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Prescribing Information for Lamictal (Lamotrigine):
What is Lamictal (Lamotrigine)?
Lamictal is an anticolvunsant (anti-epileptic) medicine.
It can be used separately or it can be combined with other medicines for treatment of seizures in adults and children over 2 years old. It can also be prescribed for delay of mood changes in adults with manic depression.
The medication can also be prescribed for other purposes.
What is important to know about Lamictal (Lamotrigine)?
Lamictal may provoke strong or even deathful skin rash, mainly in children and in people who have allergy to any seizure medicines. Severe skin rash may appear if you combine Lamictal with valproic acid (Depakene) or divalproex (Depakote). You should get emergency medical help if you have sore throat, headache, fever, swollen glands, red skin rash, peeling, and strong blistering.
If you have a strong skin rash, you should stop using Lamictal (Lamotrigine) and may not be able to use this medication again.
Lamictal can cause suicidal thoughts. You will need to be examined by your doctor regularly. It is important for you not to miss the visits to your doctor.
Call your healthcare provider immediately if you experience any new or aggravating symptoms like: changes of mood or behavior, panics, anxiety, insomnia, irritability, impulsiveness, hostility, aggression, agitation, if you feel mentally or physically hyperactive, more depressed or restless or if you have thoughts of self-injury or suicide.
You should not stop using Lamictal without your doctor’s advice even if your condition improves. If you stop using it rapidly, your seizures may increase. You should stop taking this medication gradually. If your seizures worsen or if they occur more often, talk with your doctor.
Inform your doctor if you are pregnant or planning pregnancy. In case of taking Lamictal (Lamotrigine) during early pregnancy, the risk of cleft lip or cleft palate in the baby increases.
How should Lamictal (Lamotrigine) be used?
Follow the prescriptions of your doctor and the instructions which come with the medication carefully. Do not change your dose and do not use Lamictal for a longer period than prescribed.
The extended-release pills of lamotrigine (Lamictal XR) may be prescribed for other purposes than the immediate-release tablets. You should always ensure that you have got the proper brand and type of the medication when you have your prescription refilled. If you need any information about the medication you get in the pharmacy, you should ask your pharmacist for it.
Your doctor may adjust your dose over several weeks or months to ensure you are getting the most benefit from your treatment.
Your doctor may need to check your blood regularly to ensure that your dose is right. It is important for you not to miss any scheduled appointments.
If you were using other anticonvulsant medicine before you started Lamictal, you should follow your doctor’s recommendations, do not change your dose or time of taking the medication.
You may take Lamictal (Lamotrigine) with or without meal.
Take the Lamictal pill with a full glass of liquid.
If you are taking chewable dispersible pill, you may chew it and swallow after that or swallow it whole. You may also dissolve the tablet in a teaspoon of water or fruit juice for about a minute, swirl the mixture slightly and swallow it immediately. Do not store it for later use.
If you are going to stop using Lamictal, you should talk with your doctor first, even if your condition has improved. Your seizures may get worse if you stop taking the medicine suddenly, so you should stop taking it gradually. If your seizures worsen or if they occur more often while using Lamictal (Lamotrigine), talk with your doctor. You should always have an ID card with you or wear a medical alert bracelet indicating that you are taking Lamictal, in case of emergency. Inform all your doctors, including dentists and emergency medical care providers, should know that you are using seizure medicine.
If you are using birth control pills, Lamictal can become less effective, which can lead to increased seizures. Your dose of Lamictal should be adjusted when you start or stop taking birth control pills. Side effects may also occur while you are using inactive (placebo) pill from your birth control pack.
Let your doctor know if you are going to stop using birth control pills.
You should take Lamictal on a regular basis to have the best result. Get your prescription refilled when you have the medicine left yet.
Keep Lamictal (Lamotrigine) at room temperature protected from light and moisture.
What side effects can Lamictal (Lamotrigine) cause?
Seek emergency medical attention if you experience any of the following symptoms of allergic reaction: trouble breathing; hives; swelling of your face, lips, tongue, or throat, fever; swollen glands; painful sores in or around your eyes or mouth.
Lamictal may provoke severe skin rash which can even lead to death. The risk of it is higher in children and people who have allergy to other seizure medicines and in those who combine Lamictal with valproic acid (Depakene) or divalproex (Depakote). You should get emergency medical help if you have a fever, sore throat, swollen glands, and headache with a severe blistering, peeling, and red skin rash.
If you stop using the medicine because of a severe skin rash, you may have to avoid using it again later.
Call your doctor promptly if you feel any new or aggravating symptoms like changes of mood or behavior, anxiety, hostility, agitation, if you feel mentally or physically hyperactive, restless or if you have thoughts of self-injury or suicide.You should promptly call your doctor if you experience any of the following symptoms:
- fever, chills, body aches, flu symptoms;
- pale skin, easy bruising or bleeding;
- nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
- muscle pain, tenderness, or weakness with fever or flu symptoms and dark colored urine;
- the first sign of any skin rash;
- fever, sore throat, and headache with a strong blistering, peeling, and red skin rash; or
- chest pain.
- trouble sleeping (insomnia), uncommon dreams;
- runny or stuffy nose;
- dizziness or drowsiness;
- weight loss;
- blurred vision;
- mild nausea, vomiting, diarrhea, upset stomach; or
- lack of coordination.
Lamictal (Lamotrigine) may also cause other side effects. Call your doctor if you need information about them.