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My chronic pain has really increased since being on Lamictal for ...

Posted at 4:34 PM on Apr 04, 2008 by rosslyn, #29150
My chronic pain has really increased since being on Lamictal for 15 months for bipolar. I have had fibromyalgia for years. The bipolar developed after that. Since starting Lamictal, I have developed headaches so severe that I have been off work 3 times in the past 7 months, inc. 5 weeks recently. I've always had headaches, but these new, more severe headaches are non-stop. I have to take 3 time-release 100 mg codeine tablets every day, plus Gravol to keep the headaches bearable. Even then, many days I end up bed-ridden. I've also developed chronic, very bad plantar facsiitis in my left foot since starting Lamictal. I did weeks of intensive physio, plus swimming therapy to no avail. Finally had to get a cortisone injection in my foot. I hate being like this; I like my job and was used to leading a very active life, despite the fibromyalgia, before I went on Lamictal. I briefly tried Lithium recently, but it had a whole other set of side effects, so I am really frustrated. Has anybody else had increased or new pain since being on Lamictal? Rosslyn
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Reply about 1 year ago on Apr 07, 2008 by absisback, #6770

Hi Rosslyn. I have a 20+ year history of migraines and have severe back pain problems as well. When I went on Lamictal, I tapered up to a dose of 400 mg a day. Because I was on so many medications and most of them I had to take at night, I asked my doctor and pharmacist if it was ok to take my entire dose of Lamictal all at once in the morning. They said ok, but when I did I got really bad headaches. Then I tried taking it all at night thinking I'd sleep through the pain, but the headache would wake me up. Finally I split the dose in half, and the headaches stopped.

If you can't stand the headaches, there are half a dozen other medicines they can try you on to stabilize your mood besides Lithium. Check out Bipolar disorder at Wikipedia.org for a list. Some of them have been used to try to prevent migraines, although the ones I tried didn't help me. But nothing helps me! At any rate, you do have some other options for meds if Lamictal doesn't work out for you.

Gravol, while an anti-nausea med, is related chemically to benadryl, which sometimes causes headaches when taken with other meds. So if you take it within an hour of your Lamictal dose, this may actually work against you.

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