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Lamictal and Side Effects

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Dr. Pagnani of Rittenhouse Psychiatric Associates discusses possible side effects of lamictal (lamotrigine). This mood stabilizing medication can be rather effective for preventing both manias and depressions, and unlike many mood stabilizing medications, may have low risk for weight gain and sexual side effects. With that said, it needs to be titrated slowly, as it does carry the risk of Stephen's Johnson Syndrome, Toxic Epidermal Necrolysis and Asceptic Meningitis (all rare, but possible side effects).
Dr. Pagnani is the founder and medical director of Rittenhouse Psychiatric Associates, an Instructor at The Johns Hopkins Hospital for the Department of Psychiatry, he supervises psychiatric residents at Jefferson Hospital, he serves on the Young Professional Board of Uplift, the Center for Grieving Children and he maintains a private practice of Psychiatry in Philadelphia where he sees patients for one-time psychiatric evaluations and second opinions. He is a licensed physician and surgeon in NJ, PA, NY, MD, DE, FL and CA and can provide consultations to individuals via HIPAA compliant Telehealth visits living in these locations.
Rittenhouse Psychiatric Associates is a private practice of psychiatry consisting of about 25 psychiatrists, psychiatric nurse practitioners and psychotherapists with physical locations in Philadelphia and Paoli, PA and serving all of PA, NJ, NY and FL virtually via HIPAA compliant tele-psychiatry. Individuals seeking not only evaluations but long-term psychiatric care, can contact Rittenhouse Psychiatric Associates directly.
These videos aim to increase awareness and discussion of mental health topics and to encourage struggling individuals to schedule an appointment directly with a mental health provider. Mental health needs to be normalized, and simply speaking about mental health topics openly, is an important first step.
Dr. Pagnani and Rittenhouse Psychiatric Associates are NOT advocating for or against the use of any mentioned psychiatric medications for any specific individual. Additionally, any side effects mentioned are not a complete list of potential side effects or contraindications to taking any mentioned medications, and all risks and benefits of a medication should be discussed with an individual’s provider at an appointment, before starting, stopping or making changes to a medication regimen.
This video is INFORMATIVE ONLY - NOT MEDICAL ADVICE.
If you are researching a specific topic, please view our RU-vid channel, click all videos and use the search function. Please also visit and follow us on instagram and FB: @RittenhousePsych.
www.RittenhousePA.com
www.ChrisPagnaniMD.com

Опубликовано:

26 авг 2024

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Комментарии : 46

@yamircomly4181 8 месяцев назад

All you people blaming the medication for side effects, they are listed on the label. Just because it didn't work for you doesn't mean it won't work for someone else. State your experience with it, but don't act as if is happening with everyone because it is NOT. I've been on this med for a bit over a year, and I cant' believe I waited so long to get put on this, it's very effective for SOME of us.

@lindamastropietro4429 2 месяца назад

They are just asking questions.

@yamircomly4181 2 месяца назад

@@lindamastropietro4429 NO they are NOT, they are making statements about the medication. Read the damn comments before sounding a fool, Karen

@savejosef 13 дней назад

What did it help you with?

@Brenda5060 4 месяца назад

After trying several medications for depression and hypomania for me it has worked and kept me stable.

@naytewilson 10 дней назад

Same for me with BPD. It’s amazing how well it works, nothing else has worked for me to have a more stable life and mindset.

@grayman1 2 дня назад

How's it been going now? Any updates?

@MichelleObamaIsPackinASack Год назад

This Medication made me extremely nauseated leading to vomiting frequently and debilitating vertigo.... went to ENT and had brain MRI ... they could find nothing i had no quality of life at all...I was prescribed a Valium which only helped for a little while. .. doing my own research I found this medication may be the problem... ever since I got off of it I've had no issues...maybe this will help someone

@RittenhousePsych 11 месяцев назад

Thank you so much for sharing your experience. I am very happy to hear that your symptoms have resolved. If someone has new symptoms (particularly after starting a medication) it's incredibly important to speak to your provider, and discuss the possibility of medication side effects, even if that medication is generally well tolerated. - Dr. Pagnani

@starciacockett9912 11 месяцев назад

No way! 3 times I have had an episode of nauseating feeling with cold sweats and vision blurring that would lead to vertigo and id lay on the floor with an ice pack feeling like I was just a smidge from fainting. It's so awful. I had no idea why it's been happening so your comment is very intriguing since I've been on lamictal during all 3 episodes.

