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When i attempted to slowly get off lamictal, i would get what felt like a brain explosion while i was in a deep sleep, and would be shocked awake with the feeling of disorientation and tingling.

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Other than agethere are as yet no factors identified that are known to predict the risk of occurrence or the severity of rash caused by LAMICTALThere are suggestionsyet to be proventhat the risk of rash may also be increased by1coadministration of LAMICTAL with valproateincludes valproic acid and divalproex sodium2exceeding the recommended initial dose of LAMICTALor3exceeding the recommended dose escalation for LAMICTALHowevercases have occurred in the absence of these factors.

While atazanavir/ritonavir does reduce the lamotrigine plasma concentrationno adjustments to the recommended dose-escalation guidelines for LAMICTAL should be necessary solely based on the use of atazanavir/ritonavirDose escalation should follow the recommended guidelines for initiating adjunctive therapy with LAMICTAL based on concomitant AED or other concomitant medicationssee Tables 12and 5In patients already taking maintenance doses of LAMICTAL and not taking glucuronidation inducersthe dose of LAMICTAL may need to be increased if atazanavir/ritonavir is addedor decreased if atazanavir/ritonavir is discontinuedsee CLINICAL PHARMACOLOGY

InfrequentAkathisiaapathyaphasiacentral nervous system depressiondepersonalizationdysarthriadyskinesiaeuphoriahallucinationshostilityhyperkinesiahypertonialibido decreasedmemory decreasemind racingmovement disordermyoclonuspanic attackparanoid reactionpersonality disorderpsychosissleep disorderstuporsuicidal ideation.

If your medication comes in a blisterpackcheck the blisterpack before you take your first doseDo not use any of the medication from the pack if any of the blisters are tornbrokenor do not contain tablets.

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