Restarting Lamictal after skipping for a few days; when do you start . . . A patient of mine reportedly stopped taking her medications 3 days ago, one of which was Lamictal 100 mg nightly In residency I was taught that if a patient skips their Lamictal dose for 3 consecutive days, you need to start back over at 25 mg per day upon resuming, to minimize the risk of SJS
Fluoxetine and Lamictal dosing after Gastric bypass? Lamictal is largely absorbed in the stomach, so you should see a possible decreased in serum levels because of reduced absorption I think typical strategies would be to split the dose to BID dosing You could consider checking a lamictal level now and then again after the procedure if you are looking for justification for dose escalation
Lamictal dosing for bipolar disorder | Student Doctor Network I was reviewing some information about a new patient I will be seeing in a couple of weeks, and was surprised to see that the patient reports taking 500 mg of Lamictal for bipolar disorder Other current medications include Abilify 15 mg, Elavil 25 mg, Celexa 40 mg, and Adderall 10 mg I have
Lamictal | Student Doctor Network I have, on occasion, used doses of Lamictal up to 300mg daily for bipolar patients with success--especially with a bipolar 2 spectrum affective disorder The FDA recommended max dose is 200mg daily--without other drugs in play I would rather push the dose of Lamictal as high as possible to
Switching from lamotrigine ER to IR? | Student Doctor Network This article suggests you can switch directly without change in dosing or Steady-state pharmacokinetics and bioavailability of immediate-release and extended-release formulations of lamotrigine in elderly epilepsy patients: Use of stable isotope methodology Polepally AR1, Remmel RP2, Brundage RC1, Leppik IE3, Rarick JO1, Ramsay RE4, Birnbaum AK1
Fun Female Patient | Page 2 | Student Doctor Network I brought up szs and dosing to give some perspective on "how much lamictal is a lot of lamictal " 300-400 mg is not a lot of lamictal 500 mg is not a lot of lamictal 600-800 mg of lamictal is a lot, but I've seen it I'm not recommending anything past 400
Lamictal counseling | Student Doctor Network Do you guys routinely discuss hlh when starting lamictal? Forums Communities Pre-Med Medical Resident Audiology Dental Optometry Pharmacy Physical Therapy Podiatry Psychology Rehab Sci Veterinary
Considerations for PO to IV Dose Conversions - Student Doctor Network . . . Dosing: Focus on Safety Metoprolol (Lopressor, etc) •Equivalent maximal beta-blocking effect is achieved with PO and IV doses in the ratio of 2 5:1 •IV duration of action is less than PO dosage forms Monitor and adjust as needed •None Morphine •10 mg of parenteral is equianalgesic to 30 mg of oral response •Equianalgesic dose is
Fun Female Patient | Student Doctor Network I just picked up a 38-year-old female with H O childhood emotional and physical abuse Mood swings since teen years She has been dx with Bipolar II disorder but I think she is Cyclothymic with seasonal pattern She gets more depressed in fall and winter She seems to only be slightly hypomanic
Auvelity | Student Doctor Network This is not quite correct While bupropion is acting as the CYP2D6 inhibitor, Auvelity is also marketed as a dopamine and norepinephrine reuptake inhibitor It is also known to interact with dopaminergic drugs (which is not true for Nuedexta) And the dosing contains 210mg of bupropion which is above the minimum therapeutic dose of bupropion