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Alcohol and Lamictal Rate Topic: -----

#1 User is offline   chickiedisco 

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Posted 24 January 2006 - 11:14 PM

Hey, I'm new here and just started a starter kit of Lamictal.  How does it interact with alcohol?  I know that I've been self-medicating over the years, but nonetheless I hope to still have your occasional glass of wine etc.  Will it work OK or do you find you have cut down with the booze??

#2 User is offline   LikeMinded 

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Posted 25 January 2006 - 12:49 AM

Ashamedly, I get completely trashed several times a week (which takes 6+ drinks in less than an hour for me), and this has yet to have affected the pharmacokinetics or end effects of Lamictal.  For what it's worth, I shouldn't be doing this.  Perhaps I'll stop doing this once I actually get a job that everybody else thinks I deserve. 
Me: MDD, AD/HD, Aspie/HFA/PDD-NOS/WTF, REM behavioral disorder/misc. sleep issues, systemic infection involving mostly the brain and lungs w/Parkinsonian syndrome and chronic bronchitis respectively... and if that weren't enough, I have prolonged and repeated PTSD, with continuing emotional trauma at the moment. Genetically inherited Kallmann's syndrome (KS/IHH) explaining some of the aforementioned.

Meds (in flux): Lamictal, Cymbalta, Remeron, Synthroid, methylphenidate-ER, penicillin-derivative antibiotic du jour, clonazepam.

"Using this drug to treat schizophrenia is like attempting to treat asthma with Zyklon-B." -- From an RXList.com patient review of a certain typical antipsychotic.

#3 User is offline   revlow 

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Posted 25 January 2006 - 01:28 AM

Hi! Glad you made it here!

I know there was a thread on just this topic recently, and I've tried to find it; haven't been able to so far. I might be wrong, but what I remember is this: Some people on Lamictal have a problem when they drink...the alcohol effects them more, feel more hungover the next day. Others have no problem drinking occasionally.

I'm a lightweight drinker. Don't do it very often anyway, and when I do it's just a glass of wine or a small brandy. I didn't have a drink for the first four months after starting Lamictal. When I did, I was pleasantly surprised to find I had no ill effects. And I've had the occasional drink since then -- no problem.

Keep asking questions! There's plenty of people here willing to help.

Best,
revlow

This post has been edited by revlow: 25 January 2006 - 01:29 AM

dx: Some flavor of BP (probably BPII). previous dx: Refractory Depression
rx: Lamictal 600 mg. Maybe still climbing?

#4 User is offline   blackmilk 

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Posted 25 January 2006 - 02:42 AM

For me drinking on Lamictal almost always results in a punishing hangover, even after just one drink. Booze is a mood destabilizing drug anyway - no better time to cut down than now.

Good luck - cheers!
-k
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Good luck!

dx: 296.80 - bipolar NOS.
rx: Lithium CR 1525mg 1x p.m. (blood level 0.8-1.0)
     Lamictal 150mg 1x a.m.
  Inderal 10mg 1x a.m.
     . . . unfortunately, no more Wellbutrin XL *allergic reaction hell*

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Posted 25 January 2006 - 04:14 AM

I'm the other way - lamictal has somewhat increased my tolerance for booze, and I no longer get severe hangovers. But like herrfous said, I shouldn't really be doing it.
Officially no longer Mixed Bipolar NOS. However, I do still have AP/D, and Alice In Wonderland Syndrome (OK, OK, so it's migraine without the headache, and really rather funky). Oh and I also have synesthesia. And most likely Alexithymia, but that's another story.

Alexithymia!

Rx: Surmontil 50mg (terminal insomnia)
Previous Rx's: Lamictal 200mg, Zyprexa 10mg, Xanax .25mg prn, Elavil 50mg, Imovane 5mg, Prozac 20mg, Cipramil 10mg, Cipramil 20mg, Cipralex 10mg, Cipralex 5mg (not all at the same time, obviously).

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#6 User is offline   chickiedisco 

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Posted 25 January 2006 - 09:47 AM

well, of course I celebrated my first dosage of Lamictal with half a bottle of excellent red wine, but of course, nothing happened whatsoever.  i'm hoping for the best, and not sure that this medication is for me -- but two psychs seemed to think i was bipolar (i thought more ADHD, but they were afraid to give me adderall because i am a bit manic).  since i am going to mardi gras in nola, and it'll be one month into the medication, i just know there'll be lots of boozing down there, so just want to be ready.

