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Medication: Lamictal (Lamotrigine)

Courtesy of the Janeway Child Health Centre, A Site of The Health Care Corporation of St. John's (1995)


Lamictal is available in:

  • 25mg (white tablets)
  • 100mg (pink tablets)
  • 150mg (cream tablets)
  • 200mg (blue tablets)

PURPOSE:

Used to help control seizures.

HOW LONG TO CONTINUE GIVING:

To give until your doctor advises you how and when to discontinue. Medication should never be stopped abruptly. If this were done, it is possible seizures may increase.

WHEN TO HAVE BLOOD LEVEL CHECKED:

Blood levels are not necessary.

NEED TO MIX WITH FOOD:

May be taken with or without food.

HOW TO TAKE:

Take exactly as instructed by your doctor. If you should miss a dose, the level in your blood will drop, increasing the risk for more seizures. Also, it will take several days for the level to return to normal. If you happen to miss a dose, do not try to make up for it by doubling up on your next dose. Take your next regularly scheduled dose and try not to miss any.

SIDE EFFECTS:

Serious side effects which have been reported include:

  • An allergic reaction consisting of a red rash which is sometimes associated with fever, irritability, and serious illness may occur within a few weeks of beginning Lamictal. If this should happen, notify your doctor immediately.
  • Another rare side effect which has been reported is hepatitis (inflammation of the liver). This is usually accompanied by tiredness, jaundice, (yellowing of the skin), nausea and stomach cramps. Again, if this should occur, notify your doctor.

Other common side effects which are generally mild and often go away within a couple of weeks after starting Lamictal include:

  • Fatigue (tiredness)
  • Drowsiness
  • Unsteadiness
  • Dizziness
  • Double vision
  • Slurred speech
  • Hair loss

Despite this list of possible side effects, Lamictal is often effective for seizure control and most people tolerate it without any problem.

IMPORTANT POINTS:

  • There is little information about the effects of Lamictal on a developing baby. Females taking this medication should discuss risk and possible alternatives with their doctor before becoming pregnant.
  • Lamictal should be used with caution when your child is taking other anticonvulsants. Other anticonvulsants have been shown to interfere with the elimination of Lamictal from the body.
  • It is safe to take over the counter medication and other prescribed therapies such as antibiotics. However, your family doctor should be aware that your child is taking this medication.

NOTE:

If you have any questions, you may contact:

Pediatric Neurology Program
Janeway Child Health Centre
St. John's, NF
Phone: 778-4172

Developed 1995 by: Sharon Penney, Neurology; Approved by: Dr. D. Buckley, Neurologist & Assistant Administrator

 

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Updated: 2003-08-28

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