Lamotrigine Extended-Release TabletsPronunciation
Generic Name: Lamotrigine Extended-Release Tablets (la MOE tri jeen)
Brand Name: Lamictal XR
- A very bad skin reaction (Stevens-Johnson syndrome/toxic epidermal necrolysis) may happen. It can cause very bad health problems that may not go away, and sometimes death. Get medical help right away if you have signs like red, swollen, blistered, or peeling skin (with or without fever); red or irritated eyes; or sores in your mouth, throat, nose, or eyes.
- The chance of a skin reaction is raised in children between 2 and 17 years old. It may also be raised if you take valproic acid or divalproex sodium with this medicine (lamotrigine extended-release tablets), if you start taking this medicine at too high of a dose, or if your dose is raised too fast. Skin reactions have also happened without any of these. Talk with your doctor.
- Most cases of skin reactions have happened within 2 to 8 weeks of starting this medicine (lamotrigine extended-release tablets), but some show up after longer treatment like 6 months. Talk with the doctor.
- This medicine is not approved for use in children younger than 13 years old. Talk with the doctor.
Uses of Lamotrigine Extended-Release Tablets:
- It is used to help control certain kinds of seizures.
What do I need to tell my doctor BEFORE I take Lamotrigine Extended-Release Tablets?
- If you have an allergy to lamotrigine or any other part of this medicine.
- If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If you are taking dofetilide.
This is not a list of all drugs or health problems that interact with this medicine (lamotrigine extended-release tablets).
Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this medicine with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.
What are some things I need to know or do while I take Lamotrigine Extended-Release Tablets?
- Tell all of your health care providers that you take this medicine (lamotrigine extended-release tablets). This includes your doctors, nurses, pharmacists, and dentists.
- Avoid driving and doing other tasks or actions that call for you to be alert until you see how this medicine affects you.
- It may take several weeks to see the full effects.
- Do not stop taking this medicine (lamotrigine extended-release tablets) all of a sudden without calling your doctor. You may have a greater risk of side effects. If you need to stop this medicine, you will want to slowly stop it as ordered by your doctor.
- Have blood work checked as you have been told by the doctor. Talk with the doctor.
- This medicine may affect certain lab tests. Tell all of your health care providers and lab workers that you take this medicine (lamotrigine extended-release tablets).
- If you stop taking this medicine, talk with your doctor. You may need to be restarted at a lower dose and raise the dose slowly.
- Talk with your doctor before you drink alcohol or use other drugs and natural products that slow your actions.
- A very bad and sometimes deadly reaction has happened with this medicine (lamotrigine extended-release tablets). Most of the time, this reaction has signs like fever, rash, or swollen glands with problems in body organs like the liver, kidney, blood, heart, muscles and joints, or lungs. Talk with the doctor.
- Patients who take this medicine may be at a greater risk of having thoughts or actions of suicide. The risk may be greater in people who have had these thoughts or actions in the past. Call the doctor right away if signs like low mood (depression), nervousness, restlessness, grouchiness, panic attacks, or changes in mood or actions are new or worse. Call the doctor right away if any thoughts or actions of suicide occur.
- Use with care in children. Talk with the doctor.
- Some drugs may look the same as this medicine (lamotrigine extended-release tablets) or may have names that sound like this medicine. Always check to make sure you have the right product. If you see any change in the way this medicine (lamotrigine extended-release tablets) looks like shape, color, size, or wording, check with your pharmacist.
- Birth control pills and other hormone-based birth control may change how much of this medicine is in your body. Talk to your doctor before you start or stop any hormone-based birth control. The chance of side effects may be raised when taking birth control pills during the week that the pills are not active. Talk with your doctor.
- Birth control pills and other hormone-based birth control may not work as well to prevent pregnancy. Use some other kind of birth control also like a condom when taking this medicine (lamotrigine extended-release tablets).
- Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using this medicine while you are pregnant.
- Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.
How is this medicine (Lamotrigine Extended-Release Tablets) best taken?
Use this medicine (lamotrigine extended-release tablets) as ordered by your doctor. Read all information given to you. Follow all instructions closely.
- Take with or without food. Take with food if it causes an upset stomach.
- Swallow whole. Do not chew, break, or crush.
- If you have trouble swallowing, talk with your doctor.
- To gain the most benefit, do not miss doses.
- Do not change the dose or stop this medicine. This could cause seizures. Talk with your doctor.
- Keep taking this medicine (lamotrigine extended-release tablets) as you have been told by your doctor or other health care provider, even if you feel well.
What do I do if I miss a dose?
- Take a missed dose as soon as you think about it.
- If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
- Do not take 2 doses at the same time or extra doses.
See also: Dosage Information (in more detail)
What are some side effects that I need to call my doctor about right away?
WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Signs of infection like fever, chills, very bad sore throat, ear or sinus pain, cough, more sputum or change in color of sputum, pain with passing urine, mouth sores, or wound that will not heal.
- Signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.
- Signs of kidney problems like unable to pass urine, change in how much urine is passed, blood in the urine, or a big weight gain.
- Shortness of breath, a big weight gain, or swelling in the arms or legs.
- Swollen gland.
- If seizures are worse or not the same after starting this medicine.
- Very bad muscle pain or weakness.
- Very bad joint pain or swelling.
- Any unexplained bruising or bleeding.
- Feeling very tired or weak.
- Change in eyesight.
- Very bad dizziness or passing out.
- Change in balance.
- Not able to control eye movements.
- Chest pain or pressure.
- Flu-like signs.
- This medicine may raise the chance of a very bad brain problem called aseptic meningitis. Call your doctor right away if you have a headache, fever, chills, very upset stomach or throwing up, stiff neck, rash, bright lights bother your eyes, feeling sleepy, or feeling confused.
What are some other side effects of Lamotrigine Extended-Release Tablets?
All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:
- Feeling sleepy.
- Upset stomach or throwing up.
- Feeling tired or weak.
- Not able to sleep.
- Runny nose.
- Loose stools (diarrhea).
These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.
You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.
See also: Side effects (in more detail)
If OVERDOSE is suspected:
If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
How do I store and/or throw out Lamotrigine Extended-Release Tablets?
- Store at room temperature.
- Protect from light.
- Store in a dry place. Do not store in a bathroom.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Check with your pharmacist about how to throw out unused drugs.
Consumer Information Use and Disclaimer
- If your symptoms or health problems do not get better or if they become worse, call your doctor.
- Do not share your drugs with others and do not take anyone else's drugs.
- Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
- Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
- This medicine comes with an extra patient fact sheet called a Medication Guide. Read it with care. Read it again each time this medicine (lamotrigine extended-release tablets) is refilled. If you have any questions about this medicine, please talk with the doctor, pharmacist, or other health care provider.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
This information should not be used to decide whether or not to take this medicine (lamotrigine extended-release tablets) or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine (lamotrigine extended-release tablets). This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.
Review Date: October 4, 2017
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