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Old 03-07-2008, 09:59 AM   #4 (permalink)
pedagogue
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Join Date: Aug 2004
Location: Anytown, USA
Posts: 1,019
Quote:
Originally Posted by shutterbug View Post
What??!!

Peda...have you heard of this? Last time i was put on Lamictal it had to be started out low, like 25mg, and slowly bumped up, but my new doc wrote the Rx for 100mg.

Both the pharmasist and myself are stumped!?

Thoughts?
I can't provide an opinion on your particular situation as I'm not your doctor and I am not familiar with your particular case, etc. Your prescriber may have specific reasons for starting you at 100mg, which may include previous history of tolerance at that level or maybe a metabolic consideration*, so it may be worth piece of mind to drop them a line and ask.

According to the manufacturer, the typical starting dose is lower than 100mg, and generally is titrated up over a number of weeks....though there are many things that can change this, so it may be helpful to hear the rationale in your particular case.

*Some medications inhibit/induce certain things that can influence the effective dose of other medications. So 100mg of one thing (in the presence of another medication) may have a different effect than if it was the only thing taken.

It is always important to pay attention to side effects and any changes you may have when starting a medication. It may be helpful to keep a log of how you are feeling, so if/when you speak to your doc, you can give them specific feedback. As noted above, rashes and skin irritation is one thing that you should keep an eye out for, and should be reported right away, as this may be suggestive of a reaction you won't want to have continue.
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