#7 User is offline   Loon-A-TiK 

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Posted 25 January 2006 - 10:52 AM

my uncle is a pharmacist and for ME PERSONALLY told ME that I"M allowed a glass of wine-sometimes 2, per day on my crazymeds. he just said not to exceed 4 a week. i rarely drink and don't get near 4 very often. when i do it is all at once. so far it seems to not have any interaction with my meds.

don't try this at home, as a medical prof who you trust. my uncle is just someone i trust.

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#8 User is offline   miab 

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Posted 27 January 2006 - 01:09 PM

I haven't noticed any particular interaction, but I drink very rarely (not really a good idea since I'm on valium, but I have issues with alcohol anyway).  Last time was on a 9 hr plane trip last week when we hit a snowstorm and I honestly thought we were all going to die.  Downed a gin and tonic in record time, passed out and woke up with no hangover.  The G&T thing is highly unusual; I'm more likely to have an occasional glass of wine.  My pdoc has never given me any warnings about drinking on lamictal specifically. 
BPI, current daily cocktail: Lamictal 400mg, Lithium 750mg, Seroquel 1000mg, Ativan 0.5mg prn

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#9 User is offline   revlow 

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Posted 28 January 2006 - 11:37 PM

chickiedisco, on Jan 25 2006, 07:47 AM, said:

well, of course I celebrated my first dosage of Lamictal with half a bottle of excellent red wine...

...since i am going to mardi gras in nola, and it'll be one month into the medication, i just know there'll be lots of boozing down there, so just want to be ready.
Maybe this'll just seem plain ol' naive of me to say, but just 'cause they'll "be lots of boozing down there" doesn't mean you need to partake. And you can moderate what drinking you do.

Really, especially in the early stages of getting to know how you are going to react to a crazy drug, adding booze into the mix is not a great idea.

In your original question you said, "I hope to still have your occasional glass of wine etc." That's one thing. An entire bottle of wine, or a druken bacchanal, is quite another. Be careful. You do want to give this new med the best chance you can to work, right?

This post has been edited by revlow: 28 January 2006 - 11:39 PM

dx: Some flavor of BP (probably BPII). previous dx: Refractory Depression
rx: Lamictal 600 mg. Maybe still climbing?

#10 User is offline   LikeMinded 

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Posted 29 January 2006 - 01:46 AM

revlow -

An entire bottle of wine does not a 'Bacchanal' make.  It takes me at least two bottles of wine within 2-3 hours to make me drunk enough to notice.  As a roommate of mine (a wine shop purveyor no less) once said, "you've had two bottles of wine?!?!??!".

and FYI for anybody who asks, I'm about 5'7" and weigh in the vicinity of 135 pounds. 

I am particularly good at acting sober whilst drunk off my ass.

This post has been edited by herrfous: 29 January 2006 - 01:49 AM

Me: MDD, AD/HD, Aspie/HFA/PDD-NOS/WTF, REM behavioral disorder/misc. sleep issues, systemic infection involving mostly the brain and lungs w/Parkinsonian syndrome and chronic bronchitis respectively... and if that weren't enough, I have prolonged and repeated PTSD, with continuing emotional trauma at the moment. Genetically inherited Kallmann's syndrome (KS/IHH) explaining some of the aforementioned.

Meds (in flux): Lamictal, Cymbalta, Remeron, Synthroid, methylphenidate-ER, penicillin-derivative antibiotic du jour, clonazepam.

"Using this drug to treat schizophrenia is like attempting to treat asthma with Zyklon-B." -- From an RXList.com patient review of a certain typical antipsychotic.

#11 User is offline   Dweii 

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Posted 29 January 2006 - 06:41 AM

I don't know which med is causing this, but I'm on Lamictal among some other ones. I CANNOT drink. Either I get a blackout or I wake up with a hangover from hell that lasts almost two days. Not worth it.
Waaaaiiit a minute... I knew it.

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Posted 29 January 2006 - 06:52 AM

I would not even know blackouts for me bipolar and alcohol do not mix
I would be obnoxious, flagged first drink, bizzaare anything after, and surely would not want to know or tell, remember, jailed would most likely be best result there after.
The chemistry just does not do it, sooner we face it better off we are.

Aly

#13 User is offline   Artchick 

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Posted 29 January 2006 - 08:24 AM

I take a cocktail of Lamictal, Effexor XR, Zoloft, and Risperdal, so I don't have any idea which drug does what.

