Lamictal Crash in pm
Posted by juliesat on January 7, 2012 at 11:27am
My son has been on Lamictal for over 2 years at a low dose (25mg). He was on other meds prior as well but currently is only taking the lamictal. I've noticed that it seems he has a "crash" in the afternoon where he gets very emotionally reactive, cries easily, irritable, etc., and then within a short time bounces in the other direction and gets hypomanic, with implusive and silly behavior. I'm wondering if this is what happens as the lamictal is wearing off? Should we consider a second small dose in the afternoon to prevent this?
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JulieSat in NJ
Sons: Ben (age 10) Dx AD/HD
and Sam (Age 7), Dx PDD-NOS, Mood Disorder NOS, GAD, AD/HD
Hi Julie,
My dd and I both take Lamictal. From my understanding, There is a theraputic dose and that usually is around 200 mgs. Now I know this could be different for many people. It sounds like he is having a hard time with his moods in general. My dd and myself split the doses morning and night. For me... I have missed my morning dose 2 times and not knowing I have missed it and I feel absolutly sick and weird by around mid night time. So, I would definitely talk to his pdoc and explain his struggles and see what they say. Good luck to you. Hopefully you will get this figured out soon.
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Angelique
Co-mod Very Young 3/ w/ Janice, Mmsun, and Erica
(Me) Angelique 33- BP,Anxiety..Lamictal, Klonopin
(DH) Craig 40- Nothing???
(DD) Ariana 6yr old- BP,Tic Syndrome,Gad,Sensory processing Disorder, Adhd, and Ocd. Medicines: Lamotrigine, Serequel, Kapvay, Melatonin, and Thorazine ( as needed ). Hoping this is the right med mix for now???
(DS) Christopher 4yr old- No problems yet????
I don't really think this is due to the Lamictal wearing off. That is a very, very small dose of Lamictal, and it could be that as he has gotten older he simply needs a higher dose for stability. What you are describing reminds me of my ds15 when he was younger. We added lithium at that time and it really smoothed out the evening rollercoaster.
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Brenda,51, TBMF Parent to Parent Volunteer
Mom to A, 17, BP, Tourette's, OCD, ADHD: Eskalith CR, Lamictal, Cytomel, Allegra
E, 15 1/2, BP,AS: Seroquel, Eskalith CR, inositol, Buspar
B, 14 & H, 11
Married 18 years to DH, 50
FROM TBMF: Do not start, stop, or change medications or other treatments for yourself or your child based on what you read on this Website or elsewhere on the Internet. Information presented here should not replace the considered judgement of a doctor who knows you or your child.
Thanks. I'm charting his moods and we're going back to pdoc in 2 weeks. We upped the lamictal to 37.5mg now. It seems like he's doing ok at school and if everything is running on schedule and smoothly...but if something unexpected comes up or his schedule is upset it sets him off in a bad way.
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JulieSat in NJ
Sons: B (age 10) Dx AD/HD
and S (Age 7), Dx PDD-NOS, Mood Disorder NOS, GAD, AD/HD