guess, but I do appreciate knowing now what the likely cause is, as I had feared that it might be early onset Parkinsons, or somesuch. Excellent video, thanks, and also very well put over. (What are those guitars?) Regards Rick
@lesliehiatt89593 жыл бұрын
I’ve been taking lamictal for 35 years for the same reason. About 10 years ago I was hospitalized because what started out as double vision eventually turned into a lot more problems than that. First double vision, and later dizziness, until it got so bad that I started falling down. I would vomit on the floor, and was unable to walk or even sit up by myself for at least 12 hours. The dosage had not been changed in at least 15 years, it just finally got to be to much for my body to handle. I used to take 1600 mg. a day, now I take 600 mg. I’ve never been able to take the generic brand, it has the same side effects as a high dosage of Lamictal. But if you’re like me, and older in age then maybe you can’t take lamotragine, or you need a lower dose.
@trafficjon400 Жыл бұрын
HOW DOES A MIND AT REST WITH INPAIRED CO-ORDINATION WORK
@maxwesmont4 жыл бұрын
What about bipolar ii disorder?
@ronalddonner33962 жыл бұрын
I wish you would make a vid contrasting the different seizure medications.Lamictal vs Gabapentin vs Lyrica ,very confusing.
@Rebelz1734 жыл бұрын
One thing I’ve noticed is as I’m so sensitive to meds too is that I was taking the tablet form for around 5 years but 5 months ago I switched to the dispersible form and I have sort of relapsed, I’m a lot more depressed now.. I really think it isn’t as strong as the tablet form.. not sure if this can happen but it seems too with me
@MichaelBLive2 жыл бұрын
Got confused with the guitars in the background, thought I clicked on a guitar related video by accident which would be very easy to do. Thanks for the info. Starting on it today.
@AndrewReevesNeurology2 жыл бұрын
I hope it is going well, Michael. And keep making music!
@sherinamartin47062 жыл бұрын
Thank you your information!
@kikaorozco11354 жыл бұрын
I’m on the lowest dose ! But I feel horrible , all I do is sleep I have no energy at all !!!! I don’t even have the energy to get up and brush my teeth 😓 and my vision change out of nowhere I see blurry lines and I feel like passing out , headaches and I’m not hungry at all so I stopped two days ago and I’m not feeling better but at list I’m not so anxious anymore ! Take care of yourself and do the most research you can before putting something into your body, I regret trying it I was better before it only made me feel worse I been too anxious and my mood is all over the place . Be safe and take care ❤️
@Rai11234 жыл бұрын
Kika Orozco 😢 I was just prescribed the lowest dose but scared to take it.
@AndrewReevesNeurology4 жыл бұрын
A good rule of thumb in trying medicines is, "Your mileage may vary."
@reannadevarennes17974 жыл бұрын
How many mg did you take, and how long were you on it before you noticed the side effects?
@Gregory_Rasmussen3 жыл бұрын
I've been taking Lamictin for most of my life. In South Africa GSK trade it under the name Lamictin but I think it's exactly the same medication. I take it twice a day.
@nickycotton61372 жыл бұрын
Thanks for the info' 'Andrew'...👍 It's the headaches worried about most, but just hope works better than Zebinix.
@jimdandy86853 жыл бұрын
Thank you for sharing. If you had a child that was Bipolar with chronic pain would you prescribe this medication?
@cps98172 жыл бұрын
what an adorable cat!
@-m7k0z7-92 жыл бұрын
Can lamotragine be taken for a few months as a trail? And then stop taking it later on? A neurologist/psychiatrist (in addition to another neurologist) prescribed and advised me to take lamotragine and an antidepressant, but I didn't take any of them. So I was wondering if I could take lamotrigine for at least 3 months to try it out on a low dose. P.S.: I'm a medical student, not doing well academically, actually doing very very bad academically. Don't see the worth of pursuing it. Don't know if it's just me or something psychiatric having me be like this (it might be just me). For history: -I had 3 blows to the head before I was 15 (recent MRI is normal) -One of 3 EEGs over 2 years (2020-2021) showed "moderate voltage sharp-slow wave transeints over bitemporal region, with subsequent propagation to other brain regions". With one EEG showing "mild left temporal sharp slow waves". All having being 20-minute EEGs, no assymetry, present and normal PDR, conducted in normal settings, with provocation tests causing no abnormality. -was on 20mg Fluoxetine, and 30mg Miratzepine (7 pills each, for 21 days) when I was 21, in 2019.
@theholisticdog3381 Жыл бұрын
I am 180cm and weigh 82kilograms, I take 200mg, have been going up for 2months maybe, recently started. I take it all every morning. I only have side-effects every time when I go up in dose like maximum 3 days and it does not really bother me, it's very minor and has worn of in like half a day if I get some issues.( I have trained alot running and some strength while begining so that might also help alot with illness symptoms and possibly side effects) And I can't say that I notice any side effects at all only when going up but I think that expected to have some reaction when changing. But the thing I want to say is, it has changed my life and I only want to try and see if I can safely go higher in dose or if that I'm on my optimal level.
