
Taking Lamictal. Feeling Anxious, Nausea And Headaches. Should I Take Topamax?

Thank you for writing to us.
Lamictal is a good drug, and has helped many patients around the world. Nausea and headaches (to be more precise: light headedness is the reported side-effect) are common side-effects of the drug. Anxiety has been listed as one of the more serious side-effects, which is why you will have to report this to your doctor at the earliest. Although your anxiety could also be due to the introduction of a new drug to your treatment regimen.
In my opinion, Lamictal is a good drug, but should be initiated with a lower dosage, and gradually taken up to 200 or 400 mg (which is the maximum dose). Many patients experience side-effects when initiated with a high dose from the very beginning.
You should ask your doctor to start you off with a lower dose, and then gradually increase it from there, and observe the response. If you think this drug is helping you, you could stick to it. But, if you feel the drug is not as good as your previous one, you could shift back to Topamax (gradually obviously, after being weaned off Lamictal).
I hope you found my response helpful and informative. Do write back to me for any further clarifications, or you could rate my answers after closing this discussion.
Best wishes.


The maximum recommended dose is 400 mg, and this could cause a few side-effects for a while. Do not worry, everyone experiences a few of them.
It would be wise to wait for a few weeks or a month, but I would also advice you to keep your doctor in the loop about the anxiety.
I am sure you will feel much better with time. Wishing you a speedy recovery and a beautiful life ahead.
Best wishes.

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