lamotrigine - Adventist HealthCare

lamotrigine

Pronunciation: la MOE tri jeen

Brand: LaMICtal, LaMICtal ODT, LaMICtal XR

LamoTRIgine

slide 1 of 54, LamoTRIgine,

25 mg, diamond, white, imprinted with 9 3, 39

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LamoTRIgine

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25 mg, oval, white, cherry, imprinted with 132, 93

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LamoTRIgine

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100 mg, diamond, peach, imprinted with 9 3, 463

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LamoTRIgine

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5 mg, round, white, cherry, imprinted with 93, 688

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LamoTRIgine

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150 mg, diamond, white, imprinted with 9 3, 7247

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LamoTRIgine

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200 mg, diamond, blue, imprinted with 9 3, 7248

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LaMICtal

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5 mg, oval, white, imprinted with GX CL5

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LaMICtal

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25 mg, elliptical, white, imprinted with GX CL5

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LaMICtal

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100 mg, hexagonal, peach, imprinted with LAMICTAL 100

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LaMICtal

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150 mg, shield, white, imprinted with LAMICTAL 150

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LaMICtal

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200 mg, hexagonal, blue, imprinted with LAMICTAL 200

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LaMICtal

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2 mg, round, white, imprinted with LTG 2

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LaMICtal XR

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25 mg, round, white/yellow, imprinted with LAMICTAL XR 25

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LaMICtal XR

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50 mg, round, green/white, imprinted with LAMICTAL XR 50

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LaMICtal XR

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100 mg, round, orange/white, imprinted with LAMICTAL XR 100

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LaMICtal XR

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200 mg, round, blue/white, imprinted with LAMICTAL, XR 200

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LaMICtal XR Patient Titration Kit (Blue)

slide 17 of 54, LaMICtal XR Patient Titration Kit (Blue),

blue, round, green/white

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LaMICtal XR Patient Titration Kit (Green)

slide 18 of 54, LaMICtal XR Patient Titration Kit (Green),

green, round, green/white

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LaMICtal XR Patient Titration Kit (Orange)

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orange, round, yellow/white

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LaMICtal XR

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300 mg, oblong, gray/white, imprinted with LAMICTAL XR 300

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LaMICtal ODT

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200 mg, round, white, imprinted with LAMICTAL, 200

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LaMICtal ODT Patient Titration Kit (Orange)

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orange, round, white

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LamoTRIgine

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25 mg, capsule, white, imprinted with L121

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LamoTRIgine

slide 24 of 54, LamoTRIgine,

100 mg, round, white, imprinted with L122

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LamoTRIgine

slide 25 of 54, LamoTRIgine,

150 mg, round, white, imprinted with L123

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LamoTRIgine

slide 26 of 54, LamoTRIgine,

200 mg, round, white, imprinted with L124

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LamoTRIgine

slide 27 of 54, LamoTRIgine,

100 mg, triangular, white, imprinted with U U, 112

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LamoTRIgine

slide 28 of 54, LamoTRIgine,

150 mg, triangular, white, imprinted with U U, 113

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LamoTRIgine

slide 29 of 54, LamoTRIgine,

200 mg, triangular, blue, imprinted with U U, 114

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LamoTRIgine

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25 mg, round, white, imprinted with J 245

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LamoTRIgine

slide 31 of 54, LamoTRIgine,

100 mg, round, white, imprinted with J 246

Image of LamoTRIgine
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LamoTRIgine

slide 32 of 54, LamoTRIgine,

150 mg, round, white, imprinted with J 247

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LamoTRIgine

slide 33 of 54, LamoTRIgine,

200 mg, round, white, imprinted with J 248

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LamoTRIgine ER

slide 34 of 54, LamoTRIgine ER,

50 mg, round, white, imprinted with Par, 562

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LamoTRIgine ER

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100 mg, round, brown, imprinted with Par, 563

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LamoTRIgine ER

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200 mg, round, yellow, imprinted with Par, 564

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LamoTRIgine

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150 mg, round, white, imprinted with M L53

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LamoTRIgine

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25 mg, round, white, imprinted with TARO, LMT 25

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LamoTRIgine

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100 mg, round, pink, imprinted with TARO, LMT 100

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LamoTRIgine

slide 40 of 54, LamoTRIgine,

150 mg, round, white, imprinted with TARO, LMT 150

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LamoTRIgine

slide 41 of 54, LamoTRIgine,

200 mg, round, blue, imprinted with TARO, LMT 200

Image of LamoTRIgine
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LamoTRIgine

slide 42 of 54, LamoTRIgine,

25 mg, round, white, imprinted with J 245

Image of LamoTRIgine
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LamoTRIgine

slide 43 of 54, LamoTRIgine,

100 mg, round, white, imprinted with J 246

Image of LamoTRIgine
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LamoTRIgine

slide 44 of 54, LamoTRIgine,

150 mg, round, white, imprinted with J 247

Image of LamoTRIgine
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LamoTRIgine

slide 45 of 54, LamoTRIgine,

200 mg, round, white, imprinted with J 248

Image of LamoTRIgine
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LamoTRIgine

slide 46 of 54, LamoTRIgine,

25 mg, round, white, imprinted with APO, LAM 25

Image of LamoTRIgine
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LamoTRIgine

slide 47 of 54, LamoTRIgine,

100 mg, round, peach, imprinted with APO, LAM 100

Image of LamoTRIgine
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LamoTRIgine

slide 48 of 54, LamoTRIgine,

150 mg, round, yellow, imprinted with APO, LAM 150

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LamoTRIgine

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200 mg, round, blue, imprinted with APO, LAM 200

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LaMICtal

slide 50 of 54, LaMICtal,

100 mg, hexagonal, peach, imprinted with LAMICTAL 100

Image of LaMICtal
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LaMICtal

slide 51 of 54, LaMICtal,

150 mg, shield, white, imprinted with LAMICTAL 150

Image of LaMICtal
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LaMICtal

slide 52 of 54, LaMICtal,

200 mg, hexagonal, blue, imprinted with LAMICTAL 200

Image of LaMICtal
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LaMICtal

slide 53 of 54, LaMICtal,

25 mg, shield, white, imprinted with LAMICTAL 25

Image of LaMICtal
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LamoTRIgine

slide 54 of 54, LamoTRIgine,

200 mg, diamond, blue, imprinted with 9 3, 7248

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What is the most important information I should know about lamotrigine?

