Hi,
Definitely, most of the side effects he is having like feeling of less energy, feeling dizzy, trouble sleeping, irritability, decreased concentration,
nervousness, day dreaming, decreased co-ordination,
headaches etc., may be due to
Lamotrigine. But still, he cannot be advised to stop the medicine abruptly, which can make his condition worse.
In such conditions, you are advised to consult your doctor regarding change of medicine or adjusting the dose accordingly. In my opinion, the dose reduction may be started after a
seizure free interval of at least 3 years. This dose reduction will be in a gradual taper off manner after every 6 months till completely weaned off the medicine. Any increase, decrease of doses or change of drug should be strictly under the guidance of treating physician.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Satnarain Bansal, General & Family Physician