LAMICTAL. 5 mg. 28 tablets

LAMICTAL. 5 mg. 28 tablets
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Lamictal belongs to a group of medicines called anti-epileptics. It is used to treat two conditions - epilepsy and bipolar disorder.

LAMICTAL. 5 mg. 28 tablets

 
 
LAMICTAL WHAT IS AND WHAT IT IS USED
Lamictal belongs to a group of medicines called anti-epileptics. It is used to treat two conditions - epilepsy and bipolar disorder.

Lamictal treat epilepsy by blocking nerve signals, which cause epileptic seizures.
For adults and children 13 and older, Lamictal can be used alone or with other medicines to treat epilepsy. Lamictal can also be used with other medicines to treat seizures associated with a disease called Lennox-Gastaut syndrome;
In children aged 2 to 12 years Lamictal can be administered with other drugs to treat those conditions. Can be used alone to treat a type of epilepsy called typical absence seizures.
Lamictal be used for the treatment of bipolar disorder.
People with bipolar disorder (sometimes called manic depression) have extreme mood swings, with periods of mania (excitement or euphoria) alternating with periods of depression (deep sadness or despair). For adults aged 18 years and older, Lamictal can be used alone or with other medicines to prevent periods of depression that occur in bipolar disorder. It is not yet elucidated the mechanism of action of Lamictal brain to achieve this effect.

2. BEFORE YOU TAKE LAMICTAL
Do not take Lamictal:
if you are allergic (hypersensitive) to lamotrigine or any of the other ingredients of Lamictal (listed in section 6).
If this applies to you:
Tell your doctor and do not take Lamictal.
Take special care with Lamictal
Your doctor should know before starting treatment with Lamictal:
if you have any kidney problems;
If you've ever developed a rash after taking lamotrigine or other medicines for bipolar disorder or epilepsy;
If you have ever developed meningitis after lamotrigine (read the description of these symptoms in section 4 of this leaflet: Other side effects);
If you are taking medicines containing lamotrigine.
If any of the above applies to you:
Tell your doctor who may decide to reduce the dose or consider that Lamictal is not suitable for you.
Important information about potentially life-threatening reactions
A small number of patients taking Lamictal develop an allergic reaction or potentially life-threatening reaction in the skin that can develop into more serious problems if left untreated. You must be aware of the symptoms to watch for their appearance while taking Lamictal.
Read the description of these symptoms in section 4 of this leaflet "Potentially life-threatening reactions: seek immediate medical attention."
Thoughts of harming or killing
Antiepileptic drugs are used for treatment of several diseases, including epilepsy and bipolar disorder. People suffering from bipolar disorder can sometimes have thoughts of harming or killing themselves. If you suffer from bipolar disorder are more likely to think like this:
when starting treatment for the first time;
If you had thoughts of harming or suicide;
if you are under the age of 25 years.
If you have any distressing thoughts or experiences, or if you notice that you feel worse or develop new symptoms while taking Lamictal:
Tell your doctor immediately or go to the nearest hospital to assist you.
Small number of people being treated with antiepileptics such Lamictal also have had thoughts of harming or killing themselves. Immediately call your doctor if at any time you have these thoughts.

If you take Lamictal for epilepsy
Seizures in some types of epilepsy can be worse or more often while taking Lamictal. Some patients may experience severe seizures, which can cause serious health problems. If your seizures happen more often or have a severe seizure while taking Lamictal:
Tell your doctor immediately.

Lamictal should not be used to treat bipolar disorder in individuals under the age of 18 years. Medicines to treat depression and other mental health problems increase the risk of thoughts and suicide attempts in children and adolescents under 18 years.

Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, or start taking new ones - including herbal medicines or other medicines obtained without a prescription.
Your doctor should know if you are taking other medicines to treat epilepsy or mental health problems. This is necessary to enable a doctor to make sure you are taking the correct dose. These medications include:
oxcarbazepine, felbamate, gabapentin, levetiracetam, pregabalin, topiramate or zonisamide used for the treatment of epilepsy;
lithium or olanzapine used for the treatment of mental health problems;
bupropion, used to treat mental health problems or to stop smoking.
Tell your doctor if you are taking any of these medicines.

