When I was on Lamictal any dose increase had to go up by 25 mg. a week as I believe those are the FDA regulations but you could ask your psychiatrist about that.
I will agree that when I was on Lamictal they increased it by 25 mg, and for me it was every 2 weeks. It is due to a rare but sever side effect of a life threatening rash, and one cause of this rash is increasing too quickly. Also, if you have forgotten or stopped taking it for 3 days, then you have to go back to square one with the titration and start all over. So make sure you go slowly.
Unfortunately, I did get a rash once they increased it from 25 mg to 50 mg, luckily it was not the dangerous one. However, I can't go back on Lamictal ever again.
I did develop a rash when first starting Lamictal, but I didn't have any of the other allergic signs that went with it. My shrink wasn't too concerned with it, as the original studies discussing the allergic reaction included patients that had their dose increased far to quickly.
I had a BP friend who discontinued Lamictal use, for one reason or another, decided to get back on it and jumped back up to her full dose of 400mgs. She developed a nasty rash, but it wasn't life threatening. They started over with it, she moved up slowly and everything was fine..
To tell you the truth, with as effective as Lamictal has been for me, I am more than willing to take the risk to get back to normal.. Because, if I stay in the state I am in right now, I'll be in the hospital anyway; checking myself into the psych center.
I am so sorry to hear about the trouble you have been having finding a good med! I hope you get it figured out soon!
I am on 200 mg Lamictal right now. We went very slowly up by about 25 mg every two weeks. Since being on it I have evened out more-- I have more problems with depression than anything, but since being on it I haven't had as many depressed days. I also did not experience side effects with it.
I too tried Zyprexa, Trileptal and Tegretol, none of which helped with the depression-- they were just too sedating, and Zyprexa made me gain weight. Lamictal does not seem to have that effect, however, but you'll have to try it out and see. Good Luck! Hang in there too!
I guess I should be hopeful, in some ways. When I took the 50mg dose that afternoon, I evened out straight off of the bat. My shrink doesn't really have much of a choice right now as the Zyprexa and Depakote aren't options.
I think that we just need to do it slower and that I need to split my dose between the morning and noon; 125mgs when I wake up and 100 at lunch, to start with.