@PK-wy5ri4 жыл бұрын
What do you think about using marijuana in edible forms to hypothetically help, or help with side effects? Iv'd definitely noticed not feeling as tired and foggy.
@adalynl2 жыл бұрын
i just started this medication and i'm experiencing most of the side effects.. i wonder when i'll be able to go back to "normal".. and without any more seizures of course
@cinderheartmeow60322 жыл бұрын
I actually used to have focal seizures that would result in a very bad migraine. It felt like someone was bashing my skull in. I haven’t had any serious effects from lamotrigine. It’s helped me to become more active, social, generally motivated and I haven’t had a seizure or migraine in at least a year and a half. I also have severe depression so it handles both at the same time. Most brands of antidepressants will make my seizures much worse so this was the best option for me as well as being put on hydroxyzine for any nasty panic attacks. I got lucky that this drug works so well for me. Any drug will effect everyone differently and I really had luck on my side with this one. It’s not a miracle drug or anything and it doesn’t just cure my depression, but i’m able to actually pull myself up now and i’m not suicidal anymore so that’s a plus.
@bradanderson7978 Жыл бұрын
Take Benadryl if its cheaper than filling the hydroxyzine script. Same thing.
@cinderheartmeow6032 Жыл бұрын
@@bradanderson7978 both make me pretty drowsy but at least my heart seems to be doing okay
@trafficjon400 Жыл бұрын
this is an antipsychotic. and can use more damage than good leaving people olone in missory i n the longer run.
@abelcontreras23205 жыл бұрын
I have seizures and i was wondering if i can mix lamotrigine and leviracetan..and have no problems.because my seizures dont go away.and thats why i cant work..i wana know wat can i do. To take them away
@kathcarroll60475 жыл бұрын
How long should you be no this four af T first I was on 5 them 25 four week now 50 one a day
@suns1457 Жыл бұрын
great job!
@jasonmeyer44294 жыл бұрын
All I keep looking at is the guitar rack... what you got there?
@AndrewReevesNeurology4 жыл бұрын
Sorry for late response! I have ALMOST as many guitars as I need! Maybe just one more?! There's an early 70's Gibson Les Paul (SG body back then), I have a 3 or 4 strats, Yamaha LP, a blonde tele, Gretsch archtop, Epiphone SG (I dropped in Gibson humbuckers), and a few other oddballs lying around. Just got a late 60's Teisco to work on. I build guitar effects pedals and tube amps in my spare time, too. (I don't watch TV and I don't do Facebook....)
@davidhenry11564 жыл бұрын
@@AndrewReevesNeurology I'm on huge dose of anti epileptic meds(Keppra,Lamictal,and Clobizam)i'm talking grams here per day,3 times per day ,and get bad side effects and i can feel the literal pressure on my brain and get memory loss and or badly depressed and double visiuon for quite a while but the new consultant i have refuses to lower the dosage i was @ a number of years back when i was 95+% steady for the life of me i cannot understand.200mg,morning,1oo evening and 200mg again at night of Lamictal,1000MG kEPPRA 3 times per day,and,10mg clobozam 3 times per day.I go 3 weeks out of 4 having sezures,where as,on a lower dose about 7 years ago i only had minute small once a month.I also had a Vegus nerve stimulator installed in May which isn't making any difference.
@heatherhartman64744 жыл бұрын
@@AndrewReevesNeurology very nice, sir!
@janicedobyns75374 жыл бұрын
You are funny Jason Meyer, I think I took that medication and I quit quickly. Since I am bi-polar, I don’t remember why, I think it gave me rash. I was looking at guitars since my brother-in-law and nephew both play guitars. I going back to looking at cat and dog videos, see ya! I get bored easily, lol. God Bless You Janice Dobyns in Oklahoma!
@zipperfixer70074 жыл бұрын
Thats because you are on seizure drugs.
@NonDuality804 жыл бұрын
I just started it not too long ago. I’m up to 50mg a day. Maybe my agitation and self judging thoughts are a little less these past few days
@taaniadyzel97567 ай бұрын
Doctor. Does Degrenol (generic tegretol) fall in the same category as the tablet you are discussing? 200mg for 15 years morning and evening? Also 0,5mg Rivotril at night.
@FrankensteinintoFranken-FINE.10 ай бұрын
I was on keppra for epliepsey, keppra made me feel depressed. Moved onto this one now and so far so good. Probably foing to take 100mg a day and see how i go.
@vanessareece15504 жыл бұрын
Yeah, I'm a bass player, looks like you have an interest in guitars!! You have a lot! Very nice!!
@emobassistformallygeddysco31264 жыл бұрын
Looks like he has a 6 string bass there as well
@veronicafitzpatrick36723 жыл бұрын
Bass player here noticed the same lol
@johnblackflag87463 жыл бұрын
Epileptic here. Been on it for 5 years. I get crippling headaches in the morning, I have to remain sober for it to work (no alcohol or drugs), I cannot drive a car and I have suicidal thoughts. It's hell.
@nellrussellstarving_artist12153 жыл бұрын
Yes!! I think its makes my mom crazy. I'm talking to her Dr tomorrow. ARE YOU OK?
