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Re: Lamictal: Absolutely no clue what to do :(

Posted by baseball55 on March 18, 2015, at 21:02:25

In reply to Lamictal: Absolutely no clue what to do :(, posted by fido on March 18, 2015, at 19:17:53

> Now I just read in a med book that zoloft does NOT mix well with lamictal cause of liver metabolism!

I don't know about zoloft, but I have mixed lamictal with SSRI's with no liver issues. I have also mixed lamictal with adderall with no liver issues. I have never heard anything about lamictal causing liver toxicity. Maybe I'm ignorant, but I have dealt with a few doctors and a few pharmacists and this has never come up. Is the book you read a credible source? Is it talking about remote possibilities (many drugs, even OTC drugs, can cause liver toxicity in rare instances)? What does your p-doc say about this?

> He definitely isnt going to make helpful suggestions he will just come up with something out of his hat. Oh my.

Are you sure about this? Can you find a more hands-on p-doc?

> I also read in a med book about lamictal it said that there is NO proof that lamictal helps with unipolar depression
> and it also talked about side effects and potentially lethal skin rashes. Now I'm totally scared.
> It also said that lamictal can actually make you more suicidal and is NOT suited for treating acute depression!

Lamictal is used mostly to reduce suicidality. It is not really an anti-depressant, but a mood stabilizer and, along with lower-dose lithium, has a rep for calming suicidal thoughts. So I don't know why the book you read says it can increase suicidality. Also, the side effects were, for me, non-existent, though some have reported cognitive dulling. The rash is very serious, but very rare. Lamictal should be titrated slowly, from 25mg to 200mg over a few weeks in order to prevent and/or keep close watch for the low-probablity of a severe rash.

My advice - find a p-doc you can trust and then trust him/her. You can always find dire warnings about anything if you look for them.


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