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I have been on Tegretol or Tegretol XR for 22 years. I didn't know it until recently but I now have Hypothyroidism. I recently read that long term use of Tegretol leads to Hypothyroidism in some people. My Neurologist added Lamictal to my seizure meds about three years ago when my seizures were not under control to the point that they had been for twenty years. Until then, I was only on Tegretol. I am thinking of seeing my Neurologist to see what they think about me getting off of Tegretol and use only Lamictal now that it looks like the Tegretol gave my Hypothyroidism. I am only 41 so it is not that common for someone to get Hypothyroidism at that age.