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Lamictal

Lamictal is an antiepileptic medication. It controls seizures or fits by decreasing the abnormal and excessive activity of the nerve cells in the brain. Take this medicine in the dose and duration as advised by your doctor. Dissolve Lamictal in a glass of water before taking it.

Other names for this medication:
Epitic, Eptic, Lamepil, Lamepri, Lametec, Lamidus, Lamitor, Lamogin, Lamonex, Lamorig, Lamosyn, Lamotrigine, Laogine, Lemit, Lemogen, Lemoring, Lyzin

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Also known as: Lamotrigine

Description

Lamictal (lamotrigine) is an anti-epileptic medication, also called an anticonvulsant.

Lamictal is used alone or with other medications to treat epileptic seizures in adults and children. Lamictal is also used to delay mood episodes in adults with bipolar disorder (manic depression).

Immediate-release Lamictal can be used in children as young as 2 years old for seizure treatment as an add-on treatment to other seizure medication. However, this form should not be used as a single medication in a child or teenager who is younger than 16 years old.

Extended-release Lamictal XR is for use only in adults and children who are at least 13 years old.

Dosage

This section provides information on the proper use of a number of products that contain lamotrigine. It may not be specific to Lamictal CD. Please read with care.

Take this medicine only as directed by your doctor to help your condition as much as possible and to decrease the chance of unwanted effects. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered.

This medicine should come with a Medication Guide. Read and follow these instructions carefully. Ask your doctor if you have any questions.

Lamotrigine may be taken with or without food or on a full or empty stomach. However, if your doctor tells you to take the medicine a certain way, take it exactly as directed.

If you are taking the chewable dispersible tablets or tablets for suspension, they may be swallowed whole, chewed, and swallowed, or dispersed in a small amount of liquid and swallowed. If the tablets are chewed, they should be followed with a small amount of water or diluted fruit juice to aid in swallowing. To break up these tablets, add them in enough water or diluted fruit juice to cover the tablets (about a teaspoonful). Wait until the tablets are completely dispersed (about 1 minute), then swirl the solution and swallow it immediately.

If you are taking the disintegrating tablet, make sure your hands are dry before you handle the tablet. Do not open the blister pack that contains the tablet until you are ready to take it. Remove the tablet from the blister pack by peeling back the foil, then taking the tablet out. Do not push the tablet through the foil. Place the tablet into your tongue and move it around in your mouth. It should melt quickly. After the tablet has melted, swallow or take a sip of water.

Swallow the extended-release tablets whole. Do not break, crush, or chew it.

Use only the brand of this medicine that your doctor prescribed. Different brands and dosage forms may not work the same way.

This medicine can be used with other seizure medicines. Keep using all of your seizure medicines unless your doctor tells you to stop.

