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Dr. Bob is Robert Hsiung, MD,
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Posted by papillon2 on February 1, 2012, at 0:31:05
Hello,
I'm looking for some help managing Lamictal (200mg) with the contraceptive pill (in this instance Yaz - Drospirenone/Ethinyl Estradiol). Question 1 could be answered by anyone with Lamictal knowledge, so gentlemen please don't run away!
Background info: Lamictal and oral contraceptives interact with each other. Lamictal levels are decreased up to 50% then return to normal on pill free days.
1. Is there a way to get a reliable/interpretable Lamictal blood level? My psychiatrist says there isn't but people with epilepsy get their level taken so it must be possible. Has anyone had it done? What were the guidelines timing wise?
2. Does anyone have experience combining Lamictal with the contraceptive pill? How do you handle the pill free week? Do you run packets together? Or do you lower your Lamictal dose on the pill free days then go back to your usual (higher) dose? Yaz only has 4 pill free days, which should help.
Thank you.
This is the end of the thread.
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