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Lamictal is used in combination with other anti-seizure drugs in the treatment of some types of seizures. It also is used alone for treating partial seizures in patients of 16 years old and older when converting from the anti-epileptic drug valproate.
The initial dose of lamictal in patients, not taking valproic acid (Depakote), is 50 mg once daily for two weeks, followed by 100 mg daily, given in two divided doses for two weeks. Thereafter, the usual maintenance dose is 300 to 500 mg daily, given in two divided doses. In patients taking valproic acid, the initial dose of lamictal is 25 mg every other day for two weeks, then 25 mg once daily for two weeks, slowly increasing the dose (by 25 to 50 mg per day) every one to two weeks) until a dose of 100 to 150 mg daily is reached. Standard doses of lamictal are given twice daily.
Drug Class and Mechanism
Lamictal is an oral drug that is used for treating seizures. It is chemically unrelated to other anti-seizure drugs. The precise mechanism by which lamictal exerts its anti-seizure action is not known.
Try to take each dose at the scheduled time. If you miss a dose, take it as soon as remembered; do not take it if it is near the time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.
Store this medication at room temperature at 77 degrees F (25 degrees C) away from heat, light, and moisture. Brief storage between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Do not store in the bathroom. Keep this and all medications out of the reach of children.
Possible Side Effects
Headache, fatigue, drowsiness, dizziness, blurred vision, weakness, clumsiness may occur the first several days as your body adjusts to the medication. If any of these effects continue or become bothersome, inform your doctor. If you develop a rash, stop using this drug and seek immediate medical attention. In the unlikely event you have an allergic reaction to this drug, seek immediate medical attention. Symptoms of an allergic reaction include: rash, itching, hives, fever, swollen glands, swelling of the lips or tongue, painful sores in the mouth or around the eyes, severe dizziness, trouble breathing. If you notice other effects, not listed above, contact your doctor or pharmacist.
Laboratory tests may be done periodically while taking this medication to monitor the effects. See your doctor regularly.