Re: Starting dose for Lamictal?

Discussion in 'General Parenting' started by junettia, Apr 17, 2011.

  1. junettia

    junettia New Member

    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.
  2. Jena

    Jena New Member

    hi and welcome............

    we are also starting lamictal tonight actually. i was given 25mg for my daughter, yet im starting at 14mg and cutting it in half. the reason being because of all the warnings and risk of rash. this way if rash shows up can pull medication fast without having to ween down in anyway.

    good luck medication game is always hard. we can't tell you obviously yet i've decided to cut it in half
  3. rlsnights

    rlsnights New Member

    Was that was the dose your son was on in the past when he d/c the medication?

    Normally, with a patient naive to Lamictal, there's a starter kit that has the step up dosing already set up in blister pack format
    with the recommended increases in dosing.

    I do not believe in having family doctor's prescribe psychiatric medications based on some very bad personal experiences but if that was the only way to get him started on medications quickly then that's what you had to work with. I'd see if you can get him in to a psychiatrist asap and in the meantime break the tablets into quarters and start him at the 25 mg dosing recommended by the manufacturer. Or you could wait til tomorrow and call the doctor's office and request that the doctor prescribe the starter pack. Or you can ask the pharmacy to contact the doctor's office for you.

    I am not a doctor but I think your concerns are not unreasonable.

    The rash problem is very rare but any rash in someone on Lamictal is potentially concerning.

    All that said, I am on 400 mg Lamictal daily - the maximum dose. I was on Depakote when I started Lamictal so my psychiatrist rxd the special starter kit for transitioning from depakote to lamictal. Once I was at 200 mg we increased by dose to 250 then 300 and then in one step up to 400 mg (100 mg increase).

  4. pepperidge

    pepperidge New Member

    Yeah, I would definitely want to start a bit more slowly even if he has tolerated it before. We started very low with my children.
  5. My daughter was just switched to Lamactil from Trileptal and we started off with 25mg for 1 week, 50mg for 2 weeks, 75 mg for 3 weeks, then she is to have her levels checked and we are eventually going to be at 100mg. She takes her medications at bedtime. I would definetly start out slow and work up!
  6. JJJ

    JJJ Active Member

    That is definitely wrong!! I would call again and ask for the starter pack.