@Fairygirl2623 жыл бұрын
Microdose it and it’ll take 17 days. Worse medicine and it’s costly. Plus I’m not one bit borderline at all as told by 1 doctor. Only do this w dr approval if you do not know how to microdose it but it’s easy. I also had anxiety med to help. The long lasting effects of drugs drown your heart and head chakras. Best of luck 🤞
@johnblackflag87463 жыл бұрын
@@Fairygirl262 My dosage got upped and no more headaches or bad thoughts. So I'm doing better.
@Fairygirl2623 жыл бұрын
@@johnblackflag8746 🙏🏼
@JohnAckerman933 жыл бұрын
I too have epilepsy. I take 150mg twice a day. It’s been doing very well for me. I was diagnosed with seizures back in 2018. I was first put on phenytoin, which was awful. It caused,e to change my mood, and it almost made me lose my job. Once I was put on lamotrigine, it really helped me.
@Mr8619944 жыл бұрын
Thank you for your video!
@AndrewReevesNeurology4 жыл бұрын
You are welcome!
@sandan23582 жыл бұрын
This was just prescribed for my depression.
@Opinionteer4 жыл бұрын
My wife has used this drug for bipolar disorder for years. It seems to be the only one that works. She has issues with generic not seeming to be affective so she needs name brand. The issue with name brand is the price is so high.
@melissaalvarez30284 жыл бұрын
Same.here
@Rebelz1734 жыл бұрын
And me too
@Rebelz1734 жыл бұрын
Opinionteer always I switched to dispersible form and that isn’t as effective either so went back to tablet
@oldmanhendo71833 жыл бұрын
Lol they wanted $550 per month for name brand. Fuckin highway robbery
@lifthill3819 Жыл бұрын
Since starting 100 mg Lamictal, I feel indifferent most of the time. Never particularly happy or sad, even when I normally would be
@lorihamlin36043 жыл бұрын
I’ve taken lamictal for 10 years for epilepsy. I was put on Zoloft but decided against. Don’t try cold turkey! Had side effects from other seizure medications that were unpleasant. Lamictal worked for me..no seizures for years.
@lela80812 жыл бұрын
@@frenne_dilley im on the same pills..from Zoloft i lost weight i was two week without food,upset stomach and dreams that i have was wild🙄after two month using is better but only problem that i have still is insomnia.Rivotril makes me agressive i dont know why so i dont use them anymore
@PaulineRaabe_2 жыл бұрын
I like this doctor. I've been taking 300 mg of lamictal for bipolar works wonders for me. I did have to change to daytime instead of bedtime it was giving me the worst nightmares. I Take it during the day I'm absolutely fine.
@trafficjon400 Жыл бұрын
i can undertand the nightmares but its better to feel better awake than Sleeping . stil it can cause more problems also.
@taaniadyzel97567 ай бұрын
Thank you.
@daphneduryea91363 жыл бұрын
I started having tardive dyskinesia of my tongue at the same time I started on Lamictal. I really hate to stop the Lamictal though as it has helped alleviate my neuropathic pain d/t adhesions more than any other Rx I've taken. But the TD is quite annoying & causes jaw pain.
@daphneduryea91362 жыл бұрын
@Tony Camaj I've tried gabapentin, nortriptyline, Topamax & have been on Lamictal since June of '18. The Lamictal is the only Rx med that has helped. I can't really even feel any pain now that I'm on it. Lamictal is for seizures but is "off- label" for adhesion pain. You should at least try it to see if it works for you, too.
@coronasummerclassic Жыл бұрын
@@daphneduryea9136 what was your dose?
@daphneduryea9136 Жыл бұрын
@@coronasummerclassic I take 250 mg total. I have 100 mg tabs & take 1 in the morning & 1 1/2 half @ night. I went to a neurologist & he said it's not the lamictal. He said if he gave me a Rx for it that it would counteract my Wellbutrin. So, I'm still just living with the tardive dyskinesia.
@CinnamonForest-m7k2 ай бұрын
Do u prescribe it for migraines as well?
@peterd7882 жыл бұрын
In January my neurologist slowly increased my Keppra to 2,000mg morning and night and I was having difficulty tolerating it. When we tried to start reducing it my seizures came back so he's trying to get my Keppra back down to 3,000mg a day which I have tolerated for years while slowly introducing the Lamictal. Fingers crossed, I hope the right combination is found.
@nickycotton61372 жыл бұрын
Same 'ere, but keeping me on Keppra & swapped Eslicarbazepine for the Lamictal. Aye, hope does the job for both/All the best with it anyway + wasn't aware given for Bipolar tbh
@trafficjon400 Жыл бұрын
It all most killed me with the worse bad side effects 6 years ago. i still having a slow recovery and feel i'll never fully recover from this agony. my Doctor said i don't have bi-polar but some PTSD from abuse for so many years. my liver and brain dmage accured after taking this and feel ill still today from this. wishing a full recovery and also notice some related symtems of what dexamethisone did also.
@lacrimacimpeanu Жыл бұрын
I am on keppra 1000 mg daily + Lamotrigine 300 mg...and I am fine. When I am under mental pressure I may have focal seizure with awarnes at times.no other concerns. For me works good.