Some medicines interact with Lamictal or increase the likelihood of adverse effects in humans. These include:
valproate used in the treatment of epilepsy and psychological problems;
Carbamazepine, used in the treatment of epilepsy and psychological problems;
phenytoin, primidone or phenobarbitone, used for the treatment of epilepsy;
risperidone used in the treatment of mental health problems;
rifampicin, an antibiotic;
drugs used for the treatment of infection by human immunodeficiency virus (HIV) (a combination of lopinavir and ritonavir or atazanavir and ritonavir);
hormonal contraceptives such as the Pill (see below).
Tell your doctor if you begin or stop taking any of these medicines.

Hormonal contraceptives (birth control pills) may affect the way Lamictal
Your doctor may recommend that you use a particular type of hormonal contraceptive, or another method of contraception, such as condoms, diaphragm or coil. If you are using a hormonal contraceptive (birth control pills), your doctor may take a blood sample to check the level of Lamictal. If you take a hormonal contraceptive or intend to start hormonal contraceptives:
Discuss this with your doctor, who can offer suitable methods of contraception.
Lamictal can also interfere with the hormonal contraceptives, although it is expected to decrease the effect of their action. If you are using a hormonal contraceptive, and you notice any changes in your menstrual cycle, such as breakthrough bleeding or spotting between periods:
Tell your doctor. This may be a sign that Lamictal affecting the way your contraceptive.
Pregnancy and lactation
There may be an increased risk of birth defects in children whose mothers took Lamictal during pregnancy. These defects include cleft lip or cleft palate. Your doctor may advise you to take extra folic acid if you intend to become pregnant and during pregnancy.
Pregnancy can alter the effectiveness of Lamictal, so you may need to be made your blood tests and dose Lamictal you take can be corrected.
Tell your doctor if you are pregnant, may be pregnant or plan to become pregnant. You should not stop treatment without discussing this with your doctor. This is especially important if you suffer from epilepsy.
Tell your doctor if you are breastfeeding or plan to breastfeed. The active substance of Lamictal passes into breast milk and may affect your baby. Your doctor will discuss the risks and benefits of breastfeeding while taking Lamictal. Will check your baby, if you decide to breast-feed while taking Lamictal.
Driving and using machines
Lamictal can cause dizziness and double vision.
Do not drive or operate machinery unless you are sure you're not affected.
If you have epilepsy, tell your doctor about driving and operating machinery.

tablets:
Important information about some of the ingredients of Lamictal
Lamictal tablets contain small amounts of sugar called lactose. If you are intolerant to lactose or other sugars:
Tell your doctor and do not take Lamictal.

3. HOW TO TAKE LAMICTAL
Always take Lamictal exactly as your doctor tells you. If you are not sure, ask your doctor or pharmacist.

How Lamictal taking
Establishing the optimal dose for you Lamictal may take some time. The dose you take will depend on:
your age;
whether taking Lamictal with other medicines;
whether you have any kidney or liver problems.
Your doctor will prescribe a lower dose at the beginning of the treatment, which gradually increase in a few weeks up to a dose that is optimum for the control of the disease (called the effective dose). Never take more than prescribed Lamictal by your doctor.

The usual effective dose Lamictal for adults and children over 13 or between 100 and 400 mg each day.
For children aged 2 to 12 years, the effective dose depends on the body weight - usually between 1 mg and 15 mg per kilogram body weight of the child to a maximum maintenance dose of 200 mg.
Lamictal use is not recommended in children under 2 years.

How to take your dose Lamictal
tablets:
Take your dose Lamictal once or twice daily as recommended by your doctor. The drug may be taken with or without food.

Your doctor may advise you to start or stop taking other medications depending on the condition being treated and the way you respond to treatment.
Swallow the tablets whole. Do not break, chew or crush.
Always take the full dose prescribed by your doctor. Never take only part of the tablet.
Dispersible tablets / chewable tablets:
Take your dose Lamictal once or twice daily as recommended by your doctor. The drug may be taken with or without food.
Always take the full dose prescribed by your doctor. Never take only part of the tablet.

Your doctor may advise you to start or stop taking other medications depending on the condition being treated and the way you respond to treatment.
Lamictal dispersible / chewable tablets for oral use may be swallowed whole with a little water, to be chewed or to be mixed with water to prepare a liquid medicine.

Chewable tablets:
You can drink a little water at the same time to help the tablet dissolve in the mouth. Then drink some more water to make sure that all medication is taken.

