July 27, 2007

Lamictal Withdrawal, Part 2

Thanks for the many kind thoughts, comments and emails in response to my post yesterday on some Lamictal withdrawal issues I've been experiencing. Here's one comment:

"Lamictal withdrawal was by far my easiest, but I did it over about 5 months and stopped after every drop in dose until I felt no ill effects. From what I recall, withdrawal symptoms took the form irritability and difficulty concentrating, but I don't remember any extreme fatigue."

I hadn't mentioned the irritability yesterday. A few weeks ago when I got into the 50 mgs. a day range, I noticed that I'd begun getting very snappy with my friends. Which is to say, words were coming out of my piehole much faster than usual and I felt pissed off much more than usual. I was irritable as hell and actually had to take Ativan on a couple of occasions just to chill out. The irritability part seems to have disappeared in the last week since I've been off Lamictal altogether. The extreme fatigue and difficulty in concentrating seem to have drifted away for the most part. Then again, today is young. I've slept like crazy the last several days. Oddly enough, my mood is fine.

Except for my frustration that my doc didn't tip me off that this might happen. But that's OK. I'm pondering putting in a call to GSK's press office next week and asking them why it is so difficult to find info on Lamictal withdrawal on their site. I am also pondering filing an adverse event report with the FDA.

All in all, I'm trying to remain positive about the whole experience. I mean, I've taken Lamictal for three years, so what did I expect?

Posted by Philip Dawdy at July 27, 2007 12:34 PM
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Comments

my doc never warned me that suddenly stopping effexor could be a problem. i ran out for a week, and it took about 1/2 a day to start feeling horribly sick. i asked the pharmacist when i picked up the refill if withdrawal from effexor could be causing me to feel like i was dying, and he said, "absolutely not. no way."

assholes.

Posted by: anonymous mom at July 27, 2007 01:03 PM

These are drugs designed to fundamentally change the chemistry of our brains, of course stopping -- either suddenly or gradually -- is going to be painful. Dropping off them for a week or two because you run out is a good way to seriously mess yourself up physically and mentally... If you want on these pills only do so with the help of a trained professional, and it's the same if you want off.



Posted by: Gabriel... at July 27, 2007 02:07 PM

I'm sure GSK will claim there is no such thing as lamictal withdrawal...just your symptoms returning ;)

Posted by: undiagnosed at July 27, 2007 02:33 PM

I take Lamictal also..250 mg and have been taking it for years. I guess I know what to look for if I ever go off of it. I read your blog everyday and find it very interesting.

Posted by: bipolar babe at July 27, 2007 03:41 PM

Except for my frustration that my doc didn't tip me off that this might happen.

Are you actually surprised by this? Doctors DO NOT know about withdrawal. People DO NOT generally withdraw. It is in the doctors interest to keep people on drugs and usually because they withdraw people in the wrong way if they do choose to let someone try, they get a radical withdrawal effect that makes them think that the drug is needed. So they don't often even let people try to withdraw.

To make matters worse, there are a FEW people who have a very easy time of withdrawal so this makes it easier for the psychiatrist to believe that if someone had it easy then the 100 other people who have it hard must simply be relapsing.

This isn't written totally clearly--but I'm about to watch a movie...

Posted by: Gianna at July 27, 2007 05:02 PM

Yes, effexor is a nasty one. Sometimes I'll get the brain shivers thing after missing only one dose.

But remember, these pills aren't "addictive" so you're not "really" going through "withdrawal," you're just experiencing "discontinuation syndrome." (yeah, whatever)

Posted by: Jon S at July 27, 2007 06:08 PM

I would suggest reporting this withdrawal as an adverse effect because it is one. The reason there is so little documentation of withdrawal symptoms, is because most people do not report these to FDA-MedWatch Reporting by Consumers. Doctors are not required to do this, and some people just think they might have the flu, etc. and of course in general most people do not know about the FDA medwatch reporting system.

The more that is recorded as an adverse reaction, is how %% get into those prescribing packages that come with all medications.

Not only do most doctors not warn patients of withdrawal effects, most doctors do not explain the prescribing information in detail.

This is an important step everyone here who has suffered withdrawals[including myself removing Seroquel]should take, to get the "officials" hearing consumers loud and clear.

Most people, when we read anecdotal stories say the withdrawals worse than any other symptoms or adverse affects.

I also agree, that though feeling out of sorts in the withdrawal stage, the mood can feel fine.That right there befuddles most doctors.

Continued best wishes and give it time, and keep documenting here, it's going to help others.

Posted by: Stephany at July 27, 2007 06:41 PM

Well you know I can't leave the fine print research alone if I wanted to.I have all of my Lamictal given to me via Pharma reps. I'm going to work on a post about this but will start here with the Pharma rep freebie insert that came w my 25mg. Lamictal package.

"If your doctor decides to stop your treatment, do not keep any leftover medicine unless your doctor tells you to.Throw away your medicine as instructed."

