Mivesta 100 mg & 400 mg; FC tablets
Clinical Summary
Quick overview from the medicine insert
Indication
Indicated for epilepsy and bipolar disorder.
Dosage (summary)
Adults: Start 25 mg daily, increase as needed. Max 500 mg/day. Children: Dosing based on weight.
Special Populations
- Elderly
- Renal impairment
- Hepatic impairment
Pregnancy & Breastfeeding
Not recommended in pregnancy; passes into breast milk.
Key Drug Interactions
- Valproate increases lamotrigine levels
- Carbamazepine decreases lamotrigine levels
Contraindications
- Hypersensitivity to lamotrigine
Common side effects
- Skin rash
- Headache
- Dizziness
- Nausea
Counselling Points
- Monitor for rash and flu-like symptoms
- Avoid abrupt withdrawal
- Use caution with hormonal contraceptives
Serious warnings
- Risk of serious skin reactions
- Suicidal ideation
- Aseptic meningitis
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