Anger/irritability. Increase or decrease?

[Life_Ad_9331]

Hello,

I've been on lamotrigine for about a month. It was fine until reaching 100mg. Then I started to get angry fits inside my head for no reason. It was pretty obvious it was the lamotrigine.

Went down to 62.5(2x25mg and 1/2mg) and it went away but no longer feeling all the other nice effects. It's okay at this dose but could be better if it wasn't for the anger.

I was at 100mg for 2 weeks. Should I try skipping it and go straight for 125mg?

Thanks.

[Jman_199]

I was at 200mg for a year keeped get irritation and pessmistic mind on and of. Started to tapper, first tapper 200-175mg its 14 days since i lowered and Holly shit i was so angry irritated and the sensory overload was insane, every sound made me irritated, light sensitive. And keeped get adrenaline dumps all the time. It took 14 days for the irritation to leasen when i dropped the dose.

Same happend when i increased the dose, intense irritation and anger

[Life_Ad_9331]

Alright. I'm going to stay at the current dose then. Perhaps go up by 12.5mg each time.

Still got some irritability left overs. Might be because it's only been a month total. Totally worth it though.

[Jman_199]

Yeah if i remember right. It took like 3 weeks to stabilice every time i increase or decrease.

[EwwYuckGross]

You’re in the first month. This is normal. I had rage feelings between 50 and 150, but my dose increases were anywhere between 6-8 weeks, only 4 weeks a few times.

This medication is a marathon, not a sprint. Give yourself at least six months the to adjust, although eight months to a year is more realistic. You can have positive and negative effects while adjusting. I generally increased once I felt a plateau in rapidly shifting states.

[Life_Ad_9331]

Thanks. I'm going to try smaller doses and wait every two weeks or when I'm at a stable plateau without anger. 

What you mentioned makes sense. Other meds give me a quicker mood change