@yamircomly4181 8 месяцев назад

@@starciacockett9912 Have you heard that while a medication doesn't work for you doesn't mean it is not beneficial to others? You act as if it's happening to everyone. I have been on Lamictal for over a year, and I will NEVER stop taking it, it has brought me from the darkest side of life to enjoying life with family and friends. I am B1 (if you don't know, that's Bipolar 1 disorder), was suffering my entire young life. I couldn't control my anger, my highs and lows. I would go in risky sexual binges, shopping for things I didn't need, just very compulsive. Ever since my doc put me on Lamictal, within 8 weeks I was a new man, I haven't had an episode in a year and I'm grateful for it, so don't sit there telling people that his comment is "intriguing" when this medication works for many of us. You're the one who's intriguing. If it doesn't work for you then have your doctor move you to something else, that's on your brain, not the medication. Here ended the lesson

@Callmethebreeze902 3 месяца назад

Me too. Regular nausea that felt like morning and acid reflux. I had to get a gastro for reflux and nausea meds after being scoped and he didn’t see anything.

@itsgonnabeanaurfromme Месяц назад

Very important to check up with your doctors. Very important to give them your medications. Not just go to a random doctor to get this checked up. Most people I hear would say doctors never found out their meds were the problem when the doctors were never even told of the meds in the first place.

@danielkanka495 4 месяца назад

i just started 25 mg and first few days i was so empty and depression hit hard but after that i think it made me hyper and hypomanic very strange i hope it will pass

@chiikun227 3 месяца назад

How about now? I started with 25mg lamictal just like you, in the fourth day, i feel depression suddenly got me.

@danielkanka495 3 месяца назад

@@chiikun227 i am sorry u re going through it i was only on 25 mg for a two weeks and it was very strange total depression anhedonia and mixed state after that i had to wean off cause i developed rashes ... now im two weeks off and still have severe depression no libido and insomnia i hope it will pass but idk what happened my dr told me that never saw this reaction on this meds

@danielkanka495 3 месяца назад

@@chiikun227 im sorry u experience this i was on 25 mg only two weeks and it made my depression so so hard and developed rash so i went off of it and now im 2 weeks without and still have the most depression in my life also have vission problems

@danielkanka495 2 месяца назад

@@chiikun227 i stopped sfter two weeks and it still persist it is hell

@lindamastropietro4429 2 месяца назад

I’ve been taking 400 mg of Lamictal for a couple years now I don’t have any side effects.

@anamariafernandezpabon822 2 месяца назад

How about memory loss, cognición ptoblems....?????

@itsgonnabeanaurfromme Месяц назад

That's great. Moist people don't so we need to remember this.

@sabyasachisen5351 14 дней назад

MAYBE YOU'VE BEEN HAVING THE SIDE EFFECTS FOR SO LONG, THAT YOU THINK THATS NORMAL!!

@neverstopwhistle 3 месяца назад

Can a rash from lamictal occur anytime during the course of taking the med such as years into treatment? Or is it just early on?

@nirmanshrestha2038 7 месяцев назад

Does it cause acne break out ??

@roselereau6981 Год назад

Do you know if it causes hearing loss? Or tinnitus? I can’t find a clear answer in the research. My audiologist said it could be ototoxic.

@RittenhousePsych Год назад

Thank you for watching and your question! I'm glad that you are discussing potential side effects with your audiologist. It is in-fact possible for some anti-epileptic medications (such as lamotrigine, gabapentin, carbamazepine, and oxcarbazepine) to cause auditory and vestibular abnormalities (even at therapeutic doses). With that said, these are not common side effects. Tinnitus can also be caused by lamotrigine and many psychiatric medications. I would recommend continued discussion with your provider(s). Best, - Dr. Pagnani

@trafficjon400 8 месяцев назад

Ostioporosis many sights are concerned .