GSK-GlaxoSmithKline@August 2005."

So, did your doc tell you to throw it away? That is the only reference to stopping the medication listed in the GSK "Information for the Patient" paperwork that comes inside the samples given to psychiatrists.

Posted by: Stephany at July 27, 2007 11:04 PM

All in all, I'm trying to remain positive about the whole experience. I mean, I've taken Lamictal for three years, so what did I expect?

That is a great point. Could you imagine what a bitch you would be right now if were trying to quit smoking?

Posted by: Angie at July 28, 2007 06:03 AM

Link to:
FDA-Med Watch Reporting for Consumers

Posted by: Stephany at July 28, 2007 08:28 AM

Psychiatrists can't deal with side effects nor withdrawal syndromes as these problems are outside of their very limited frame of reference. Shrinks seem themselves as healers (I see them as drug reps, one step removed) and they're unable to deal with the mess that they make.

Effexor is an especially nasty one. My cousin is on a low dose and simply forgot to take it for a couple of days (she was moving). We ended up in the emergency room as she was dizzy, falling over, seeing blinking lights and had vision swim (that ghastly feeling when you swing your head but your vision can't make the transition for a couple of seconds).

As she's a brain cancer survivor, she quite reasonably thought she had another tumour. She was fine once she took her next dose. I can't believe this kind of information isn't put on those information slips you get from the pharmacy when you get a prescription.

Posted by: Francesca Allan at July 28, 2007 09:09 AM

I think Angie brings up a good point, about what I think could be how we all have a "vice". When I reduced Seroquel, I had to have junk food that I had given up. By the end of the day it was Doritos and a diet coke, which I had also given up. Then I made sure to watch the junk food intake because I was glad to be rid of it. When life pressures increased[finances,hospitals, work and lack of it]I started needing PRNs.[in other words, I didnt use doritos and diet coke I went for xanax]You mention you took an Ativan to help ride out the Lamictal removal. You most likely do not want or plan to stop smoking cigs or cigars and I wonder if that has increased, meaning what if---we can use psych drugs as vices the same as alcohol,food,tobacco,sex, etc.
So, in fact maybe it's okay to remain on some Lamictal, [just thinking outloud in general terms here]instead of having that extra Ativan, smoke,booze,food or sex[whatever applies].
I don't think I know any one who doesn't have something we use to get through the day, even if it's a coffee and donut, soda and chips, booze, etc. I wonder if situational stuff is more of a culprit than we all think, and maybe Lamictal is like a bag of chips.Either way a person looks at it, what's the difference if it's chips or Lamictal, we all use. I bet there isn't one person reading this that doesn't have a vice.So in a way what does it matter which one it is. And prescription drugs are "safe" compared to alcohol and tobacco right? or transfat?

Posted by: Stephany at July 28, 2007 12:22 PM

I wonder if there have been studies done comparing the saftey of lamictal to alcohol, tobacco, or even transfat. It's an anticonvulsant that no one knows that much about but probably in the end causes worse side effects than alcohol, tobacco or transfats. I've read that people who are manic can benefit from marijuana but unfortunately, it's illegal.

Posted by: Sally at July 28, 2007 06:44 PM

I can't help but think ... before you file a report, have you ever considered that this might be closer to WHO you really are? And that you're feeling it in fully personified force? You said:

"I hadn't mentioned the irritability yesterday. A few weeks ago when I got into the 50 mgs. a day range, I noticed that I'd begun getting very snappy with my friends."

I mention this because today, I went off in the parking lot of Wally World, the snappiness culminated by two Latinos discussing a plight with WW's bank, and yes unintentional eavesdropping I was...once again I heard of 2 MORE people getting ripped off royally and yes, quite snappy was my sudden motive of operation, and they weren't even friends. So I righteously shifted the snap, and explained to them how they were being victimized, then suggested a solution and word-a-mouth snap to-it message: "tell all amigos!"

See, I am not biased, and I hekyll-jyde any moment when our "locals" -- the political commentators and commerce giants, exploit people, any people, and where I live, many of those people are Latinos. I get f-ing snappy, too, and I'm withdrawing only from biz-as-usual and SOP.

Then I waited around to see if I needed to go to customer no-service to ombuds a few English and well-understood words on the couples' behalf.

(om being much better but less effective at WW)

All is well. Problem solved. And I'm not on meds.

Sometimes it is not bad to feel 'bad' or 'snappy' things, it just takes getting used to...

Namaste, all is well, PD, you are fantastic!

I read a quote once and rather liked it.

"The more you become like yourself the odder you become."

My self can't stand a ripoff. And if I'm odd, then so be it.

So, as you say, "...I've taken Lamictal for three years, so what did I expect?"...

