Hello Doctor - Thank you for taking my question.
I've been on 450 mg of Lamictal - for temporal lobe epilepsy - for almost a year now. In the past, I've had a tendency to develop medication-induced hyperprolactinemia. Therefore, I was quite relieved when I started taking Lamictal, and it was controlling my seizures, yet having no effect on my prolactin levels.
However, in the past month or so, I've noticed that my breast pain has started up again. I had my prolactin level checked last week, and sure enough it's up to around 100 (s/b around 26, I understand).
Is Lamictal known for causing elevated prolactin levels? If I have to get off of yet another medication due to this problem, I'm contemplating the Vagus Nerve Stimulator. I understand, though, that chest wall stimlation and or scarring can also elevate prolactin levels.
Any thoughts? Thank you --