@lindamastropietro4429 2 месяца назад

Once in a while, I get tinnitus

@meemeethu 7 месяцев назад

I started on lamotrigine on 12/22/23. I have had sore in my mouth and my tongue feels like it’s been scraped off, lips also feel cracked/dry and when I eat even mild spicy food, my lips will burn. It’s been over 2 weeks of taking that med, I’d think side effects will be lessened by now. But I still have them. I’m also taking otc vit D and iron supplement. Question: is my SE exacerbated and prolonging because of vit d and/or iron that I’m taking daily? Thank you.

@Phoenixhunter157 7 месяцев назад

Call your doctor immediately. This can be a sign of Stevens Johnson syndrome. ….ironically, he’s just now mentioning it in the video as I type this. But it may not be. Call your doctor. Best of luck to you

@gnr1090 26 дней назад

Is it normal if this medicine make me have headache? Or it means this medicine is not for me to take it?

@babynaysc 7 месяцев назад

I'm bipolar, I used 200mg of Lamotrigine and the doctor asked to increase it to 300mg, I started 3 weeks ago and I have a headache and pain on the sides of my face, as if it were sinusitis, even taking pain medication, it doesn't relieve it much. Along with that, it ends up making me a little dizzy.

@naytewilson 10 дней назад

That’s insanely high. 100mg is typically the highest you ever go non seizure wise.

@MattK.-wx9xd 2 месяца назад

Been on it for 4 weeks and just upped my dose to 4 tablets. Is it normal to feel extremely tired? I am unmotivated and feel blah all the time. Also I feel sick when thinking about having alcohol or a joint. I have another session with my Dr. In a few weeks. He said it would just hit me at some point and start working. Not sure I even have bipolar...but I do have diagnosed ADD.

@renatadavis9481 7 месяцев назад

Lamotrigine helps with the seizures but I have turned into a mad and angry person I snap on people once I get irritated or frustrated I’m always ready to fight people idk if it’s helping me far as moods

@414RadioTech 6 месяцев назад

Yeah well I'm glad I didn't even touch the medication bottle at 25 mg and I thought I'm not going to even bother because certain people react differently to things like your mileage may vary basically so I basically don't feel comfortable taking this at all and I just left it upstairs in the medicine cabinet to sit there because I don't want to end up dying or anything else even though I had a gene sight test done on me using my DNA that was swabbed in my mouth when they did that and then they sent that stuff back to the testing company and then the results were that I was able to tolerate that but I don't believe that I could tolerate it because I'm so scared of taking any medications after my weight gain from the last stuff that they had me on along with other things and I don't want to end up having serious medical issues as I also have consumed Delta 8 THC and that seems to handle a lot better and it's not addicting at all because it does help I'm able to sleep better and everything

@CinnamonForest-m7k 3 месяца назад

Im scared too

@ukrena 11 месяцев назад

I read that after a long term use it can causes osteoporosis ,how long is cknsifered long term use ?

@RittenhousePsych 11 месяцев назад

Thank you for watching and your question. It is not clear that lamotrigine decreases bone mineral density (BMD). Study findings are not consistent, however, they are limited. I would recommend speaking to your provider (particularly if you are at higher risk of osteoporosis or have a family member with osteoporosis) about monitoring calcium and vitamin D levels, and likely adding a vitamin d supplement to your daily vitamins. Individuals who have seizure disorders (who also take various anti-seizure medications, such as lamictal) are at a higher risk of bone fracture, but keep in mind, that seizures increase risk of fall, which substantially increases risk of fracture. Thank you again! - Dr. Pagnani

@ukrena 11 месяцев назад

@@RittenhousePsych thank you for your reply .I already take vit D3 tablets but thanks to suggest .I am starting latromigine to treat chronic migraines .