Then my response is expect a wake-up call. If it solves problems while it happens, the problemos may be justified after all. ;-)

Posted by: sunny at July 28, 2007 11:29 PM

I was being sarcastic about prescription drugs being "safe" because they are prescribed by doctors, approved by the FDA, yet all of the other things like alcohol,tobacco,transfat get bad press. All of it does something to the body and some of those so called "safe meds" ruin livers more than drinking booze. I guess what I meant to say is in the end we "choose our poison" and hope to come out of it intact and happy.

Posted by: Stephany at July 29, 2007 09:20 AM

Stephany, I realize I'm preaching to the choir, but this is the thing, when someone takes a drink or eats an onion ring (my favored poison) they already know the dangers and are choosing to indulge anyway. "Patients" are tricked into taking psych meds, lied to about their benefits and side effects, and such. I'm reminded of the ads in magazines in the first half of the 20th century that touted the health benefits of tobacco, completely false and completely believed until somehow the public caught on. (Disclosure: I'm a reformed tobacco smoker. I don't smoke marijuana).

Posted by: Sally at July 29, 2007 10:23 AM

The only meds that I know of that have extremely well "anecdotally" published discontinuation effects are Paxil and Effexor. Regardless, unless you're having some ugly side effects and you just can't handle it, a slow taper is best to err on the side of caution--just to let your brain adapt.

And a trick for Effexor? Once you get down to a low enough dose, take a tiny (i.e. initial dose) of Prozac for just a few days. It tricks your brain into thinking it's still soaking in enough Serotonin. I've done this before and it helps. I've never been on Paxil but since it's an SSRI, I don't know if it would work in the same way (Effexor is in a different class.)

I haven't had any problems going off any of my meds when needed--and my GP who was treating me at the time for most of them usually yanked me off them fairly quickly.

I actually yanked myself off of Lamictal as I broke out in a rash and it was unbearable--my entire body. I didn't have any other "get yer ass to the hospital" symptoms...fever is a big one. I was on a fairly low dose though. It was ruled a viral exanthema and I was put back on the med. It was a weekend so I just doped myself up on Benadryl and that seemed to help for the most part.

But I haven't found any discontinuation issues in the literature either for any of the ACs. Mostly it's got more to do with people that have seizure disorders--not for Bipolar.

Posted by: patientanonymous at July 29, 2007 05:58 PM

PA--I had a recent rash on Lamictal and it was full blown welts not even hives. I was feverish and loaded up on Benadryl per it being a holiday and it was gone after a few days. I never stopped the Lamictal, I figured SJS wouldn't kill me overnight. I guess we play with fire on these meds.

Posted by: Stephany at July 30, 2007 08:49 AM

My husband was, I suspect, incorrectly prescribed Lamictal after SSRIs did not aleviate his anxiety-induced depression. Effexor also did not work and was a nightmare to get off of. But Lamictal has proved impossible. When he tried to titrate down slowly (from 150 mg. over several months) he developed burning sensations in his skin. At 50 mg. he ended up in the ER with heart attack symptoms and was told it was from going off Lamictal. It was recommended that he go back up to 150, which he did. He's still in bad shape. He's lost his appetite and about 15 lbs. He has terrible headaches, dizziness, difficulty focusing, exhaustion, and anhedonia. He says he feels worse than he ever did before the psych med nightmare began 6 years ago. Apparently Lamictal withdrawal syndrome is rare, but he's having it. Even after he's gone back on it. Has anyone heard of any experience this severe with Lamictal?

Posted by: jk at August 10, 2007 10:29 PM

One thing I really wonder about is that, after several ill considered withdrawals from psych drugs, is it possible that it just catches up with you and no matter what drug you're on you finally have some awful reaction? I wish someone out there was studying the cumulative effects of going off psych drugs one after another and especially going off them too fast. I do think there are probably some lasting effects that are not understood I'm sorry to say.

Posted by: sara at August 11, 2007 10:17 AM

Sara,
I think you are correct.The long lasting effects, from too many meds and withdrawals from them. I'm like a broken record here, but considering the boatloads of meds my daughter has taken over 8 years, and how she has never recovered from 2yrs. ago summertime withdrawals from Depakote,Lithobid and Zyprexa; makes me wonder about all of this quite a lot.
Cumulative effects are often considered for allergic reactions for medication, such as codeine for example. It's not the dose or how or when a person might react, it's an individual's cumulative result of the use of the medication. That is unpredictable, and thus the beginning of the question of long-term effects of psychiatric medications starts. I feel the body often responds especially in withdrawals as if it is having an allergic reaction.Which takes people by surprise, because most people do not think about how bodies react to removing a chemical.
It can often be a negative response[I know I had one coming off of Seroquel, swollen face, brain zaps, the fatigue, it was horrible] and Benadryl helped, which is a curious thought as to "why?"

I feel, that some people may in fact not need the medications they started on, but in fact may have long term damage, and when I say damage I mean psychiatric symptoms as damage: such as permanent psychosis, that often is just written off by doctors as "the illness", when in fact is an unprovable injury caused by the medication use.