@iwantmyfriescrispynotburnt39813 жыл бұрын
Cats with yarn. I felt that in my spirit
@aethelwolfe35392 жыл бұрын
Can lamictal cause involuntary movements? I have found some articles on pubmed that have reported either a cataplexy or Touretticism like syndrome that goes away upon stoppage. Like semi suppressable involuntary movements triggered or worsened by emotions.
@authenticmslife7 ай бұрын
Yep. It gave me hypnic jerks (and a ton of other side effects too). They started to settle down as I tapered off. But now that I've been off it for a couple of months, they've come back. Again, other side effects came back too. Withdrawal from this drug is brutal, no matter how slowly you taper.
@Adam-nz9wi4 жыл бұрын
Could someone qualified PLEASE answer this question. I'm currently taking 200mg Lamictal in the morning andI'm less depressed, able to think clearer, don't jumble words as much, and have less anxiety. I just get a slight drowsy feeling. I strongly believe I'm Bipolar yet my psychiatrist insists I'm not... From my research 200mg is a fairly high dose for someone without epilepsy. What does that mean? I've not found peace being on that dose with 40mg celexa and 150mg wellbutrin combined. Nor200mg Lamictal 30mg Mirtazepine combination.
@Rebelz1734 жыл бұрын
I’m confused with what u are saying? Are you saying you feel better taking the 200mg but need to take it by itself without the other meds? Im currently taking 50mg lamictal and even that dose helps me greatly. I think I’m bipolar too cause whenever I take just ssris they do not help me at all but when they added lamictal I came alive. But my psychiatrist also thinks I do not have bipolar
@naturalisted17143 жыл бұрын
I have schizoaffective disorder and Lamictol took away my depression for two years (I was on about 300mg per day)... Then about 4 weeks ago I couldn't remember if I took it or not - I didn't want to take it twice by accident, so I just said "eh, oh well, I'll go about my day and see how I feel"... Then I felt amazing... Then, I somehow convinced myself that I DIDN'T take it that day (I still to this day cannot say if I did or not), so because I was convinced that I didn't take it I decided that it was time to get off of it.... The withdrawal of lamictol is very bad.... I became very tired and depressed. Now, 3 weeks later, I HAD to call my Dr for help. I started back on 25mg last night. I'll be going back up to 50mg in a week. I cannot function without it. I thought it was bad. It isn't for everyone, but it takes away my severe depression. I need it. There are of course side effects to taking it. It makes me happy and so when I'm happy I tend to be more careless with money. So I'm going to stay around 50mg so I don't get TOO happy. Also, I suggest not having any caffeine or marijuana or alcohol while on Lamictol. At least these are things I've learned I cannot mix with it.
@alex3142544 жыл бұрын
im on 500 and all i get is shaking maybe depression but im not sure about that
@Synth20004 жыл бұрын
I find that you can notice effects from the starting doses This drug sticks for more than 24h (cleans somewhen between 14 and 60h), so why not to stick with a lower dose and increase the intervals to 36h, so buildup is avoided? If taken every 24h, it build ups in the tissue > build tolerance > force higher doses and down regulate different receptors. I am going to experiment keeping a low dose (25 or 50) taken every 36h. or even 48h ? My case require slight mood moderation only tho. I understand that other cases may require higher doses. But still I think that the recommendations specify an excessive frequency of the intake. If the drug is present for so long, why not to give it more time to wash out ? To take a 14-60h lived mes every 24h, if you allow me a bold example, is like getting drunk and repeat when you are still hangover = not enough time to clean the system = build tolerance and increase the side effects. Maybe my logic is wrong - please chime in if you can offer some input. Maybe Dr. Reeves himself can speak from experience here?
@Eihab092 жыл бұрын
Hi, how is the pulsed dosing going?
@Synth20002 жыл бұрын
@@Eihab09 I tried it but it was not too practical, so I am just doing 24h cycles and here and there I skip one day. I find it more practical. You can notice it wearing out by the last part of that day. If you wait two days, the second day you will feel like crap - insecure, sad, weak, etc. But, I kept the 25mg dose, it just keeps working for me. Sometimes I increase in 12.5mg or even less when I have to face a very challenging day and works wonders too. I am working at a very high level. Also I meditate, eat once a day, and use a good combination of natural supplements. At this point my body and mind feel pretty nimble and powerful - which is mindblowing for me because I was pretty much screwed no so long ago with a lot of problems to get out of the rut. Lamotrigine/Lamictal has been a very important ingredient in that equation, a major turning point towards wellness if you ask me.
@Synth20002 жыл бұрын
@Tony Camaj I was having depressive periods of 2-3 days every 10 days or so, out of nowhere, with severe mood swings and weakness. And in general a lot of difficulties to get things done, follow a structure, sleep problems of all kind. Messy and struggling to keep a job or keep my place organized.
