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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

I take 600mg of lamictal for

Submitted by Kris7876 on Tue, 2017-11-14 - 19:59
I take 600mg of lamictal for seizures, I took 800mg when I was pregnant with both of my children.  I’m 5’6” and 155# and my levels usually hover at 7.  I’ve had no problems with my dosage this high and I’ve been on it for 7ish years.  I’ve always taken above “recommended” doses of all of my meds which include Zarontine and Depakote, and I’ve been medicated for 30 years.  In conversations with my dr it always comes down to I have a very high metabolism and a very “robust” liver.  Hope that helps. Also I don’t have Bi-polar disorder.

100 to 400 mg depending on

Submitted by Anams on Sat, 2017-11-25 - 08:57
100 to 400 mg depending on liver kidney function and medications taken

That's great you don't have

Submitted by chassity_tavares78 on Sun, 2018-01-28 - 19:28
That's great you don't have Bipolar but you indicated at the beginning you use it for seizures. Why would you have to mention that you don't have Bipolar. If you did then it's something not to be ashamed about.

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