Lamotrigine not working for my cyclothymia anymore

So I also take lamotrigine and my doctor actually had me get blood work done so she could look at the lamotrigine levels in my body. This helped her come up with the right dose because there is a therapeutic level of the medication and getting the blood work shows you exactly how much you need to benefit from it. I definitely recommend doing that because it completely fixed it for me and the medication works really well now. I’m currently on 250mg :)

You might also want to ask about an antipsychotic - they can help with mood stability, and really helped my anxiety too. Xypraxa really helped (just watch out for dystonia side effects - if that happens, get off right away)

I’m at 200mg lamotrigine. I also have cyclothymia and used to be super hyper in the mornings and really depressed in the afternoon. That has mostly gone away. I think you need a higher does.

I take lamotrigine for my bipolar 2 & it definitely helped with my hypomania & the impulsive behaviors I was experiencing but I also take escitalopram (lexapro) for anxiety and depression. There's a possibility that ur provider might want to add another medication to help balance things out if the lamotrigine alone isn't helping. Just be sure to let them know what ur experiencing and go from there.

I agree it's always best to check with ur provider first and to carefully communicate everything that u have been feeling.