I can have 2 beers and I'm feeling pretty happy. Three beers and I'm drunk. I cannot even image more beers than that. I used to be a pretty hard drinker with a pretty high tolerance. Now I usually have 2 beers and that is it. I don't have any hangover if I stick to two. I drink pints of import/micro-brew by the way.
It is a negative sort of achievement, she thinks, to have spent a life warding something off. - Adam Haslett

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300mg Effexor XR, 200mg Lamictal, 100mg Sertraline, 30mg Adderall, 1.5mg Risperdal

#14 User is offline   crazyethel 

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Posted 29 January 2006 - 09:29 AM

I drink an occasional beer, one of those silly frozen things, a glass of wine and all I get are a flushed face, a hot feeling (temperature), and sleepiness.  So it's not any fun at all.  Why bother?

#15 User is offline   solstar 

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Posted 29 January 2006 - 09:43 AM

I drank on Lamictal and didn't have any effects.  In fact I didn't even get a buzz. I was also taking Lexapro.  I will not drink on Wellbutrin except for a sip or two....too risky.
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#16 User is offline   Waterfall 

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Posted 29 January 2006 - 03:09 PM

Before Lamictal, I was majorly self medicating with booze.  Now, I still drink but I don't usually get drunk and I almost never get hangovers.  And when I do drink, it's more than just a couple.  Not advocating this, just being honest.
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#17 User is offline   revlow 

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Posted 29 January 2006 - 06:54 PM

herrfous, on Jan 28 2006, 11:46 PM, said:

revlow -

An entire bottle of wine does not a 'Bacchanal' make.  It takes me at least two bottles of wine within 2-3 hours to make me drunk enough to notice.  As a roommate of mine (a wine shop purveyor no less) once said, "you've had two bottles of wine?!?!??!".

and FYI for anybody who asks, I'm about 5'7" and weigh in the vicinity of 135 pounds. 

I am particularly good at acting sober whilst drunk off my ass.

herrfous, sweetie...

Calm down. My remarks were not addressed to you. I was responded to chickiedisco who had posted the original Q. You can even see that in my post; I'd quoted her 2nd post. And, yes, I do think that "since i am going to mardi gras in nola, and it'll be one month into the medication, i just know there'll be lots of boozing down there, so just want to be ready" just might imply some bacchanalian drinking. Sort of says it right there in what she herself says.

PS - Being good at acting sober "whilst drunk off my ass" is not necessarily a good thing. I'm glad it works for you.

Known a lot of alcoholics who could "drink anyone under the table," etc. Not saying for you, just in general: this can be an obvious sign of tolerance, which again is not necessarily a good thing.

This post has been edited by revlow: 29 January 2006 - 07:00 PM

dx: Some flavor of BP (probably BPII). previous dx: Refractory Depression
rx: Lamictal 600 mg. Maybe still climbing?

#18 User is offline   LikeMinded 

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Posted 30 January 2006 - 04:37 PM

Oh Revlow -

I wasn't criticizing you for anything... just thought your term 'Bacchanal' was a little hyperbolic.  Then again, beauty is in the eye of the beer-holder.....
Me: MDD, AD/HD, Aspie/HFA/PDD-NOS/WTF, REM behavioral disorder/misc. sleep issues, systemic infection involving mostly the brain and lungs w/Parkinsonian syndrome and chronic bronchitis respectively... and if that weren't enough, I have prolonged and repeated PTSD, with continuing emotional trauma at the moment. Genetically inherited Kallmann's syndrome (KS/IHH) explaining some of the aforementioned.

Meds (in flux): Lamictal, Cymbalta, Remeron, Synthroid, methylphenidate-ER, penicillin-derivative antibiotic du jour, clonazepam.

"Using this drug to treat schizophrenia is like attempting to treat asthma with Zyklon-B." -- From an RXList.com patient review of a certain typical antipsychotic.

#19 User is offline   Naeblis 

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Posted 30 January 2006 - 05:21 PM

i've been on 300mg of lamictal since last may.  i have a few drinks a week and have found no adverse issues.  (that i know of).
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#20 User is offline   Anne 

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Posted 31 January 2006 - 06:21 PM

crazyethel, on Jan 29 2006, 09:29 AM, said:

I drink an occasional beer, one of those silly frozen things, a glass of wine and all I get are a flushed face, a hot feeling (temperature), and sleepiness.  So it's not any fun at all.  Why bother?

 
What's up with the wine and the flushing?  I really enjoy wine.  I belong to a wine club and enjoy reading about it but when I do have a glass now, my chest, cheeks, nose and ears get really red, hot and flushed.  I wonder why?
Wellbutrin XR 150 mg, Lamictal 175 mg and Niravam .25 - .50 prn

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