Regarding the post written by jk above: the withdrawals could be from the Effexor, depending on when that was removed, there could still be withdrawals happening from it.

Posted by: Stephany at August 11, 2007 01:21 PM

I hope this isn't true. He's gone off Serzone, which was easy. Some other SSRIs that I can't remember the name of (because I'm so worried about him) were a piece of cake next to Effexor. But this Lamictal is way more painful to get off of. It's interfering with his ability to get up in the morning, do his work, he's so miserable he can't "stand being" as he says. One of the worst symptoms for him is dizziness, because he can't drive, do his work, or anything else. He has both sleep disruption and sleepiness during the day when he wants to work. The burning skin sensation is also hell for him. My concern especially is the lackadaisical attitude of his prescribing psychiatrist ("If you just quit your job you'd be fine").
Well, that's not going to happen unless he ends up on disability because the psych meds have made him totally dysfuntional.
His primary care physician is a useless nimrod, too. He's the one who started this whole cycle.

Posted by: jk at August 11, 2007 06:27 PM

jk:

Google "effexor withdrawal venlafaxine" and read this medscape article titled "Venlafaxine, Withdrawals, warning to drivers". [I can't get the link to work]

" ..withdrawal symptoms as "serious": agitation, anorexia, anxiety, confusion, impaired coordination, diarrhea, dizziness, dry mouth, dysphoric mood, fasciculation, fatigue, headaches, hypomania, insomnia, nausea, nervousness, nightmares, sensory disturbances (including shock-like electrical sensations), somnolence, sweating, tremor, vertigo, and vomiting."

Though this article is in discussion regarding Effexor, I believe [and this is just an opinion, based on my own experience withdrawing from Prozac and Seroquel, which are 2 different medication classes. I experienced the same withdrawal symptoms, and it took 6 or more months for the withdrawals to stop.

I would take a look at the timeline of when the Effexor was removed, how fast, and was it administered while on Lamictal. Some people report in that it can take months, and years to recover from medication withdrawals.[which come in the form of physical and disabling symptoms]. Most general doctors[PCPs]do not understand the medication they prescribe or how to advise a patient to remove it. Same for the psychiatrist that thinks quitting work will help.

Here is a series of posts I wrote during my removal of Seroquel[antipsychotic] and once again I need to say the symptoms were about the same coming off of Prozac.[antidepressant]In my opinion, withdrawals can happen on any one of these psych meds, even Lamictal.

My Seroquel Withdrawal Experience

Also, the author of this blog Bipolar Blast is writing in detail her experience withdrawing from psych medications and Lamictal is one of them.

Posted by: Stephany at August 12, 2007 10:23 AM

Stephany and Sara,
Thank you so much for this information - so helpful. I will check out these links and show them to my husband, along with these posts. It's so helpful to have some support - I've really been struggling with this on my own for a long time.

A positive development: even though we've told his doctors and the numerous pharmacists I've spoken with about the dizziness problem, a solution did not present itself until last night.

I'm very persistant and continually research and call around for information and help. Last night a young pharmacy intern at an all night pharmacy recommended trying dramamine for the dizziness. I immediately went and got some.

Since my husband started the dramamine (1 last night, 1 today) his dizziness and headaches are gone. He almost sounded like his old self today. He's so super sensitive now to everything, that we're lucky he didn't have a bad reaction to it.

This gives me hope that one by one, we can beat these symptoms and the evil drugs.

Does anyone have a suggestion for dealing with his burning skin sensations? It feels to him like bad sunburn, even occuring at night. He uses a lot of aloe, which helps a bit. It isn't visible, so I don't think it's The Rash (plus he had a liver test at the ER two weeks ago).

It's also very helpful to hear that there may be continuing problems for a while even after he's off the Lamictal. I'm sure the MDs will say "Oh, his depression is coming back", but this time we won't succumb to these medieval, chemical sledge hammers.

I think he got off Effexor (this is worse than heroin) two years ago. I can't believe the parade of psych meds his poor brain has had to endure.

I also want to add in response to Stephany's comments on coping, that my vice is classical music. It provides total escape for me, especially if it's vocal. The more detailed, the better. I'd be a goner with out it. And food's not so bad either....

Again, many, many thanks.
jk

Posted by: jk at August 12, 2007 06:58 PM

I plan to try Benadryl tonight - thanks for all the input. If that doesn't work, I'll get Dramamine. I have been on Effexor for several years - up to 150 mg. I started feeling like it wasn't working a few months ago so my doctor very slowly cut me down to 37.5 mg 1x per day. A couple of weeks ago I was dianosed with bipolar disorder and the psych doctor put me on a schedule to up the Lamactil as I was reducing the Effexor. I thought I was going to die. My head was spinning, I became sick with a bad cold - feeling somewhat better today - I felt out of control and I still have a lot of dizziness and the feeling that when I turn my head, my brain doesn't turn at the same speed. I kind of feel like I'm in some time warp or I've had way to much to drink!! I am having hot flashes all during the day and night. I even have a fan blowing directly on me at night. I wake up several times during the night feeling like I'm in an oven then I break into a heavy sweat which leaves me wet and freezing. I feel like a drug addict trying to come clean!

