Rigadel 25/ 50/ 100/ 200 25 mg, 50 mg, 100 mg, 200 mg Tablet
Clinical Summary
Quick overview from the medicine insert
Indication
Indicated for epilepsy and bipolar disorder.
Dosage (summary)
Adults: Start 25 mg/day, increase to 100-200 mg/day. Children: 0.6 mg/kg/day.
Special Populations
- Hepatic impairment
- Renal impairment
- Elderly
Pregnancy & Breastfeeding
Not recommended in pregnancy; limited data in breastfeeding.
Key Drug Interactions
- Valproate increases lamotrigine levels
- Carbamazepine decreases lamotrigine levels
- Hormonal contraceptives may reduce lamotrigine efficacy
Contraindications
- Hypersensitivity to lamotrigine
Common side effects
- Skin rash
- Dizziness
- Nausea
Counselling Points
- Monitor for rash and seek immediate help if it occurs.
- Avoid abrupt discontinuation to prevent seizures.
- Inform about potential interactions with hormonal contraceptives.
Serious warnings
- Risk of serious skin reactions
- Suicidal ideation
- Cardiac dysrhythmias
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