Lallo

Continue Lamotrigine, stop, or try Keppra?

5 posts in this topic

To keep it short: HPPD for 15 months. Drug free, eating and working out. Overall a lot of stress since I'm in medical school.

I have now tried Lamotrigine for about 1.5 month.
You're suppose to go 2 weeks on 25mg, 2 weeks on 50mg and then continue on on 100mg (which is lowest effective dose).

When I got to 50mg I feelt like my dp/dr symptoms were reduced and I looked forward to starting 100mg since I thought it would be "even better".
Sadly, 100mg got me feeling weird and after 1 week I went back to 50mg after consulting with my neurologist.
Now, 50mg feel better, but I still feel a lot of anxiety. I dont know if it's because finals are coming up but I feel almost as bad as I did ONE YEAR ago.

Now I'm not really sure that to do. Continue on 50mg, try to increase to 100mg again? Or stop medication totally?

My neurologist also said we can try Keppra or even a newer version called "Brivaracetam".

 

Any advice?

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Depends, do you feel like your symptoms are getting better and better on 50mg ? Or just getting better and then stabilizing ? 

Also, Keppra has had a fair bit of success with several HPPD'ers. Maybe give it a shot if you feel like lamotrigine has done its job so far ?

As far as I read, Brivaracetam seems like a more potent and overall better version than Levetiracetam, it's also something you could try if Keppra isn't satisfying.

I'd still leave 1 or 2 weeks between each medication just to give your brain a rest and a chance to flush all those chemicals away.

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Yeah it got better on 50mg then I continued with 100mg (as told my doctor) and I thought the symptoms would decrease even more. However I got worse dp/dr and then I went back to 50mg. And since I went back I haven't feelt as good on 50mg as I did in the beginning. I might try Keppra but I think I have to give myself a break with at least 2-4 weeks of any meds before. And I don't think I will try anything new until vacation.

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Yeah I'd say give Keppra a try, you can always go back to Lamotrigine after if you feel it is the only med that has worked for you.

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Nice to see another med student! Where do you study and what year?

I noticed you had made another post on whether starting with meds or not was a good idea. As I understood it, you wanted to try things out after the 12 month mark, however, as you were seeing some improvement, Jay adviced you to see where that goes before trying anything. How come you started?

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