@jpmcfluffies94513 жыл бұрын
I am getting conflicting information on whether it causes insomnia or not. I am taking several sedating medications, but have also been taking lamictal at night for a while now and still having trouble sleeping. I take 200mg. Wondering if I should try taking in the morning instead. But if the half life is 24 hours, does it even really matter what time I take it if its staying in my body for 24 hours anyway? Could you kindly share your thoughts? Thanks for your feedback.
@AndrewReevesNeurology3 жыл бұрын
Insomnia is not a common side effect in my experience, but yes it can happen. Yes, it generally does matter what time you take it; the level will be down by about 50% by the time you take the next dose. I've had a couple patients who had insomnia on Lamictal, so I switched them to the morning. Talk with your doctor, of course.
@Disharm0ny3 жыл бұрын
I started Lacosamide about a month ago, and a few days after I started experiencing double vision. A couple of weeks after I started having nausea to the point that I can hardly eat, and this past week I've been experiencing lots of heart palpations and some chest pain (sometimes very severe.) My doctor keeps telling me that these side effects will go away once I reach my full dose, and that heart palpations/chest pain can't be side effects of this medication. Is any of that true, or should I push for a second opinion?
@angelaknox2 жыл бұрын
How are things now? Hope you found the answers you were seeking
@NataliaDiazJackson8 ай бұрын
At around what doses do these things happen?
@khristinarada20105 жыл бұрын
I always watch your videos. I have learned alot. I am stuck between a rock and a hard place. If you are the kind of doctor who likes a puzzle medically than please tell me how I can message you.
@BeanDar3 жыл бұрын
Possible autoimmune enciphalitis?
@juliesmith5567 Жыл бұрын
Ive had lamotogine its crap with so many others i still have so many seizuires whats the point i have 14 different more over time again again😢
@Fedko30373 жыл бұрын
You should warn that if you miss 3 days, you can go into psychotic rage. Also warn how intensely painful withdrawal is from this drug. It was given to me for depression. It is intensely powerful. I understand if you have seizures and intend to stay on it for life, but getting off this drug is excruciating. If you can avoid it, don’t take it for depression.
@timothyprentice33463 жыл бұрын
@@romaxcris g’day mate... I was just prescribed this today (for severe depression) and am curious as to how it has made you feel overall. Any feedback Is appreciate Thankyou
@michelleceo79352 жыл бұрын
whoa. will do. thanks.
@JohnWick549352 жыл бұрын
@@romaxcris I know right I’m sick over that comment tonight will be my dose 5 25mg I’m even more scared now maybe I should just stop it and not take it anymore
@swiitchy511 Жыл бұрын
I go into psychotic rage on my own sometimes... Certainly don't need any help there.
@Elijah8890 Жыл бұрын
@@romaxcris how are you now? did you take the drug lamictal?
@dianemary Жыл бұрын
Should I stop taking it if I have double vision?
@NataliaDiazJackson8 ай бұрын
Prescription is just 50mg. Is it ok to take once a day. I think I will have to split it at 25mg 2x a day.
@JohnAckerman933 жыл бұрын
I currently take this for seizures. I was diagnosed with seizures back in 2018. I was first put on phenytoin, also known as Dilantin. It caused me to alter my personality, which almost caused me to lose my job. Once I was put on lamotrigine, I felt so much better. I take 150 mg twice a day
@nickycotton61372 жыл бұрын
All various Med's bound to mess with Brain Chemistry & Personality surely. Fair-Do's for getting back on track/Great you're feeling the benefits from Lamictal.✊. Keppra remind of Rocket shaped Tab's & off-putting, 'Keppra Rage' seems common! On Brivaracetam which help. Less bitten Mouth + Black Eyes = Good sign. (Do find Heat a trigger & Seizures occur more as Seasons change!) ✌
@PandaA-cv3mm3 жыл бұрын
Even at 50 mgs..within two weeks I lost 1/3 of my hair. I was on excellent supplements with no known vitamin deficiencies. I know it helps a lot of people but this has made me extremely depressed and the hair has not stopped falling out 4 weeks later. Perhaps it triggered some sort of shock to my system but my Dr has taken me off of it. I am adding additional selenium and biotin and hoping for a miracle. I just don’t know why the hair loss would continue after only being on the medication for a short time.Any guesses? Thanks 😊
@Joyjoy-ih1ie3 жыл бұрын
I to experienced hair loss at 100mg. I was working out heavy and wondered if that triggered it. I literally felt vexed in my shower. So much hair, but it stopped.
@nickycotton61372 жыл бұрын
Tbh I empathise 100%, but ever since Seizures began! What with all the Med'S aswell. Though as you mentioned it's a (HUGE)shock to the system having Seizures/Fits all of a sudden & 'Nocturnal wandering'😨 let alone the Absent Seizures. Very depressing, just hope helps me + your situation improves. Bless ✌
@davidjustiniani9150 Жыл бұрын
Thank you 🙏
@GeraltOfRivia993 жыл бұрын
i have read alot of reviews saying this med was the only one to help with there chronic anxiety? can you give some input on this? alot of anxiety issues can actually be related to partial seizures in the brain or abnormal activity. this is NOT talked alot about but alot of times people have cysts or even non cancerous tumors growing and pushing against there brain which can deffinitley cause abnormal brain activity. there are certain genes that are also not talked about where you are more prone to mental illness. whats the mechanism of action for lamictal is it a glutamate blocker or gets rid of excess glutamate there for enhancing the balance of GABA and calming down the brain?