Posted by: Deann at August 29, 2007 06:43 PM

Dramamine was mentioned by my psychiatrist for any dizziness coming off
Effexor, however I was only mildly dizzy for a day. My daughter used Dramamine for dizziness post Effexor and it worked.
I have not looked for any forums where people are happy with the results of using mood altering prescription drugs but Prozac and Celexa really saved my life in years past. I think the spectrum of what is called "mental illness" has broadened to the point where many people are being treated for "depression", but it is the kind of depression that results from a state of severe exhaustion.
I am 60 and remember movies where people took "rest cures." (One of my favorites is NOW VOYAGER.)
However, some people, and I include myself in this category, have life threatening depression and mania. To give me a psych med might then have a very different effect than on someone who is desperately run down, defeated by life in a sick culture, under too much pressure, lacking fresh foods and little exercise.
I compare it to giving insulin to a non-diabetic. Does that make sense to anyone?
The rise in the use of anti-depressants is correlated to the inability to take time off without losing one's home, health insurance, etc. The pills keep people functioning, but prevents people from coming to grips with an unnatural life. No escape! It is common sense that to sleep too little, work excessive hours, eat fatty chemically altered food, and be consumed with worry would result in despair. The symptom indicates the anti-dote.
Also there was a reference to Marijuana as a good herbal treatment for mania, except for it's legal status. When I was young I smoked it and found instant relief from mania and extended rages - again, however, I did not get "high" like people who were not bi-polar, I went to sleep. Same with alcohol, I have never gotten a buzz, only sick from having a drink.
There was a reference to people "facing themselves" coming off mood altering medications, the crabby words, generally anger. I think there is some truth to that, but only the individual would know how to evaluate erupting emotions. No one complains about love erupting out of our mouths, and why does that not seem to happen?
What makes it always anger? I found this site helpful in that regard www.gocure.com ...
I wish you all well, this blog is delightful, so many intelligent writers, such specific information.
I am almost off Lamictal and found the debilitating feelings went away after reading the posts yesterday, it is the fear of symptoms that intensifies them for me. Now when I start to feel odd I tell myself, "Oh, my brain is adjusting. I will let it rest then." Within a short time the aggravating symptom has passed. In 2 weeks I will be off all medications, and time will tell.
As for supplements...enough B vitamins, zinc, magnesium...there are many sites with specific recommendations for those who use these medicines.

Posted by: emma at February 5, 2008 11:43 AM

Hi there,
Question for one and all. I was taking over 150 mgs. of effexor when I went totally manic. Got off the effexor and started ramping up to 500 mgs. of Lamictal plus 2.5 mg of zyprexa. Have since weaned myself off the zyprexa (40 pounds later). I have also reduced the Lamictal to 200 mg -- as I was having so many language and memory problems that I was unable to function. I still have lots of memory, concentration and language problems (major issue as I am an actor). I would like to try weaning myself off the lamictal altogether. My hope is that the mania was triggered by the previously large doses of effexor. These postings have really offered great insight and encouragement to be Lamictal-free. But I live in terror that I will become manic again once I get off the Lamictal. Manic episodes have essentially ruined by personal and professional life irreparably. Are any of you worried about returning mania?

Posted by: persse at March 20, 2008 07:38 AM

I'm not a doctor and though I've been labeled bipolar NOS, I don't really get the manic thing as I've never experienced it, still from what I know about effexor, I'd say as long as you stay away from it, it's likely you'll be mania free. Having been accused of mania, I've found journaling helpful. Keep a daily record of your energy level, pulse, bp, take a photo if you have a digital camera, weigh yourself, talk to friends, anything you can to self monitor in case you find yourself in a place you consider manic so that you will be able to decide how to handle the mania. Good luck!

Posted by: Sally at March 20, 2008 10:56 AM

Are there any cases of people who have gone off Lamictal and Effexor without the bad side effects? I recently (3 days ago) stopped both of these. 100mg Lamictal and 75mg Effexor. I wonder if I am setting myself up for a bad experience, or if others have been able to stop at these levels without problems.

Posted by: Dave at July 9, 2008 07:02 PM

dave, the best answer i can give you is that there are always cases of people who've managed to withdraw from those doses without problems. but as far as effexor goes, i've never met or spoken with one. i'm not experienced with effexor withdrawal myself, so hopefully some other readers will chime in here. as for lamictal, i can tell you that you are rolling the dice going cold turkey from that level. it might work, might not. i wish you much luck.

Posted by: Philip Dawdy at July 9, 2008 08:36 PM

I want to stop taking Effexor (300mg) & Lamictal (200mg.) Does anyone know how long to expect it to take for me to safely discontinue these meds? I've been taking the lamictal about 6 months and the effexor about 1 year. Prior to that, I was on a succession of different antidepressants trying to find the right one. I want to take control of my life again. I think losing my dependance on the meds. will be a step in that direction.