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

For oral dosage forms (chewable dispersible tablets, disintegrating tablets, tablets for suspension, or tablets): For treatment of bipolar disorder: Adults not taking valproic acid (Depakote®) and not taking carbamazepine (Tegretol®), phenobarbital (Luminal®), phenytoin (Dilantin®), or primidone (Mysoline®)—At first, 25 milligrams (mg) of lamotrigine once a day for 2 weeks, then 50 mg once a day for 2 weeks. After this, your doctor may gradually increase your dose as needed. However, the dose is usually not more than 200 mg a day. Adults taking valproic acid (Depakote®)—At first, 25 mg of lamotrigine once every other day for 2 weeks, then 25 mg once a day for 2 weeks. After this, your doctor may gradually increase your dose as needed. However, the dose is usually not more than 100 mg a day. Adults not taking valproic acid (Depakote®) but taking carbamazepine (Tegretol®), phenobarbital (Luminal®), phenytoin (Dilantin®), or primidone (Mysoline®)—At first, 50 mg of lamotrigine once a day for 2 weeks, then a total of 100 mg divided into 2 smaller doses each day for 2 weeks. After this, your doctor may gradually increase your dose as needed. However, the dose is usually not more than 400 mg a day. Adults who are discontinuing valproic acid (Depakote®) or discontinuing carbamazepine (Tegretol®), phenobarbital (Luminal®), phenytoin (Dilantin®), or primidone (Mysoline®)—Dose will be determined by your doctor. Children—Use and dose must be determined by your doctor. For treatment of epilepsy: Adults not taking valproic acid (Depakote®) but taking carbamazepine (Tegretol®), phenobarbital (Luminal®), phenytoin (Dilantin®), or primidone (Mysoline®)—At first, 50 milligrams (mg) of lamotrigine once a day for 2 weeks, then a total of 100 mg divided into 2 smaller doses each day for 2 weeks. After this, your doctor may gradually increase your dose as needed. However, the dose is usually not more than 500 mg a day. Adults not taking valproic acid (Depakote®), carbamazepine (Tegretol®), phenobarbital (Luminal®), phenytoin (Dilantin®), or primidone (Mysoline®)—At first, 25 mg of lamotrigine once a day for 2 weeks, then 50 mg once a day for 2 weeks. After this, your doctor may gradually increase your dose as needed. However, the dose is usually not more than 375 mg a day. Adults taking valproic acid (Depakote®)—At first, 25 mg of lamotrigine once every other day for 2 weeks, then 25 mg once a day for 2 weeks. After this, your doctor may gradually increase your dose as needed. However, the dose is usually not more than 400 mg a day. Adults who are discontinuing valproic acid (Depakote®) or discontinuing carbamazepine (Tegretol®), phenobarbital (Luminal®), phenytoin (Dilantin®), or primidone (Mysoline®)—Dose will be determined by your doctor. Children 2 to 12 years of age: Children not taking valproic acid (Depakote®) but taking carbamazepine (Tegretol®), phenobarbital (Luminal®), phenytoin (Dilantin®), or primidone (Mysoline®)— At first, 0.6 milligrams per kilogram (mg/kg) of body weight of lamotrigine divided into 2 smaller doses each day for 2 weeks, then 1.2 mg/kg of body weight divided into 2 smaller doses each day for 2 weeks. After this, your doctor may gradually increase your dose as needed. However, the dose is usually not more than 400 mg a day. Children not taking valproic acid (Depakote®), carbamazepine (Tegretol®), phenobarbital (Luminal®), phenytoin (Dilantin®), or primidone (Mysoline®)— At first, 0.3 mg/kg of body weight of lamotrigine given in one dose or two smaller doses each day for 2 weeks, then 0.6 mg/kg of body weight divided into 2 smaller doses each day for 2 weeks. After this, your doctor may gradually increase your dose as needed. However, the dose is usually not more than 300 mg a day. Children taking valproic acid (Depakote®)— At first, 0.15 mg/kg of body weight of lamotrigine given in one dose or two smaller doses each day for 2 weeks, then 0.3 mg/kg of body weight given in one dose or two smaller doses each day for 2 weeks. After this, your doctor may gradually increase your dose as needed. However, the dose is usually not more than 200 mg a day. Children younger than 2 years of age—Use and dose must be determined by your doctor. For oral dosage form (extended-release tablets): For seizures: Adults and children older than 13 years of age not taking valproic acid (Depakote®) but taking carbamazepine (Tegretol®), phenobarbital (Luminal®), phenytoin (Dilantin®), or primidone (Mysoline®)—At first, 50 milligrams (mg) of lamotrigine once a day for 2 weeks, then 100 mg once a day for 2 weeks. After this, your doctor may gradually increase your dose as needed. However, the dose is usually not more than 600 mg a day. Adults and children older than 13 years of age not taking valproic acid (Depakote®), carbamazepine (Tegretol®), phenobarbital (Luminal®), phenytoin (Dilantin®), or primidone (Mysoline®)—At first, 25 mg of lamotrigine once a day for 2 weeks, then 50 mg once a day for 2 weeks. After this, your doctor may gradually increase your dose as needed. However, the dose is usually not more than 400 mg a day. Adults and children older than 13 years of age taking valproic acid (Depakote®)—At first, 25 mg of lamotrigine once every other day for 2 weeks, then 25 mg once a day for 2 weeks. After this, your doctor may gradually increase your dose as needed. However, the dose is usually not more than 250 mg a day. Children younger than 13 years of age—Use and dose must be determined by your doctor.

Overdose

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include blurred vision, problems with coordination, increased seizures, feeling light-headed, or fainting.

Storage

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F) away from moisture and heat. Throw away any unused medicine after the expiration date. Keep out of reach of children.

Side effects

The most common side effects associated with Lamictal are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.

Contraindications

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

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Vesicoureteral reflux and urinary tract infection: evolving practices and current controversies in pediatric imaging. A simple analytical method allowing for a rough estimation of the pumping pressure was proposed and used when considering the lubrication layer of wet shotcrete in pipes. Vertebral compression fractures related to osteoporosis greatly afflict the aging simvastatin 40 mg coupon population. The surgical techniques for mitral valve repair are well established and are reproducible. The paper discusses the study protocol, the data management and data quality as well as the classification used, and it describes the study population. We have previously reported that prolonged exposure to P-glycoprotein substrates decreases relative resistance in multidrug resistant cells. Puncture of solid tumors of the liver with large caliber needle guided by ultrasonography. A total of 16,902 (8204 males) subjects aged 20-95 years from the general population were studied.

lamictal dosing guide 2020-09-04

To assess HIV burden in both acellular and cellular fractions of semen in men with different levels of blood plasma HIV RNA by a cross-sectional study. Defects in beta-cell function and insulin sensitivity in normoglycemic streptozocin-treated baboons: a model of preclinical insulin-dependent diabetes. Detailed hormone analysis in five patients revealed elevations of luteinizing hormone in four, decreased serum testosterone in two, elevations of estradiol in two, and elevation of human chorionic gonadotropin in one patient. In the heart, ischemia/reperfusion damage occurs mainly during the first minutes of reperfusion. The combination therapy with paclitaxel and carboplatin is adopted as first choice in patients with endometrial cancer because of the efficacy and low toxicity, although not proven in a randomized trial.The literature on the management of patients with advanced endometrial cancer is discussed in detail. Interactions between genetic and environmental factors appear to influence lipid metabolism, plasma homocysteine levels, and pharmacologic response to many commonly prescribed medications. MspTL is the most abundant outer membrane protein of Treponema lecithinolyticum, which is associated with periodontitis, and induces expression of a variety of proinflammatory factors. New Chs and rbcS genes appear to be recruited at about 10 times the rate estimated for Adh genes, and this is correlated with a much smaller average gene family size for Adh genes. The ubiquitously expressed basic-helix-loop-helix leucine zipper upstream stimulating factor-1 binds E-box regulatory elements (CANNTG) to regulate a wide number of gene networks. The aim of this study was to compare the effectiveness of velvet antler (VA) from different sections for promoting longitudinal bone growth in growing rats.

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