@AndrewReevesNeurology3 жыл бұрын
Multiple mechanisms, especially use-dependent sodium blockade as well as GABA augmentation.
@ninveh12 жыл бұрын
Es gibt eine Art von schlimmer absoluter Schlaflosigkeit, wo man seine Schlaffähigkeit komplett verliert (Nicht Ffi , sfi). Wo nur Lamictal Lamotrigin für Hilfe gesorgt hat. Leider ist diese Art von Insomnie von der Medizin kaum erforscht, gar unbekannt. Die Mediziner versuchen es vergeblich mit Antidepressiva zu behandeln, weil es auf die Psyche zurück geführt wird. Lamotrigin in kleinen Dosen wie 5 mg , ja 5 mg kann schon helfen wieder einzuschlafen.
@bjarnetungland45443 жыл бұрын
super good video, thanks
@AndrewReevesNeurology3 жыл бұрын
Glad you liked it!
@meemeethu6 ай бұрын
I just started lamotrigine 25mg 2 weeks ago and I developed sores on my tongue, swelling in my mouth, inside cheeks and lips and tongue feels rough and cracked and burns when I eat spicy food. Should I stop taking it? It does help with my depression. I was on sertraline 150mg and I slowly cut down on that now I’m on 50mg sertraline and 25mg lamotrigine. Why are my mouth condition not going away yet? Will it? I’m also taking otc cuts and iron supplements. Any chance they’re making SE more severe? Thank you.
@asharafulalam94313 жыл бұрын
can i take it 2 days in a week? I want to take it for ocd. I want to take 25 mg
@smoaro64512 жыл бұрын
So okay... I just started 25mg. Of lamictal. In fact this is day 4. It makes me wide awake so I think I'm going to take in the a.m. BUT... the last 2 days my body has been itching all over within 1 to 2 hours of taking. NO rash... just itchy skin. What are your thoughts?
@michelleceo79352 жыл бұрын
I got this too. it is extremely effective for me. Newly diagnosed, at 64. I coat my entire face in Vaseline...
@babynaysc6 ай бұрын
I'm bipolar, I used 200mg of Lamotrigine and the doctor asked to increase it to 300mg, I started 3 weeks ago and I have a headache and pain on the sides of my face, as if it were sinusitis, even taking pain medication, it doesn't relieve it much. Along with that, it ends up making me a little dizzy.
@stephaniewilson52844 жыл бұрын
I kept throwing up and my doctor didn't care and told me to eat apple sauce which didn't work so I halved my dose and didn't tell him and it stopped.
@MariselaCronin4 жыл бұрын
I did the same thing and my problem was gone.
@8QQ83 жыл бұрын
What mg u guy were on that made u throw up? My doc wants me to start on 25 mg
@frankwhite71093 жыл бұрын
It affects the esophagus vagus nerve stomach. Horrible!
@denamcewan48413 ай бұрын
My 15 year old is on 200mg lamictal for about 2 years now and is suddenly experiencing very bad insomnia. Only sleeps about 3 hours a night then wakes up every hour upon hour till he supposed to get up. We’ve done sleep study and done surgery to remove tonsils. Nothing has worked. Is it possible the insomnia would start after about a year and a half of use ?
@synthartist694 жыл бұрын
I was taking 100mg but did not notice it working. I stopped it but kept taking celexa 20mg and it definitely helps my negative mood, but still not perfect. Getting hot flashes from celexa possibly not sure yet.
@eidetic-mo6pl4 жыл бұрын
synthartist69 are you menopausal? I get hot flashes on Lamotrigine but I’m also in menopause. Don’t know which one is causing hot flashes:(
@synthartist694 жыл бұрын
@@eidetic-mo6pl I am a male. I discovered that it is not the lamotrigine causing it. Starting to wonder if it is the celexa
@Twisted_utopia2 жыл бұрын
Wondering if anyone has had visual problems on lamotrigine, I have a a weird visual snow side effect with hypersensitivity to light. Has anyone dealt with this?
@klausbohlert6613 Жыл бұрын
Mit meinem rechten Auge ,sehe ich vor allem Abends violett.Auch hat das rechte Auge Nachtblindheit.Rückenschmerzen sind leider auch vorhanden.Ich überlege das Zeug abzusetzen.
@helenratt663 жыл бұрын
I had a very bad reaction to two weeks on it. My blood pressure shot up and I ended up in the ER. I couldn't speak for days and stuttered for about a month. Very disturbing experience.
@vishalblackbelt3 жыл бұрын
Same here, my BP also shot up badly.
@helenratt663 жыл бұрын
Yeh exactly my experience. Wondered if it was anTIA due to crazy high BP. Who knows but I’m done with it. Have some issues with concerta but need it to function. Take BP meds. Nowhere near as high though.
@frankwhite71093 жыл бұрын
Same! 200/100. Garbage Med...
