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My son is on 150 mg of Lamotrigine twice a day. Over the summer he is taking his medication at 10:30 AM and 10:30 PM. We live in Louisville Kentucky so our time zone is EST. He is going on a trip to St. Louis with a CST. He leaves Sunday so we likely won’t be able to ask our doctor until later Monday.

Has anyone ever been in a similar situation and if so, do you just continue to take the medication at the same time (ie: 10:30)? Or would you try to keep consistent with EST and take at 11:30?

June 12
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A MyEpilepsyTeam Member

When I would visit my Dad in the Rocky’s TimeZone , I stayed on my medication schedule to my CST zone.
Waiting an extra hour wasn’t bad for me. Plus as the days went by my body would adapt to new time zone.

If you want to play safe he could take the meds at 9:30am and 9:30pm. CST zone time.

June 12
A MyEpilepsyTeam Member

Usually, 1.5-2 hours prior to or after the normal time they're normally taken is what I stick to.

June 13
MyEpilepsyTeam

What a thoughtful question — it's clear how carefully you're managing your son's care! The good news is that a one or two hour time zone difference is generally considered low-risk.

For a small time difference like Louisville (EST) to St. Louis (CST), there are two common approaches:

- Keep the same clock time — continue Show Full Answer

What a thoughtful question — it's clear how carefully you're managing your son's care! The good news is that a one or two hour time zone difference is generally considered low-risk.

For a small time difference like Louisville (EST) to St. Louis (CST), there are two common approaches:

- Keep the same clock time — continue giving medication at 10:30 AM/PM in the new time zone
- Stick to home time — give medication at 11:30 AM/PM in St. Louis, which matches his usual 10:30 EST schedule A MyEpilepsyTeam member shared a similar perspective: "Technically, pill time never changes, the 'hour' does." Many people find it easiest to simply keep their home time schedule for short trips.

Either approach is generally considered safe for a one-hour difference, but since every person responds differently, it's still worth leaving a message with his neurologist or nurse line over the weekend if possible — many practices have on-call support.

June 12

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