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Re: Starting dose for Lamictal?
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<blockquote data-quote="rlsnights" data-source="post: 421138" data-attributes="member: 7948"><p>Was that was the dose your son was on in the past when he d/c the medication?</p><p></p><p>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</p><p> with the recommended increases in dosing.</p><p></p><p>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.</p><p></p><p>I am not a doctor but I think your concerns are not unreasonable.</p><p></p><p>The rash problem is very rare but any rash in someone on Lamictal is potentially concerning.</p><p></p><p>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).</p><p></p><p>Patricia</p></blockquote><p></p>
[QUOTE="rlsnights, post: 421138, member: 7948"] 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). Patricia [/QUOTE]
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Re: Starting dose for Lamictal?
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