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Gina M...
Gina M...

Lamictal and tremors

Anyone have any problems with tremors and shaking from lamictal?

By Gina M... at Sun, 12/21/2008 - 9:13am | 164 views | 17 comments

Recent Comments on this Discussion

Hi... I have left frontal lobe epilepsy, which is pretty mild. I've
been taking Lamictal since late '05 and, after adjusting the dosage (I
take 200 mg a day--two 100 mg pills), I've been seizure-free since
early '06. The only side effects I seem to have are very slight hand
tremors but it doesn't affect my quality of life--well, it makes my
penmanship worse but that was bad to begin with! And since it's kept me
seizure-free, that's a minor side effect to me.

Good luck!

flyers74

I take 600mg. of Lamictal. Left hand shakes, sometimes to the point where my normally nice handwriting is heiroglyphics. Other times, I can thread a needle.

dottie01

I have been on Lamictal for 4 years for seizures secondary to Mult Sclerosis. I just had my dose increased from 350 to 400 mg a day. My left hand has started to tremor when I reach for something or when I try to hold a water bottle or my toothbrush or something. If I lay it down to my side or in my lap, it stops. I thought it may  just be another symptom of the MS but the coincidence is too great. And, after reading these threads, I think it may be the Lamictal. Any thoughts?

Mommy of E2 fighting MS

stevensl

My 16 yo daughter has complex partial with secondary generalization. She has been on lamictal since Sept 2008. She has tremors. Does anyone have headaches on lamictal? If so, any suggestions on treating them? We have tried magnesium, coenzyme q10, b complex as well as the usual tylenol and motrin. Nothing seems to help.

caberkes

I have been on lamictal for about three years now and have occasional tremors (just have to watch my blood sugar, I've found) and a similar headache problem. Nasty migraine-type headaches, right? (I compare mine to a red-hot poker pushing through the inside corner of my left eye; sorry for the visual.) They came on a few months after I started the lamictal. The biggest influencing factor I've found is sleep (kind of as a prophylactic); insomnia also came with the lamictal. Without at least 7.5 hours of good, restful sleep I have headaches for at least part of the day. I've also tried all of what you've mentioned, except for the magnesium (taking tylenol/advil for a headache just seems like a joke anymore).

I've talked with my doc about it, as they've slowly gotten worse with time. So on top of the supplements you've mentioned I've tried a few other things. I've tried abortives like Maxalt, Frova, and Zomig, with inconsistent success. I also tried caffeine/tylenol (kind of like excedrin migraine), with minimal luck. We tried low-dose topamax as a prophylactic, but frankly it made me stupid and I couldn't handle that. Now I'm on low-dose amitriptyline, which seems to slowly be helping with both my insomnia and headaches. (aside: Kind of a vicious cycle there with the insomnia/headaches; I do my best to not become dependent on prescription sedatives.) Unfortunately the thing I've found most effective is opiates. They cut the pain pretty well but it's not fun to worry about fighting addiction. I don't enjoy having to ask for them either. We're hoping that something prophylactic works. I've also heard that melatonin can be a good abortive. My aunt takes a melatonin and lies down for a bit. I tried it a few times and the drowsiness that it causes sucks, but so do debilitating headaches.

I don't know if you'll come back to see this or not, but here's my best suggestion: make sure she's sleeping well. Then, depending on how bad/often they are (sounds like they're pretty bad though), work with the doctor to find something that will hopefully help her sleep and her chronic headaches (and maybe you'll get lucky and get an anti-convulsant thrown in there). Sleep can make a huge difference in seizures too. I had an EEG earlier this week (sleep-deprived) and have felt a little on the edge of seizures for the whole week. Luckily none so far. Good luck to you both with the headaches ;)

jcroper

I am on Lamictal, Depakote, Topamax and Ativan.  Left side shakes like crazy.  Right side less so.  Can't hold a glass of water at the middle or the bottom or I will spill it all over.  I have to hold it at the top and only then if it is half full.  Can't go to a buffet by myself, my wife or my friends help me out with my plate.  Some days much worse than others.  No seizures though - for the past seven years.  Before that, no MD could get the right combination for 25 years.

jim042796

I'm on Lamictal and Depakote for my JME. I get little tremors here and there. They are noticable to me but I haven't had anyone approach me about it. I get them when I hold things, mainly small things like a pen or pencil. Also I notice it more after having some caffeine! 

HHC

Ahh, the caffeine, I tried stopping that thinking it might be contributing but I missed it sooooooo much. My one vice.  After two weeks and there being no difference I went back to my more cup of coffee, my limit unfortunately, I know bad for ones health but yummy just the same:)

But yeah I noticed that too, fine motor skills are harder to do when I start shaking. Even counting out change for the customers at work becomes a lesson in frustration. I hope if it is the lamictal that there's something they can give to counter the tremors.

Gina M...

 Hi Gina. I have had that problem with Lamictal and it was two things.

1 the combination with Depakote

2 having toxic levels

 The best thing to do is call your doc and let him know. Get your levels checked. Tremors can be intolerable and embarassing at times.

 Smiles and hope this helps.

 

 Colina

Colina2

I'd forgotten that they can test lamical levels in your blood. I'll call and request it. You wouldn't happen to know what is considered a toxic range? Probably depends on th person I guess.

Thank you.

Gina M...

