Nurse Gary called...

You've got to be kidding me. My blood work came back from Quest about my Lamictal trough levels ...and they are low!

I can't believe this. They are raising my dosage by 25mg (total of 50mg a day).

Lamictal trough levels are supposed to be between 4 and 16 (of what measurement, I'm not sure... Never really asked. I'll have to ask that when I go in next). Mine came in at 3.8.

I am supposed to try the increase for 2 weeks and then give them a call. I may have to go in for more blood work to see the status of my medication then. Nurse Gary told me to continue the Reglan as needed. I don't know what we are going to do if the nausea continues to be so bad, especially with an increase of dosage.

I have a feeling that we are going to have to reevaluate a plan of attack for the nausea at my appointment in early March. I can't take the Reglan forever. It's a medication that is similar to Prilosec and not supposed to be used long-term.

I guess this is just one more hurdle.