I am a 61 year old male diagnosed with bipolar II 10 years ago and since then have taken 200 mg's lamotrigine twice daily. I also smoke weed and like to drink a beer. moderation is the key and works for me. I drink one nice craft beer a day and generally take between 4-7 good tokes off good medical grade marijuana. I don't smoke every day. Once in awhile I get a wicked migraine headache I attribute to the interactions, of which I take prescription sumatriptan for my migraines. Oh, the things we do to survive in this crazy world!
I'm 29, been taking lamotrigine for about 3 months now, I drink a lot and smoke a lot and am on benzos, antidepressants and antiretroviral drugs. I'm totally aware that mixing all these things are dangerous but I've been this way for 10 years and my doctors know about my alcoholism/substance abuse issues. Smoking weed has had no negative effects for me. I would say try to avoid binge drinking on lamotrigine but if you don't usually have bad anxiety when smoking weed before you started taking lamotrigine then you should be fine.
I had this same experience. I'm taking 75mg of Lamictal and smoked for the first time in 10 years. It was horrible. Trying to sleep (eyes closed), lights, music that wasn't playing, all noises louder than they actually were, and intense dizziness. It was like being trapped in the Alice in Wonderland from hell.
Hey I was reading this blog and I came across your post. It was very similar to mine and I just felt like I had to comment . Last night I drank a four loco well I'm alight weight i believe lamictal causes that after the four loco i ad a buzz then I did one hit of pot and just that one hit turned things I started off fine for the first five minutes. Then I started throwing up and I don't think for the next 3 hours I open my eyes it was like I was so weak I couldn't. It was like I was border line seizure but I never had one all the way just at the point where I felt like the things were slipping. So just to say I would never smoke pot with my medicine unless I missed 2 doses of it but also i don't think alcohol effects it that much besides enhancing dizziness and drozeness.