Lamotrigine may cause a severe or life-threatening skin rash, especially in children and in people who take too high of a starting a dose, or those who also take valproic acid (Depakene) or divalproex (Depakote).

Seek emergency medical attention if you have a fever or rash.

What is lamotrigine?

Lamotrigine is an anti-epileptic medication, also called an anticonvulsant.

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

The immediate-release form of lamotrigine (Lamictal, Lamictal ODT) can be used in children as young as 2 years old when it is given as part of a combination of seizure medications. However, this form should not be used as a single medication in a child or teenager who is younger than 16 years old.

The extended-release form of lamotrigine (Lamictal XR) is for use only in adults and children who are at least 13 years old.

Lamotrigine may also be used for purposes not listed in this medication guide.

What should I discuss with my healthcare provider before taking lamotrigine?

You should not take lamotrigine if you are allergic to it.

Lamotrigine may cause a severe or life-threatening skin rash, especially in children and in people who take too high a dose at the start of treatment. Serious skin rash may also be more likely to occur if you are taking lamotrigine together with valproic acid (Depakene) or divalproex (Depakote).

Tell your doctor if you have ever had:

  • kidney or liver disease;
  • depression, suicidal thoughts or actions; or
  • an allergy to a seizure medication.

Some people have thoughts about suicide while taking this medicine. Your doctor will need to check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms.

Do not start or stop taking seizure medication during pregnancy without your doctor's advice. Having a seizure during pregnancy could harm both mother and baby. Tell your doctor right away if you become pregnant.

If you are pregnant, your name may be listed on a pregnancy registry. This is to track the outcome of the pregnancy and to evaluate any effects of lamotrigine on the baby.

Birth control pills can make lamotrigine less effective, resulting in increased seizures. Tell your doctor if you start or stop using birth control pills while you are taking lamotrigine. Your lamotrigine dose may need to be changed.

It may not be safe to breast-feed while using this medicine. Ask your doctor about any risk.

How should I take lamotrigine?

Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.

Taking too much lamotrigine at the start of treatment may increase your risk of a severe life-threatening skin rash.

You may need frequent blood tests to help your doctor make sure you are taking the right dose of lamotrigine.

Extended-release lamotrigine (Lamictal XR) may be used for different conditions than immediate-release lamotrigine is used for. Always check your refills to make sure you have received the correct size, color, and shape of tablet. Ask the pharmacist if you have any questions about the medicine you receive at the pharmacy.

If you switch to lamotrigine from another seizure medicine, carefully follow your doctor's instructions about the timing and dosage of your medications. Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.

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

Remove an orally disintegrating tablet (ODT) from the package only when you are ready to take the medicine. Place the tablet in your mouth and allow it to dissolve, without chewing. Swallow several times as the tablet dissolves.

To take the chewable dispersible tablet, you may either swallow it whole with a glass of water, or chew it first and then swallow it. You may also place the tablet into 1 teaspoon of water or diluted fruit juice and allow it to disperse in the liquid for about 1 minute. Gently swirl the liquid and then swallow all of the mixture right away. Do not save it for later use.

Do not stop using lamotrigine suddenly, even if you feel fine. Stopping suddenly may cause increased seizures. Follow your doctor's instructions about tapering your dose.

In case of emergency, wear or carry medical identification to let others know you use seizure medication.

This medicine may affect a drug-screening urine test and you may have false results. Tell the laboratory staff that you use lamotrigine.

Store at room temperature away from light and moisture.

What happens if I miss a dose?

Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.

Get your prescription refilled before you run out of medicine completely.

What happens if I 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.

What should I avoid while taking lamotrigine?

Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired.

What are the possible side effects of lamotrigine?

Get emergency medical help if you have signs of an allergic reaction (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling).

If you have to stop taking lamotrigine because of a serious skin rash, you may not be able to take it again in the future.

Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, depression, anxiety, or if you feel agitated, hostile, restless, hyperactive (mentally or physically), or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have:

  • any skin rash, no matter how mild;
  • vision problems;
  • trouble walking;
  • a seizure;
  • low blood cell counts --fever, chills, tiredness, mouth sores, skin sores, easy bruising, unusual bleeding, pale skin, cold hands and feet, feeling light-headed or short of breath;
  • possible signs of brain inflammation --headache, neck stiffness, increased sensitivity to light, purple spots on the skin, confusion, drowsiness; or
  • signs of inflammation in your body --swollen glands, tingling or numbness, muscle weakness, stomach pain or tenderness, jaundice (yellowing of the skin or eyes), chest pain, new or worsening cough.

Common side effects may include:

  • headache, dizziness;
  • blurred vision, double vision;
  • tremor, loss of coordination;
  • dry mouth, nausea, vomiting, stomach pain, diarrhea;
  • fever, sore throat, runny nose;
  • drowsiness, tired feeling;
  • back pain; or
  • sleep problems (insomnia).

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect lamotrigine?

Other drugs may affect lamotrigine, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.

Where can I get more information?

Your pharmacist can provide more information about lamotrigine.


Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2018 Cerner Multum, Inc. Version: 18.01. Revision date: 4/30/2018.

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