Tatoos & Mood Stabilizers:Lamictal & Watching for a Rash
[Home] [Bipolar News] [Bipolar Disorder] [Medications] [Treatments] [Bipolar Disorder/Job/School] [Disabilities] [Ask the Doctor] [Ask David] [Self-Injury] [Personal Stories] [Graham's Column] [Steven's Column] [Storm's Column] [Columnist Archives] [Suicide] [Community Support] [Family Members] [Expressions] [Greeting Cards] [Books] [Awards] [Links & Rings] [About Us] [Contact Us]

 


Q:  Tatoos & Mood Stabilizers : Lamictal & Watching for a Rash


My son is 23 he just started on Lamictil today. I tried to get him to start on 12.5 but the Dr was no help, in fact she got annnoyed because I knew about  mood stabilizers. She said start at 25, He is also on 20 mgs of Prozac. He was taking Seroqule that was prescribed in the hopital but he hated it and had a lot of the side affects, he doesn't want to take any anti psychotics.  We have a few questions. His first question is can he get tattooed. He is a tattooist and has many tattoos and plans on getting many more. The Dr said something about low platelets and not to get tattooed. He said then forget it I don't wanna take the Lamactil and she said all mood stabilzers will make it dangerous to get tattooed. She would not give us much info as she thought getting tattooed is something to give up for meds. But he is not willing to do that. I wanted to know how long should we watch for a rash? The whole time he is on it? Is this medicine safe? I am worried about the rash. He just started today.  I have been to your website and spent hours on it.  I like how honest you are and I respect your advice. Thank you  for any information you can give me.


Dear D' -- 
Sorry you had that experience over the 12.5 mg dose.  The 25 mg dose really is standard, I'm just ultra-ultra-cautious with my dosing when I have the option to be.  

As for tatoo's, it's true that Depakote can interfere with platelets and cause bleeding to be a little prolonged; and can occasionally even drop the platelet count below normal.  And Depakote interacts very directly with lamotrigine.  So if Depakote was in the mix of medications, she might have something there.  If it's not, I don't get the hesitation regarding tatoos.  I can understand the notion of giving them up in favor of medications, but I hear that in this young man's case, that ain't gonna happen right now.  

Just to make sure I reviewed the product information on lamotrigine; did a PUB MED lit search (lamotrigine platelets; lamotrigine bleeding) and a Google search -- and found no connection between lamotrigine and bleeding problems.  

How long to watch for a rash?  The problem usually occurs, if it's going to occur, in the first 2-8 weeks, and once you're past 2 months at full dose, you're probably not going to see a problem.  But there have been some rare cases occurring after more than 6 months of treatment, so you can never completely relax about the rash-risk.  It's definitely a risk with this medication, but so it having symptoms, in many cases.  The risk of rash is not one that keeps me from using this medication, even using it first, before other medications like lithium and Depakote, in many cases -- in other words, the risk from this one, compared to its potential benefits for some people, is in the same ballpark as the alternatives when you take all factors into account, in my opinion.  

Dr. Phelps


Published March, 2004
 

 

Bipolar World   1998, 1999, 2000, 2001, 2002, 2003, 2004, 2005, 2006, 2007, 2008, 2009, 2010, 2011, 2012, 2013, 2014
Owners: 
Allie Bloom, David Schafer, M.Ed. (Blackdog)
Partners:  John Haeckel, Judith (Duff) 
Founder:  Colleen Sullivan
 

Email Us at Bipolar World

 

About Us  Add a Link  Advance Directives  Alternative Treatments  Ask the Doctor   Ask Dr. Plyler about Bipolar Disorder   Ask The Doctor/ Topic Archives  Awards  Benny the Bipolar Puppy  Bipolar Chat  Bipolar Children  Bipolar Disorder News  Bipolar Help Contract  Bipolar World Forums  Book Reviews  Bookstore  BP & Other mental Illness   Clinical Research Trials & FDA Drug Approval   Community Support   Contact Us  The Continuum of Mania and Depression   Coping   Criteria    Criteria and Diagnosis  Criteria-World Health Disabilities,  DSMV-IV   Dual Diagnosis  eGroups  Expressions (Poetry, Inspiration, Humor, Art Gallery, Memorials  Family Members   Getting Help for a Loved One who Refuses Treatment  Greeting Cards  History of Mental Illness  Indigo  Job and School  Links  Manage Your Medications  Medications   Medication and Weight Gain    News of the Day  Parent Chat  Pay for Meds  Personal Stories  Self Help  Self Injury  Significant Others  Stigma and Mental Health Law  Storm's Column  Suicide!!!  The Suicide Wall  Table of Contents   Treatments  Treatment Compliance  US Disability  Veteran's Chat  What's New?