Posted by: Shelley at October 13, 2008 06:25 PM

Shelley, If you post your question under Lamictal Withdrawal (instead of "Part 2") I'm sure you'll get some feedback. It seems, that thread has continued and this one is seperate and doesn't get read as much. There's a lot of good information already posted there too.
Personally, I was taking 200mg Lamictal and 40 mg Cymbalta and a couple other things before quiting. Lamictal took 7 months for me to completely stop. I know Effexor is an especially tough one too. I'm sure someone will have had experience with both of those. Best wishes.

Posted by: Becky at October 17, 2008 06:05 AM

hiwell i just completed 7 weeks out of work because Lamictal screwed me up that is going on on it for 6 days and then stopping withdrawal effect headache,nausea,and than panic attacks stayed in house whole mth of 09/08 started to drive early 10/08 it seems i slipped back Im back on Lamictal and have been since 09/07 its been 6 weeks back on and cant tolerate sound or go out of house I know beyond a shadow of a doubt that it been Lamictal i thought the lamictal is the culprit but i thought withdrawal would be over by now to add insult to injury doc says he wants me to go to neurologist as this is symptom of migraine headaches p.s. /i dont have headache

Posted by: Linda at October 24, 2008 01:28 PM

Hey, I have now been off Effexor 75mg and lamictal 200mg for a little over 2 weeks. Just take the occassional Zanaz/ativan for the brain shivers. My husband says that I am a little short, but otherwise okay. Was I really bipolar, or has years of Zoloft and Effexor really messed me up. Seems as if the dose of those always got to the point of not being enoough hence the Lamictal. My husband thinks that my doc has done this all to me.

Posted by: anna at November 29, 2008 07:31 AM

Shelley, I can't speak to the Effexor, but I just stopped taking Lamictal, and am doing okay.

The trick is to reduce your dose by no more than 25 milligrams at a time, and take at least two weeks between dose reductions, to give your body enough time to adjust.

It'll be easier to do this if your physician agrees with your course of action, and gives you the 25 mg pills.

I think the people who have massive withdrawal side effects are the ones who try to go off the pill suddenly. If you taper by 25 mg increments, and notice bothersome symptoms lingering two weeks after a taper, you may need to go a month or longer between dose reductions. Yeah, it's not fun continuing to take the drug, but it's better to take it a little longer than to suffer unnecessarily as your system adjusts to having access to lower amounts of it.

I woke up at 3 a.m. for about seven nights in a row after cutting back from 50 mg to 25 mg, but that was the only disturbing physical side effect I suffered.

I'm feeling a little more agitated and quicker to anger now that I'm not on Lamictal, but I'm hoping that'll fade, and/or or I'll be able to compensate for this over time.

Good luck to you.

Posted by: My Name Here at January 14, 2009 12:51 PM

I take Lamictal. Just went from 400 to 300 on my own because of nausea. I also added a super B plus C and a multivitamin a few weeks ago. I had a bad fall over a week ago and didn't realize I was falling. Yesterday I had depth perception problems, floor and furniture seeming to come close and go away from me, weird. Then I had double vision. I just read these can be side effects of lamictal. Could it be because I started the vitamins? I work with babies at a daycare and don't want to end up dropping one. I currently off work until I see the doc day after next. I also take 20 mg. paxil. I couldn't get off that if I wanted, and now I'm wanting to get off it all after this. I also recently developed sinutis and rhinitus (?) and a bad cough and sore throat. I thought I suddently developed allergies and until I got on the Internet today thought I had multiple sclerosis. Anyone else have these weird side effects. According to some drug article, rx something, these are supposed to be really rare side effects.
Cathy

Posted by: Cathy at May 12, 2009 08:28 PM

Cathy,
One thing at a time. If you're shooting to get off or reduce the Lamictil, don't think about the Paxil right now. It may be that getting off the Paxil first would be better, I don't know. There are people here far better able to address this sort of thing. I believe getting off either can be done but not easily so it makes no sense to think about doing both at once.

Read what you wrote about your symptoms: "I just read these can be side effects of lamictal." In you next sentence you ask if they could be caused by vitamins. I'm not following your logic here, unless the thought of it being the Lamictal is so scary you'd rather not contemplate it. That's perfectly understandable but please try not to let fear cloud your judgement. You can easily look up the RDA and possible side effects of vitamins. As you probably know, the B and C vitamins are water soluble and pretty safe, especially in the doses you can purchase OTC.

As a total aside, I suffered from years from sinus problems and depression--until I was treated for hypothyroidism. Go to the About.com website run by Mary Shoman for mucho information about the thyroid and the controversies swirling around effective treatment options.