To dissolve the tablet:
Place the tablet in a glass of water, at least enough to cover the whole tablet.
Stir to dissolve, or wait until the complete dissolution of the tablet.
Drink all the liquid.
Add a little water in a cup and drink it to make sure that the cup is left medicine.
If you take more dose Lamictal
Immediately contact your doctor or pharmacist. If possible, show them the pack Lamictal.
When taking too much Lamictal may occur following symptoms:
rapid, uncontrollable eye movements (nystagmus);
clumsiness and loss of coordination, affecting their balance (ataxia);
loss of consciousness or coma.

If you forget to take Lamictal
Do not take extra tablets or a double dose to make up the missed dose.
Seek advice your doctor how to start taking it again. This is very important for your treatment.
Do not stop taking Lamictal without advice
Lamictal should be taken as long as recommended by your doctor. Do not stop taking your medicine unless your doctor tells you.

If you take Lamictal for epilepsy
To stop taking Lamictal of great importance is the dose is reduced gradually for about two weeks. If you stop taking Lamictal sudden epilepsy may come back or get worse.

If you take Lamictal to treat bipolar disorder
It may take a while Lamictal begin to act and therefore less likely to feel better soon after starting treatment. Unless we stop treatment with Lamictal do not need your dose is reduced gradually. However you should first consult your doctor if you decide to stop taking Lamictal.

4. POSSIBLE SIDE EFFECTS
Like all medicines, Lamictal can cause side effects, although not everybody gets them.

Potentially life-threatening reactions: immediate medical help.
A small number of patients taking Lamictal develop an allergic reaction or potentially life-threatening reaction in the skin that can develop into more serious problems if left untreated.
These symptoms are more likely in the first few months of treatment with Lamictal, especially if you start with too high a dose or if the dose is increased too quickly or Lamictal taken together with another medicine called valproate. Some of the symptoms are more common in children, so parents should monitor their children especially carefully for the emergence of these symptoms.

The symptoms of such reactions include:
skin rash or redness that can develop into life-threatening skin reactions, including widespread rash with blisters and peeling skin, particularly around the mouth, nose, eyes and genitals (Stevens-Johnson syndrome), extensive peeling of the skin (more than 30 % of the body surface - toxic epidermal necrolysis);
sores in the mouth, throat, nose or genitals;
mouth sores or redness or swelling of the eyes (conjunctivitis);
high temperature (fever), flu-like symptoms or drowsiness;
swelling of the face or swollen glands in the neck, armpit or groin;
unexplained bleeding or bruising, or bruising of the toes;
sore throat or infections (such as colds) than usual.
In most cases, these symptoms are signs of less serious side effects. But you should be aware that they are potentially life threatening and can develop into more serious problems, such as organ failure if not treated. If you notice any of these symptoms:
Immediately contact your doctor. Your doctor may decide you be held kidneys or blood, and may tell you to stop taking Lamictal. If you have developed Stevens-Johnson syndrome or toxic epidermal necrolysis, your doctor will tell you that you should never take lamotrigine.
Very common side effects These may affect more than 1 in 10 people:
headache;
feeling dizzy;
drowsiness;
clumsiness or lack of coordination (ataxia);
double vision or blurred vision;
nausea or vomiting;
skin rash.
Common side effects These may affect up to 1 in 10 people:
aggression or irritability;
rapid, uncontrollable eye movements (nystagmus);
shivering or tremors;
sleep problems;
diarrhea;
dry mouth;
fatigue;
back pain, joints or elsewhere in the body.
Rare side effects These may affect up to 1 in 1000 patients:
itchy eyes, with discharge and crusting on the eyelids (conjunctivitis);
life-threatening skin reactions (Stevens-Johnson syndrome: see the information at the beginning of section 4).
Very rare side effects These may affect up to 1 in 10,000 patients:
hallucinations ("hearing" or "seeing" things that);
confusion or anxiety;
feeling of insecurity and instability in movement;
uncontrollable body movements (tics), uncontrollable muscle spasms affecting the eyes, head and torso (choreoathetosis), or other unusual body movements such as twitching, shaking or stiffness;
severe skin reaction (toxic epidermal necrolysis: see the information at the beginning of section 4);
in patients with epilepsy - increased frequency of seizures;
changes in liver function, which will show up in blood tests, or liver failure;
changes in blood tests - including reduced numbers of red blood cells (anemia), low white blood cells (leukopenia, neutropenia, agranulocytosis), low platelet count (thrombocytopenia), reduced numbers of all these cell types (pancytopenia) and breach bone marrow called aplastic anemia;
serious bleeding disorder that can cause unusual bleeding or bruising (disseminated intravascular coagulation);
increase in temperature (fever);
 
 
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