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  • BDD Moderators: Keif’ Richards

Prescription, recreation, therapeutic quandary

bvc

Bluelighter
Joined
Aug 26, 2025
Messages
378
I take a drug to handle my peripheral neuropathy. It's off-labelled to treat Bipolar 2, which I've erroneously been diagnosed with.

But I also use the drug "recreationally", albeit therapeutically.

I have a limited supply to the drug legally. So I'm trying to decide how to keep taking the drug as prescribed for the neuropathy, but also take occasional "recreational" therapeutical doses.

Any advice?
 
I take a drug to handle my peripheral neuropathy. It's off-labelled to treat Bipolar 2, which I've erroneously been diagnosed with.

But I also use the drug "recreationally", albeit therapeutically.

I have a limited supply to the drug legally. So I'm trying to decide how to keep taking the drug as prescribed for the neuropathy, but also take occasional "recreational" therapeutical doses.

Any advice?
If you take it as perscribed you arent just going to magically wind up with some extra pills on the day youre supposed to run out. You can either use it as prescribed or miss a few of your prescribed doses. Really, you could pretend you need a higher dosage than you do and then just remove whatever they increase it by (ie; if you get upped from 100 mg to 150, you remove 50 mg of whatever it is from the gelatin/cellulose capsules or cut 1/3 the weight of the pill off and take the capsules or larger pill peices, while left with whatever you took out to abuse as you wish)
 
I take a drug to handle my peripheral neuropathy. It's off-labelled to treat Bipolar 2, which I've erroneously been diagnosed with.

But I also use the drug "recreationally", albeit therapeutically.

I have a limited supply to the drug legally. So I'm trying to decide how to keep taking the drug as prescribed for the neuropathy, but also take occasional "recreational" therapeutical doses.

Any advice?

What drug are you taking?
 
depending on person, gabapentinoids could be used occasional days like 2/3 or even 1/2 of the dose without suffering much of withdrawals, particularly because yesterdays dose is probably still somewhat working in the background. Withdrawals also ain't as dangerous as, say, benzo WDs, but it is still not good idea to regularly suffer bad withdrawals in order to gain some extras, one being, it is not even fun. It is also counterproductive for health.

And if you need gabapentinoids for medical reasons, it is also adviced against making recreational dosing habit beyond few times a month, to maintain drugs effectiveness. But you sound like you are somewhat grounded with this boundary condition and have healthy approach.

(now it turns out it is not even about gabapentinoid) :p
 
Lamotrigine (Lamictal)
Obviously you have experimented with taking it how you want to. I do not think we understand the effect it produces in the correct dose or the effect it produces in abundance.

What do you like about taking more of Lamictal (Lamotrigine) than prescribed ?

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Making a generic observation of your medical diagnosis, I would not take more than prescribed. Your medical condition requires a stable daily dosage like a "control" in a science experiment. Without a controlled blood plasma level, it's very likely it will be difficult to observe physical little or significant changes. you may be late to notify your doctor when things are going good or bad. or your doctor will not know when to increase your medication if needed. If I was in your shoes, I would research the drugs your interested in relating to your "medical diagnosis" and "display or forward" to your doctor the symptoms that validate or justify it. I would practice your approach and do not sound over confident. Treat the doctor's appointment like a courtroom, the less you say the better. Speak some of the symptoms relating and bounce the ball back to the doctor in his court (I could come up with something with your diagnosis 99.8%).

(A) Peripheral neuropathy is damage to the peripheral nerves outside the brain and spinal cord, leading to symptoms like pain, numbness, tingling, and weakness, often in the hands and feet. It disrupts the nerves' ability to send signals between the body and the central nervous system


(B) stopping lamotrigine (Lamictal) can cause withdrawal-like symptoms, especially if done abruptly. These symptoms are often referred to as "discontinuation syndrome" or "rebound effects" and can range from uncomfortable to potentially dangerous, particularly an increased risk of seizures


Physical
-- Headaches and migraines
-- Dizziness and vertigo
Nausea and vomiting
Fatigue and lethargy
"Brain zaps" (brief electrical sensations) or tingling in hands/feet
Sleep disturbances, including insomnia or vivid nightmares
Muscle aches and general flu-like symptoms

Psychological
Mood swings, irritability, and anger
Anxiety and panic attacks
Depression and thoughts of self-harm or suicide
Difficulty concentrating or "brain fog"
Worsening of original condition symptoms (e.g., increased seizures for epilepsy patients, severe mood episodes for bipolar disorder patients)


Key Risks of Abrupt Discontinuation
Stopping the medication cold turkey significantly increases the risks:
  • Seizures: The most serious risk, even for people who were taking the medication for bipolar disorder and did not have a history of epilepsy.
  • Severe mood instability: This includes a high risk of rebound depression, mania, or severe anxiety.
 
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you should be able to get a prescription for Diazepam, Clonidine, Cyclobenzaprine, Gabapentin, Pregabalin, and/or Oxycodone.

It would not hurt to prescribe a Z-drug like Lunesta.
 
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