Keep reading, keep doing research.
Sherry

Posted by: Sherry at May 13, 2009 05:00 AM

Hi all,

I'm down to my last snip of Lamictil e.g.3 mg. Yes, 25 mg was way too strong for me for the past 3 years and caused damage to certain parts of my life that I'm now trying to piece together. First off, sleep is better since practically stopping. Memory has sharpened and I'm more alert. I don't drop things anymore and the clumsiness is gone. The downside is lack of initiation and sociability. Do I have to re-learn how to speak to people? With lamectil, I spoke to anyone who would listen, and now I'm much more selective to whom I speak to up to a point where I'm almost shy. Well, that's it for now. Will keep you updated. Doc suggested trying a new drug (Pristique), but agress to wait.

best,

sarah

Posted by: sarah at October 9, 2009 11:49 AM

Sarah,
"Do I have to re-learn how to speak to people?"

That's exactly how I feel!! I attribute it to brain damage from the drugs and also to the fact that all I can think about is the brain damage from the drugs. I have no interest in anything else. Too much damage has been done for me to move on or even be distracted.

Please don't try "Pristique". Do a search on here (also called Pristiq) and see what terrible results have come of THAT drug.


Posted by: Damaged at October 10, 2009 09:17 AM

i have been on lamictol for almost 2 years. I started out taking 200 mg's daily as prescribed from a therapist. My family dr. then had me up it 200 mg's. I am now in the process of trying to cut back. In the last 2 weeks I have gone from 400 mg's to 300 mg's. I plan to cut back to 200 mg's at the end of this week.
Feeling depressed?....yes; Feeling confused?....yes
Also, while cutting back, I became sick....lung stuff, and have not been able to get well. I have been to the doctor's office 2 times in a week and 1/2.
Does this have anything to do with me cutting back?
Help.......
karen

Posted by: karens at December 7, 2009 03:10 PM

help....i want to be ' normal ' again.....
will it happen????

Posted by: karen at December 8, 2009 05:59 PM

Hi Karen,

Regarding you post:

"Feeling depressed...Feeling confused...Also, while cutting back, I became sick....lung stuff, and have not been able to get well. I have been to the doctor's office 2 times in a week and 1/2. Does this have anything to do with me cutting back?"

Yes; your doctor has you tapering WAY to fast. If you read the other thread "Lamictal Withdrawal" you will find some good advice for tapering. You can also go to:
http://bipolarblast.wordpress.com/2008/10/19/lamictal-withdrawal/
for some good information.

If I were you I would go back up to 400mg and taper by no more than 25mg about every 3 weeks (depending on how you feel!)
The lung stuff may be an illness also, I don't know. But I know if you continue to reduce as you plan to, you will most certainly be suffering.

After you feel better at 400mg, go down to 375mg, if you feel okay in 2 or 3 weeks, go down to 350mg and so on. For most people it gets harder at the end. You may have to slow down and stay on a low dose longer than 3 weeks. Most important; pay attention to how you are feeling, and proceed accordingly. Don’t let your doctor tell you to go any faster than necessary (unless you’re getting off because you developed a rash or you’re pregnant or some life threatening reason).

It took me 7 months to taper off of 200mg.


Posted by: Damaged at December 8, 2009 08:30 PM

Damaged,
Thank you so much for your input. When I was first put on this medication from 'a' psychiatrist, he told me I would have to be on this for the rest of my life. I ended up getting on 'bridges to access', because I couldn't afford the medication. He had me on 200 mg a day. I had to follow up with my family doctor, who upped my mg's to 400 a day. I was coming out of my skin. I stuttered. I was never sure what I wanted to say was going to come out of my mouth the right way.
The truth of the matter is, there are 2 more doctors at my family doctors office, and they are both telling me I don't need to be on this medication, so part of this weaning is my own doing. I am feeling much better today, and have decided to stay on 300 mg's for a few weeks before backing down again. I think the lung problem had something to do with backing off. I was hyproventialing.
I don't want to be on this stuff anymore. I have enough horror stories, and I want this behind me quicker than reality will let it be.
Thank you for writing me back.
karen

Posted by: karens at December 10, 2009 05:32 PM

Its been about a year since ive posted. Ive read a lot of this blog. Im thankful i havnt takin the dosage that many of you have. I admire the grit you all have for grinding through this. I see that some people stop because of finances. I GET THE GENERIC VERSION (OR YOU CAN GET LAMICTAL AS WELL) THROUGH JANDRUGS IN CANADA! They mail me one hundered 100mg pills for less than $100.
Im currently taking 75mg trying to see if i need this drug anymore. Its tough going from 100 to 75. YOUVE GOT TO TAKE THIS SLOW!
I hope someone who thinks they need to quit this med bc of finances will find this helpful. I didnt have insurance when i started. A pharmacist at Walgreens took pitty on me paying cash every week or so and told me about JAndrugs. Amazing how many idiot doctors dont tell you this.
ANYWAY- Im just trying to taper off to see what happens. I wish you all the best.

