Hyperprolactinemia from Lamictal?

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 --

[CCF-Neuro-M.D.-CS]

I could not find any publications or research data to suggest that Lamictal or Vagal Nerve stimulation would cause increased prolactin levels. If you have not had a formal endocrine evaluation to evaluate this disorder, I would suggest obtaining one. Also, elevated prolactin levels can be secondary to an abnormal growth within you pituitary gland. These possibilities need to be evaluated. I hope this helps.

[WENZ]

Hello,

I am new to this forum so please excuse me if I am not doing this correctly.  I am taking 450mg a day of Lamical as well.  I was on 400mg a day until I had another grand mal seizer.  My doctor then increased my meds.  I started having seizers when I was 17 years old.  I am now 24, married, and have an 8 month old daughter.  I would just like to chat with you about the types of seizers you have, different meds you have been on and so on if you would like.  You can post another response or email me.  Hope to hear from you soon!

Wendy
email-
***@****

[searching]

Hi Wendy,

I'm sorry that I didn't see your post sooner than now!  I've been away.  I'm not sure that I'm able to correspond with anyone right now (my life is pretty busy lately) but I'd like to direct you to www.braintalk.org.  There are separate forums there for just about any neurological condition that exists.  If you check out the epilepsy section, you'll find tons of friendly people with whom you can share experiences and ideas.  

Also, the Epilepsy Foundation of America's web site has a great forum for patients and loved ones, etc.  

Take care - If I'm able, I may send you an email someday!