Product image of Lamal (Lamotrigine) supplied by GNH India

Lamal

Active Ingredient:
Lamotrigine
Origin:
EU

Lamal (Lamotrigine)

Lamotrigine, the active ingredient in Lamal, is a sodium channel blocker presented as an oral tablet for oral use. It is prescribed for the treatment of epilepsy and as maintenance therapy in bipolar disorder, helping to control seizures and stabilize mood in adults and adolescents.

GNH India supplies Lamal as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The product conforms to EU regulatory standards and is manufactured under GMP conditions.

Manufacturer / TM Owner

Alkaloid-Int D.O.O.

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Indications & Clinical Uses

Lamotrigine is used in neurological and psychiatric conditions that involve abnormal neuronal excitability.

  • Epilepsy (partial seizures, generalized tonic‑clonic seizures): reduces seizure frequency and severity.
  • Bipolar disorder (maintenance therapy): helps prevent recurrence of mood episodes and stabilizes mood.
  • Post‑operative seizure prophylaxis (brain tumor or neurosurgery): decreases the risk of postoperative seizures.

How It Works

  • Lamotrigine inhibits voltage‑gated sodium channels, stabilising neuronal membranes and reducing the release of excitatory neurotransmitters such as glutamate. This attenuation of neuronal firing lowers the likelihood of seizure propagation and modulates mood‑regulating pathways in the central nervous system, contributing to both seizure control and mood stabilisation.

Side Effects

Lamotrigine may cause a range of adverse reactions, which are generally classified by frequency and severity.

Common Side Effects

  • Dizziness
  • Headache
  • Nausea
  • Mild skin rash

Serious or Rare Side Effects

  • Stevens‑Johnson syndrome or toxic epidermal necrolysis
  • Severe hypersensitivity reactions (e.g., DRESS syndrome)
  • Aseptic meningitis

Precautions & Warnings

When prescribing lamotrigine, clinicians should consider several safety measures to minimise risk.

  • Initiate therapy at low dose: gradual titration reduces the risk of rash.
  • Monitor for skin reactions: discontinue immediately if a severe rash develops.
  • Assess hepatic or renal impairment: dose adjustment may be required.
  • Review concomitant medications: enzyme inducers or inhibitors can alter lamotrigine levels.
  • Store at ambient temperature: keep below 25 °C in the original pack, protect from moisture.

Avoid Interactions

Lamotrigine’s plasma concentration can be affected by other medicines, necessitating careful review of co‑administered drugs.

Major Interactions (Avoid)

  • Valproic acid: markedly increases lamotrigine levels, raising toxicity risk.
  • Carbamazepine or phenytoin: significantly lower lamotrigine levels, reducing efficacy.

Moderate Interactions (Monitor Closely)

  • Oral contraceptives: may decrease lamotrigine concentrations, requiring dose adjustment.
  • Other enzyme inducers (e.g., phenobarbital, primidone): can reduce lamotrigine exposure.
  • Serotonergic agents (e.g., SSRIs): may increase the risk of rash.

Frequently Asked Questions

Lamal, which contains lamotrigine, is indicated for the treatment of epilepsy—including partial seizures and generalized tonic‑clonic seizures—and for maintenance therapy in bipolar disorder to help prevent mood‑episode recurrence.

Lamotrigine blocks voltage‑gated sodium channels on neurons, stabilising the neuronal membrane and reducing the release of excitatory neurotransmitters such as glutamate. This action diminishes abnormal neuronal firing that underlies seizures and mood instability.

The appropriate dose of Lamal is individualised by the prescribing clinician based on the patient’s age, indication, renal or hepatic function, and any concomitant medicines. No fixed regimen is provided here.

Data on lamotrigine use in pregnancy and lactation are limited. It should only be used if the potential benefit outweighs the possible risk, and treatment decisions should be made in consultation with a healthcare professional.

Enquiries for Lamal can be submitted on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Both lamotrigine and carbamazepine are sodium‑channel blockers used for epilepsy, but lamotrigine has a broader indication that includes bipolar disorder maintenance and is generally associated with a lower risk of certain drug‑enzyme interactions. Carbamazepine may cause more sedation and has a higher potential for inducing hepatic enzymes.

Lamal should be stored at ambient temperature, preferably below 25 °C, in its original packaging to protect it from moisture and light. Keep the container tightly closed and out of reach of children.

Lamal is taken orally, usually as a tablet, with or without food as directed by the prescriber. The exact timing and whether it should be taken with meals depend on the individual treatment plan.

The most serious adverse reactions include severe skin rashes such as Stevens‑Johnson syndrome or toxic epidermal necrolysis, drug reaction with eosinophilia and systemic symptoms (DRESS), and rare cases of aseptic meningitis. Immediate medical attention is required if any of these occur.

Lamal is contraindicated in patients with a known hypersensitivity to lamotrigine or any of its excipients. Caution is also advised for individuals with severe hepatic impairment, and it should be avoided in patients who have previously experienced life‑threatening skin reactions to lamotrigine.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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