Posted by: max at December 11, 2009 03:05 PM

Karen,
I’m SO glad to here you’ve slowed down. I am sure you are right that you don’t need to be on this at all. MANY people (myself included) were put on meds that shouldn’t have been. The natural reaction, once you realize that, is to want to just stop taking this unnecessary stuff (that is making you feel horrible) right away. Unfortunately, it’s not that easy to stop these powerful chemicals that have created changes in our bodies. It has nothing to do with whether we needed them in the first place.
I think you said it perfectly: “I want this behind me quicker than reality will let it be”.

I’m actually amazed that two doctor’s admitted they didn’t think you needed it, after their colleague upped you to 400. That doesn’t happen often. Usually there is a code of silence. I’d make sure you see one of those doctors the next time you have to get refills. That way you can make sure you get enough to go as slowly as you need to. I got enough 25mg pills to stay at 75, 50, 25 & 12.5 for at least a month each. I had to fight pretty hard and be very assertive to get them, as the doctor tried to tell me not to quit.

You can find me at paxilprogress.org if you have more questions you can’t find answers to (not that I have ALL the answers!). That’s a website full of people getting off of SSRI’s mostly (it started with Paxil). A few people over there have taken Lamictal as well.

Posted by: Damaged at December 12, 2009 05:19 AM

Thank you for writing me back, damaged.

I used to be able to cry, but lost that ability after the 400 mg's of my 'killer' drug, lamictol.
I read what you wrote back to me, and actually teared up. This has not happened for at least 16
months. I know I am beginning to feel emotions again, and I may have 'episodes' of normality, but I'm a little afraid of what normal is anymore.
I am going to wait until after the holidays are over until I back off any more.
Truthfully, I don't want to go back to my doctor. I just want to wean off this medication myself, but I am 54, and am not ready to go. There must be life after lamictol withdrawls.
I hope to hear back from you. I have yout other website.
Thank you so much,
karens

Posted by: karens at December 13, 2009 02:12 PM

Am backing off more on Monday, 01/04/2010.
Will let you know how it goes.
I am backing off 100 mg's.
karen

Posted by: karens at January 1, 2010 04:53 PM

I had to go back up on my mg's of lamictal. Brutal medication. I am wondering how many Doctors have actually prescribed this medication to themselves,and, if they did, I wonder if they would prescribe this to ANY of their patients.

Posted by: karens at January 12, 2010 05:35 PM

i am seeing things out of the corner of my eyes. I am shaking. I can't listen to music at all, because sounds irritate me. I feel depressed. I am tired, but can't sleep.

Posted by: karens at January 16, 2010 06:01 PM

Karens,
how many mgs of Lamictal are you taking now? Did you reduce again?

Posted by: Damaged at January 17, 2010 06:01 AM

200 now. started at 400 to 350 to 300, to 225. now to 200 over a period of 6 months

Posted by: karens at January 18, 2010 06:15 PM

am feeling very depressed. it is affecting my job and relationships right now. no intrest in music anymore.

Posted by: karens at January 18, 2010 06:19 PM

not 6 months, 4 months

k

Posted by: karens at January 19, 2010 03:20 AM

I went back to 300 mg's last night, and am feeling much better. I really just want to be off this med.

Posted by: karens at January 20, 2010 04:57 PM

I'm sending you good psychic vibrations, karens... I hope you can beat the drug and get off it. I'm currently on 100 mgs lamictal a day, but I'm so keyed up about my midterms that I'm crying myself asleep every night like I used to and having at least one meltdown a day. I see my pdoc soon and I'm afraid that she will be all over taking me off and putting me on something else or increasing it, but I'm so terrified of the inevitable withdrawal.

Posted by: Michele at January 21, 2010 11:25 AM

I understand about the crying, and the meltdowns. I am hoping I will not lose my job because of them right now.
I am glad you have backed down. I hope that you don't go through horrible withdrawals; as for me, I don't think I can ever go back to ANY Dr. concerning anything but a sinus infection. Seems like every Dr. is being forced to push these new drugs on as many patients as they can.
I'm done with Dr.'s.
Thanks for responding. I am going through a very 'hostile' time....Lamictol is a dangerous drug.....Nobody ever told me, and I trusted my Dr.

Posted by: karens at January 24, 2010 04:31 PM

I will back off lightly after learning from this blog. I read you can have side effects up till 8 or 9 years. I am 54. This is upsetting news to me.

Posted by: karens at January 30, 2010 01:03 PM

Karens,

RE: "I read you can have side effects up till 8 or 9 years."

Where did you read that?

Thanks.

Posted by: Damaged at February 1, 2010 03:12 AM

I have 6 web sites saved. I am going back through them so I can give you the right site.

Posted by: karens at February 6, 2010 03:06 PM

Karens,
Thanks. I would love to have this information. I have found very little information in a year and a half of research.

Posted by: Damaged at February 10, 2010 07:07 AM
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