Product image of Lamictal (Lamotrigine) supplied by GNH India

Lamictal

Active Ingredient:
Lamotrigine
Origin:
EU

Lamictal (Lamotrigine)

Lamotrigine, the active ingredient in Lamictal, is an antiepileptic presented as an oral tablet for oral use. It is used to treat various seizure types and to stabilize mood in bipolar disorder, providing long‑term management across different age groups.

GNH India supplies Lamictal as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide with a focus on quality assurance and regulatory compliance. Our distribution network ensures timely delivery to diverse healthcare settings across the globe.

Manufacturer / TM Owner

Glaxosmithkline Ab

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Indications & Clinical Uses

  • Lamotrigine is an antiepileptic medication used in the management of seizure disorders and mood stabilization.
  • Epilepsy (partial seizures): reduces the frequency of focal seizures.
  • Generalized tonic‑clonic seizures: helps prevent recurrence of primary generalized seizures.
  • Bipolar disorder (maintenance treatment): supports long‑term mood stability and reduces relapse risk.

How It Works

  • Lamotrigine inhibits voltage‑gated sodium channels, stabilizing neuronal membranes and decreasing the release of excitatory neurotransmitters such as glutamate. It also modulates high‑voltage‑activated calcium channels, contributing to reduced neuronal hyperexcitability and seizure propagation, while providing mood‑stabilizing effects in bipolar disorder.

Side Effects

Lamotrigine may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Dizziness
  • Headache
  • Nausea
  • Rash
  • Blurred vision
  • Fatigue

Serious or Rare Side Effects

  • Stevens‑Johnson syndrome (SJS)
  • Toxic epidermal necrolysis (TEN)
  • Severe skin reactions
  • Blood dyscrasias (e.g., agranulocytosis)
  • Hepatic failure
  • Suicidal thoughts

Precautions & Warnings

  • When prescribing lamotrigine, several safety considerations should be observed.
  • Dose titration: start low and increase gradually to reduce rash risk.
  • Skin reactions: monitor for rash; discontinue if severe.
  • Hepatic impairment: use with caution and monitor liver function.
  • Renal impairment: adjust dose if necessary.
  • Pregnancy: risk unknown; discuss benefits and risks with a healthcare professional.
  • Store at ambient temperature below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Lamotrigine interacts with several medicines that can alter its plasma concentration or increase adverse effects.

Major Interactions (Avoid)

  • Valproic acid: increases lamotrigine levels, raising toxicity risk.
  • Carbamazepine: decreases lamotrigine levels, potentially reducing efficacy.
  • Phenobarbital: lowers lamotrigine concentrations, may require dose adjustment.
  • Oral contraceptives: raise lamotrigine clearance, possibly reducing contraceptive effectiveness.
  • Rifampin: induces metabolism, markedly reducing lamotrigine levels.

Moderate Interactions (Monitor Closely)

  • Serotonergic agents: may increase risk of serotonin syndrome.
  • Antidepressants: can enhance dizziness and somnolence.
  • Antihypertensives: may potentiate hypotensive effects.

Frequently Asked Questions

Lamictal, whose active ingredient is lamotrigine, is prescribed for the treatment of epilepsy—including partial and generalized tonic‑clonic seizures—and as a maintenance therapy to stabilize mood in patients with bipolar disorder.

Lamotrigine blocks voltage‑gated sodium channels, which stabilises neuronal membranes and reduces the release of excitatory neurotransmitters such as glutamate. This action diminishes neuronal hyper‑excitability, helping to control seizures and providing mood‑stabilising effects.

The dosage of Lamictal is individualized. A prescriber determines the starting dose and titration schedule based on the patient’s age, indication, renal and hepatic function, and concomitant medications. Patients should follow the specific instructions provided by their healthcare professional.

The safety of lamotrigine during pregnancy and lactation is not fully established. It is classified as pregnancy category unknown. Women who are pregnant, planning pregnancy, or breastfeeding should discuss potential risks and benefits with their physician before using Lamictal.

To order Lamictal, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request trade or institutional credentials. The team then replies with pricing, availability, shipping details and any necessary import documentation.

Compared with older agents such as carbamazepine, lamotrigine has a lower risk of drug‑induced hyponatremia and fewer cognitive side effects, but it requires careful titration to minimise rash risk. Its broad spectrum covers both focal and generalized seizures, and it also offers mood‑stabilising benefits not seen with many other antiepileptics.

Lamictal tablets should be stored at ambient temperature below 25 °C, in the original container, protected from moisture and direct sunlight. Keep the medication out of reach of children and do not use it after the expiry date printed on the packaging.

Lamictal is taken orally as a tablet. It should be swallowed whole with a glass of water, preferably with food to reduce gastrointestinal upset. The tablet should not be crushed, chewed, or split unless specifically instructed by a healthcare professional.

The most serious adverse reactions include severe skin conditions such as Stevens‑Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN), as well as blood dyscrasias like agranulocytosis, hepatic failure, and the emergence of suicidal thoughts. Immediate medical attention is required if any of these symptoms appear.

Lamictal is contraindicated in individuals with a known hypersensitivity to lamotrigine or any of its excipients. Patients with severe hepatic impairment should avoid use, and those with a history of severe rash or SJS/TEN should not be re‑exposed. Pregnant or breastfeeding women should only use it after thorough risk‑benefit assessment by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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