Hello All, I just started on Lamictal 25mg/day for bipolar disorder 2. My doctor says I should be fine with 25 maybe 50 for bipolar, but I keep reading that the maintenance dose is 200... and the titration schedule is to get there by increasing 25mg every two weeks or so until you are there. She looked at me like I had 5 heads when I brought this to her attention and said no way did I need that much and she "wasn't keen on jacking people up on meds," but I feel no relief yet (I've only been on it for 5 days, so I know its early) but I'm worried I'll be in this awful -unmedicated state for a lot longer. I've got an appointment with another psychiatrist, but anyone know 1. how long it takes to feel ANY relief? and 2. if 25 or 50 really is enough to manage pretty sever bp2?
Hi, vspark! Your doctor is correct in starting you at a low dose as it may very well be a sufficient dose for YOU. I'm sure she would increase the dosage at some point in time if there were clear indications of necessity. You could anticipate improvement within two to three weeks if the dosage is working for you. Meanwhile, you have another appointment coming up and you can review your history and progress with the new psychiatrist. I wouldn;t worry about it so much as I think you'll be fine. Best wishes to you! Wildcat
15 Sep 2016
I don't know what kind of bipolar I have, but it's definitely not bipolar I. I'm currently on 25mg, and have been for 6 days. I go to 50mg tomorrow. I don't know what my doctor has in mind for me... and yes I feel pretty crappy right now too. I want this drug to work for me, but I don't know if it will. Any updates, by the way?
15 Sep 2016
I started on 25mg, and doubled my dose every 2-6 weeks untill I hit the max dose of 400mg daily. I started on 25mg 10 months ago, and I felt positive effects once I was upped to 100mg. However, over time I had to keep upping my dose as my Bipolar type 2 depression creeped back in. Yes it seems like a low dose, but everyone is different and will respond differently to medication, if you have negative thoughts about it, you most likely will not feel the positive effects as much! Once you are upped to 50mg, see how that goes, it may work for you. Everyone finds their magic dose and you will know when you find it, it takes a lot of trial and error, so upping doses every 2 weeks may be too soon to realise what dose is working. If you find after a month or two that your current dose is not working well, you have every right to request a higher dose and have your needs met! If your doctor is still funny about it once you gradually up your dose, then see another doctor.
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