@threedimensionalmodelcitiz76712 жыл бұрын
Same
@naturalisted17144 жыл бұрын
It worked amazing for me at first but then got weaker and weaker, but my Dr raised my dose about a week ago so I'm going to wait to see how this dose of 100mg a day works. When I first started my confidence was very high, I was getting waves walking down the street from total strangers. Everyone was attracted to me. It was great... But like I said, that faded... Now I'm higher confidence than before I started lomictol... So I'm just going to keep taking it and see if this dose is the way to go.
@ganggang5174 жыл бұрын
try to quit this shit asap
@Rebelz1734 жыл бұрын
Gang Gang this med is a very good med why u would want to quit is beyond me
@kepler5156 Жыл бұрын
Please Can you give me update now?
@stefanlavender1742 жыл бұрын
Can you do a video on aripiprazole?
@kimstockwell7216 ай бұрын
My 33 year old son is on lamictal and Tegretol and clonazepam. He has severe learning disability and has Lennox gastaut syndrome which is a severe form of epilepsy.
@infin1ty850 Жыл бұрын
Very informative video. I'm on it as a mood stabilizer, so I'm only taking 50MG a day with my antidepressant. It does cause tremors in my case, but that's something I can absolutely deal with.
@trafficjon400 Жыл бұрын
Sounds like people can deal with earthquakes. strange and dangerous meds i never fully recovered from after weaning off. Dexamethisone i never recovered from and still wake in shaking pain and know it shortened my life span about 20 years . i don't want to believe this but know what i'm going through . thesae meds are for other things tat realy do more damage than good. eventually these poor people won't be able to come here and explain what is happening to them. later they are totally ignored by family and left to die alonein the Countrys they thougt .
@rollingrock5916 Жыл бұрын
Your tremor was brought on by lamictal? Thank you
@Msberryc8 ай бұрын
I’m in the same situation with dosage. My weirdest side effect is common and vivid dreams
@infin1ty8508 ай бұрын
@@rollingrock5916 Sorry for just now responding! Yes, at least that's what I've been told. They did not start until after I had started taking the medication and my GP doesn't suspect any other cause. The tremors are very subtle, but are noticeable to me.
@infin1ty8508 ай бұрын
@@Msberryc Oh, yeah, don't even get me started on vivid dreams. I couldn't tell you how many times I've woken up in the morning and have bad to make sure it was just a dream and not some repressed memory.
@heatherhartman64744 жыл бұрын
Thank you, doctor. I'm about to have my telephone appointment soon to ask my doctor for it. I need my life back!!!😭😱
@heatherhartman64744 жыл бұрын
CUTE KITTY!!😍🤩 and I got my Lamotrigine!!!
@AndrewReevesNeurology4 жыл бұрын
Yay! How are you feeling? Maybe a bit early to know, of course....
@Marco-nx5tj5 жыл бұрын
I recently had my meds changed from valproic acid to lamotrigine a couple months ago even though I have had a seizure because it's not as effective it has made me less depressed and not eat as much food like I lost 50 pounds and its making me feel much better since valproic acid was making me have high amounts of ammonia in my blood
@AndrewReevesNeurology5 жыл бұрын
I hope you can find a dose that keeps ALL the seizures away, and doesn't cause significant side effects, Marco!
@Marco-nx5tj5 жыл бұрын
@@AndrewReevesNeurology thanks it's working pretty well
@josephlucas854 жыл бұрын
Marco how much dose are you taking of the Lamotrigine a day? Cause I was having very bad Side effects from it when I was taking 200 in the morning and 200 at night so basically 400 a day but my neurologist put my medicine down to 200 a day so 100 in the morning and 100 at night. Also is it controlling your seizures
@marlenathornsbeary28003 жыл бұрын
What state are u located at?
@elyseshires63144 жыл бұрын
I really need help. I’m not sure if this drug is giving me neurological disorder type symptoms or if I have a neurological disorder. My anxiety has been horrible and I have all over body aches, headache, blurred vision, brain fog. I’ve been off of it for two weeks and still struggling. I don’t know if I should go get an MRI or see a neurologist because these symptoms didn’t begin until I began taking this medicine at 150 mg a day all at once at night
@elyseshires63143 жыл бұрын
Jeff G hey! I stopped taking the medicine and after like 3-4 months of being completely off of it, as well as being put on Buspar (and anti anxiety med) most of my symptoms have completely gone away. I still have body aches, but that’s mostly due to my muscle tension and I got to PT for that. So basically all better. That med was not good for me and unfortunately I had really intense side effects.
@hashmatullah16036 ай бұрын
How r u now
@VagabundoOMC4 жыл бұрын
Have you had success treating Recurrent Brief Depression with Lamotrigine or other meds?
@AndrewReevesNeurology4 жыл бұрын
As a neurologist, I do not treat depression. My primary care colleagues, and of course the psychiatrists, do that. Having said that, if someone suffers from depression AND has epilepsy, I would take that into consideration as we discuss which medication to begin.
@sashahempsall99012 жыл бұрын
How long dose lamictal take to work with sezuries
@eliymorales95103 жыл бұрын
Has anyone had any irritability or anger while taking this? I’ve never been an angry person but since starting I feel like it has gotten so worse but my psych insists it doesn’t cause worsening in irritability...
