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Max. allowable dose of lamictal

Fri, 11/19/2010 - 11:36
In scanning several threads, I've noted that many people are on fairly high doses of lamictal (whether or not combined with other drugs). The highest dose I've read about so far in this forum is 450 mg. I am currently on 200 mg, and potentially will be increased to 250 - 300 mg. I've read that at doses of 300 mg. and higher that lamictal is being used as a med for bipolar (and perhaps depression, but I'm not sure). I definitely don't have either of those conditions, and probably none of you taking these higher doses does either. This leads me to the following questions: 1. What is the max allowable dose of lamictal? 2. Do higher levels of lamictal offer even greater seizure control? PLEASE correct me if I'm wrong, but I thought lamictal's effectiveness for controlling seizures "plateaued" once you reached 300 mg, and that's why at these higher doses it is considered a bipolar drug rather than an AED. Thanks in advance for any help!

Comments

Re: Max. allowable dose of lamictal

Submitted by mcm on Fri, 2010-11-19 - 15:16
I'm not sure but I am on 400 Lamictal XR for CP seizures (not for bi-polar or depression). I've read of persons on this forum taking 600 or even 800 mg.  

Max. allowable dose of Lamictal

Submitted by guji on Fri, 2010-11-19 - 17:59
My doctor would not give me more than 400 mg a day,and he told me that my last dose should be @ 4:00 PM because Lamictal he said is like coffee,and if we take it late,we can not sleep.

This is interesting as on my

Submitted by annae on Wed, 2019-01-16 - 21:16
This is interesting as on my medication box it says to take at night and that it can cause drowsiness and dizziness. But I have found it to be quite activating - similar to coffee I suppose so I don't necessarily agree with that logic. It's strange the conflicting information we're given at times from doctors and pharmacists. A bit frustrating!

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