My daughters psychiatrist started her on 25 mg and gradually increased the dose by 25 until she reached her current dose of 300 mgs per day.. Subsequent reading on the matter has also indicated that that is the usual procedure with lamectal. My daughters new psychiatric wants to increase her dosage but is still gradually doing so by increasing it 50mgs every two weeks. Perhaps your family Dr feels it is okay to start your son out on a higher dose since he did not have any reactions to the medication previously. If you are not comfortable with your family Dr's scrpt maybe you should consider consulting a psychiatrist or ask him why he is ordering the current dosage when everything you've read indicates a lower dosage.My 19 year old son was diagnosis bipolar three years ago, and was put on Lamictal. He did very well on the medication, but quit taking it once he became an "adult." I finally convinced him to give it another six month trial, so he went to our family doctor yesterday to get started back on it.
Family doctor started him on 100 mg twice daily. When he was on it before, we were told you had to start low and increase slowly (he started on 25 mg then). I called family doctor's office today, and was told by nurse that the dosage wasn't a mistake; that's how he's supposed to take it.
Has anyone heard of starting this medication at such a high dose? My son has had allergic reactions to drugs before (penicillin), so I'm really reluctant to start him on this dose (though he really needs to be on something for all our sakes). I'm considering getting a pill splitter so he can start at a lower dose.