@AndrewReevesNeurology3 жыл бұрын
It can happen, yes. For every drug there is usually a "paradoxical reaction," where the person reacts the opposite of what is usual.
@rc121crx3 жыл бұрын
I was irritable
@untiltheaxefalls72653 жыл бұрын
I think that u should have mentioned the absolutely mind numbing side effects and withdrawal symptoms of coming off of lamictal after long term high dose treatment. I foolishly decided to take myself off of lamictal after a 4yr 500mg a day treatment for BPD (borderline personality disorder, not bi-polar) and it was a mistake i won't make again! However low the side-effects of treatment may be, this is a medication that should always be tapered off of and not ended abruptly if a more effective medication has been deemed more appropriate for his/her affliction.
@milanic7267 Жыл бұрын
hi :) I have bpd. How has lamotrigine helped you? greeting
@milanic7267 Жыл бұрын
500mg? isn't that too much?
@Ben-jq5oo10 ай бұрын
@@milanic7267I have been taking 400mg (split dose) for 16 yrs, for BPD. Seems to help with general stability, but not with the anger triggers. I would say overall it’s worth continuing. No side effects.
@marthasanchez159 Жыл бұрын
I was prescribed recently Lamotrigine for Absence seizures I have been having since 2019. I have tried many different types of medication that didn't work for me. I was to the point that I was having 7 to 10 seizures a day, Suicidal, and giving up on life. I still manage to get up and go to work. I was afraid to start taking a new medication. I didn't want to have the same side effects as with the previous meds. So I hesitated and didn't take it for a while. The episodes were getting really bad, so I decided to take it and give it the benefit of the doubt. He started me with a low dose 25mg and increased it weekly until I was taking 150mg twice a day. The results were instant, within a few days my seizures were completely gone. I was feeling energized and motivated again. Then the headaches and the double vision started. Soon after on it for 4 weeks the rash started on ky hands, back and stomach. And also, more dreaming than usual not nightmares. I decided to cut the meds to 100mg once a day. The rash is almost gone but now the episodes are back, very mild not as bad as before but I am aware of them. It's just like day dreaming and very tired. I don't know if I should had not decreased my meds, but I was frightened and didn't want to go through the experience from previous meds. Thank you Dr. for the great info, I wished my Neurologist had shared with me all the side effects and being for concerned when I call his office and mentioned the rash I had from the medicine.
@trafficjon400 Жыл бұрын
How does a person keep a Job wile having 10 Seizures a day. nobody i mean any body would not higher a person in this condiction. i really don't get this unless honesty is at bay. a true honest person would not be driving risking other life. i allmost died in the hospital being also most killed buy a driver having a siezure. she died driving up an inbankment fliping over going airborn and landing on top of my Car crushing my roof all most killing me.
@nikkiwatson95824 жыл бұрын
I'm starting it today, at 25mg. Several meds have given me seizures and I've been on 90% of everything made. So hoping this works for me. I'm also on lithium 600 mg a day, vistareal, trazodone, and starting cymbalta today as well. Oh and the sumatriptan for the migraines. Fun stuff. Is this too much to be taking? I've already been thru serontonin syndrome, is there a chance of that with lamictal? I'm very sensitive to ssris. They give me small seizures
@AndrewReevesNeurology4 жыл бұрын
Best of luck with the new medication, Nikki! Some people just need to go slowly with starting medications. It sounds like you have a lot going on.
@nikkiwatson95824 жыл бұрын
@@AndrewReevesNeurology thanks! So far so good. No complaints yet.
@tigranmantashyan13634 жыл бұрын
Well you neurologist or psychiatrist knows better, but it seems to much Trazodone and Cymbalta together. Also you have mentioned sumatriptan for migraine. The risk of serotonin syndrome is very high. Consider as well ECG , to be sure if there is no prolonged QT interval. Need to pay attention on possible drug interactions, which is crucial in you case. Best wishes
@nikkiwatson95824 жыл бұрын
@@tigranmantashyan1363 thanks for the info! And you know your stuff! I took a cymbalta too close to a sumatriptan and had seizures all night. I am now off the cymbalta and no problems since.
@kayleighcooper80655 ай бұрын
Started on 12.5gms and the panic attacks are severe. Shouldnt do this but its been incredibly rough😢
@pattyyeager34573 жыл бұрын
How about Vryalar?
@demelewmelesech30932 жыл бұрын
Hi thanks she take over 30 years continu can you explain why not
@ptinsureagency4 ай бұрын
Where are you located???
@Kronic_Jezus Жыл бұрын
I'm having a lot of joint pain. Think it might be from this pill because my whole body hurts every day and was never this way before I took the medication. I'm Wondering what other good alternatives are there for having bipolar 1? I am also on abilify 5mg and am wondering if that pill alone can be enough to keep my stable on its own?
@justinlepp967 Жыл бұрын
I found out they are acids and i craved lots of milk on those meds. When i got off them. I craved acids pop lemon juice amino acids etc.