My daughter has myolconics and only one grand mal so far, she has JME too.  Shes only on lamictal a few weeks and only at 175 mg a day. She said this week she is very over sensitive to noise.  That if someone drops a book near her, she will shake.  Not a myoclonic shake more like a cold shiver.. anyone else??

joan*

Son lamictal 19 Grand Mals Daughter lamictal 16 Juvenile myclonic Both had first issues at 15 Both JME - gotta love puberty : ) * Both dealing with it* Now finding all the lil nuances that go with it* Live, Laugh, Love

dainty

I don't remember being like that when I was starting to have them at 11. I'm 23 now. I have grand mals too. Luckily with the Depakote and Lamictal it's been a little over a year since I've had one. That one was when I was driving during the day. Thank god it was in a parking lot. It sucks making up in the ER

HHC

Hi Gina, I've been on lamictal for 10 years, and I've had the tremor right from the start, predominantly in my right hand which is a real pain since I'm right-handed. After I was settled on 300mgs the tremor did disappear, or at least wasn't a problem. But after having to increase to 350mgs a year ago the tremor came back with avengence and I was wondering about toxicity, but it eventually settled down so I guess it was a case of adjusting to it.

 I'm an artist & photographer and that tremor has made things really difficult at times- even the image stabiliser in my camera is no match for drug tremors and there's days where it's a pointless exercise doing any fine detailed drawing/painting.

kay69

Hi Kay,

I've been on lamictal for almost two years now this is the first time I've had to deal with tremors from it. I wish I could just get used to it, but I need to pass a phlebotomy class to finish my degree and I can't see going near anyone with a needle if my hands are shaking. Alot of times it feels like my whole body is shaking and I end up tripping over my own feet when it gets really bad. I'm hoping if it is the lamictal that there's something they can give me to counter the shaking, because it's getting old really fast. I wonder what makes it better some days and worse the others? When your life revolves around using fine motor skills it's a huge interference to shake, as you said. But at least you haven't stopped your art due to them, kudos for that!

Gina M...

Hi Gina,

I've never been able to figure out why some days are worse than others with the tremor. My theory is the lamictal levels are actually spontaneously fluctuating. That happened to me all the time on dilantin- a level taken in the morning would be fine but by afternoon I could be toxic, and dilantin levels are very accurate. Never worked that one out, but proves it can happen. Lamictal levels aren't done where I live so I have absolutely no idea if that's what's happening, or even if I'm chronically mildly toxic. But I have the same problem with my vision- another common lamictal side effect- where I have patches of not being able to focus properly and other days it's fine, so I'm sure it's fluctuating levels. The tremor and vision doesn't correspond with anything else ie seizures, tiredness, lack of food.

Yes, tremors and phlembotomy would be a problem. I don't know if there's any drug around to counteract the tremor, but let us know if you find one? 

 

kay

kay69

I found this website the other night. I'm so glad to find some answers to a few of my questions and also to be able to communicate with people that are experiencing the same things I am.

JME started for me when I was 15. I'm now 55. I have seen at least a dozen neurologists if not more. Each has had an educated guess on how to treat me. Some doctors have been eager to try and find an answer others egotistical and just collecting a check.  I've been on lamictal for about 5 years, 300 to 350mg until just recently. I moved to a new city and had to find a new neurologist and since my insurance doesn't cover pre-existing conditions for another few months I had to find one that would accept cash. Easy? No. Number 6 finally said cash was ok.

I've been on lamictal for five years, 300 to 350mg until the last couple of months when my current neurologist increased my dosage to 400mg. I had been getting slight tremors prior to my last visit but once the dosage was increased the tremors increased considerably. My right hand would shake so hard I would try to stop it by grabbing my wrist but it wouldn't stop. The intern at my last visit told me to watch the tremors but no one said why. I had no idea that the lamictal could be causing it let alone that I would be reaching a toxic level. In the 40 years of this I have never had one doctor or medical person mention anything to me about that.

My JME was getting worse with the tremors on top of it. I found when the jerks started getting bad taking 5mg of valium made them stop, I did that on 4 different mornings. I DO NOT RECOMMEND this to anyone. So, I quit taking the lamictal. Stupid I know, great way to have a grand mal seizure. I was groggy for about a week, like a hangover. I had a couple of mornings with a "bump" or two but so far I've been doing good. 

I called my doctor twice in the last couple of weeks voicing my concerns. The other day his nurse finally called me and told me that she would relay my information to the doctor. I haven't heard from anyone since. Maybe I found another one of those neurological deities. I will pay close attention to the signs my body gives me. I'll work hard at taking care of myself. I do know that stress and anxiety are the catalysts for my seizures. I just can't afford to pay $300 for an office visit to a neurologist that doesn't seem to communicate well and I just can't afford $400 a month for medicine that is making me worse. 

 

sheila15

Hi Sheila,

I learnt many years ago that doctors have this habit of NOT informing patients about even common side effects of medications (I suspect there are some who do, but I've yet to meet them). Quite honestly I doubt they even have a clue, especially when the common attitude is "stop the seizures at all cost." Yes I am cynical. A long time ago I stopped blindly taking AEDs how the neuros wanted me to and questioned everything, and also made the final decision myself, though I have always let them know what I'm doing, and have always been sensible about it, based on what I know I can handle. I actually need my lamictal upped, the goal was 400mgs, but I've stopped at 350 and I know I couldn't tolerate 375. I made this clear to the neuro and he had to agree with me based on my side effects.

If you ever need proper information about any medications, your first port of call should be the pharmacist. They have all the books and it's their area of specialty. Then once you have the facts you can make your decision about where you want to go from there.

I can't comprehend the hassles you have to go through with insurance and paying megabucks for your meds. I'd hate to be in a situation where I couldn't afford the drugs I needed. I hope you can get it sorted soon.

kay

kay69

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