Lamotrigine (Lamictal)

TLDR: has anyone been prescribed lamotrigine for trich?

So I’m 22, been on Prozac for 10 years (maximum dose for 2 years now) and it works well for my other mental health problems/emotional regulation. My psychiatrist increased the dose two years ago to see if it could make a difference to my pulling but it hasn’t at all.

He’s just suggested an option of using lamotrigine off-label as there has been a few studies suggesting in can help.

I’m on a lot of medication for ADHD as well as a pre-existing heart condition and so I’m reluctant to make changes.

It would be helpful if anyone who has been on lamotrigine could share their experience. I’ve been reading a few studies but any insight would be greatly appreciated.

Note- I have tried CBT multiple times and always engaged fully but never saw any improvement.