Girotec 25 mg / 50 mg / 100 mg / 200 mg TABLETS
Clinical Summary
Quick overview from the medicine insert
Indication
Monotherapy or add-on treatment for epilepsy and bipolar disorder.
Dosage (summary)
Adults: Initial 25 mg daily, increase to 100-200 mg. Children: 0.6 mg/kg/day.
Onset of Action / Duration
Onset: 1.4 to 4.8 hours, Duration: 25 hours.
Special Populations
- Elderly
- Renal impairment
- Hepatic impairment
Pregnancy & Breastfeeding
Safety in pregnancy and lactation not established.
Key Drug Interactions
- Valproic acid increases half-life
- Enzyme inducers decrease half-life
Contraindications
- Hypersensitivity to lamotrigine
- Renal impairment
- Hepatic impairment
- Pregnancy
- Lactation
Common side effects
- Headache
- Dizziness
- Nausea
- Skin rash
- Fatigue
Counselling Points
- Avoid abrupt withdrawal
- Monitor for rashes
- Consult if symptoms worsen
Serious warnings
- Risk of severe skin reactions
- Monitor for hypersensitivity
- Risk of seizures on abrupt withdrawal
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