Lamictal XR 200mg Tablet is an anti-epileptic medication that is used to treat two conditions, epilepsy and bipolar disorder. It works by blocking the signals in the brain that trigger epileptic seizures (fits) and in another way to prevent extreme mood swings.

Lamictal XR 200mg Tablet can be used alone or in combination with other medicines. It may be taken with or without food. Your doctor will decide the correct dose for you. This may increase gradually until your condition is stable. This medicine may take several weeks to work but it is important to take it regularly to get the maximum benefit. Do not stop taking it, even if you feel fine unless your doctor advises you to. You may have more seizures, or your bipolar disorder may get worse.

The most common side effects of this medicine include skin rashes, headache, nausea, and vomiting, difficulty sleeping, and dizziness. Most side effects wear off, but if they bother you or do not go away, tell your doctor. Inform your doctor immediately if you notice a rash or peeling of the skin. There may be ways of preventing or reducing these effects. Long-term treatment can cause weakness in your bones (osteoporosis), increasing your risk of breaking a bone.

Before taking this medicine, tell your doctor if you have kidney or liver problems, depression, or suicidal thoughts. Also let your healthcare professional know about all other medications you are using as some may affect, or be affected by, this medicine, including contraceptive pills. Consult your doctor if you are pregnant or breastfeeding as the dose may need to be adjusted. You should avoid driving or anything that requires concentration if this medicine makes you drowsy or dizzy. You may need frequent blood tests to check how you are responding to this medicine.

Uses of Lamictal Tablet SR

Benefits of Lamictal Tablet SR

In Epilepsy/Seizures

Lamictal XR 200mg Tablet is used alone or with other medicines to prevent and control seizures (fits). It works by decreasing the nerve impulses that cause seizures. It can help reduce symptoms such as confusion, uncontrollable jerking movements, loss of awareness, and fear or anxiety. By controlling the frequency of seizures, it will help you go about your daily activities with more confidence. It may also allow you to do some activities that you would otherwise be forbidden or scared to do (such as swimming and driving). This medicine may take several weeks or months to work effectively as the dose is adjusted. Carefully follow all instructions and never take more tablets than your doctor tells you to. It needs to be taken regularly as prescribed to be most effective.

In Bipolar disorder

Lamictal XR 200mg Tablet works to restore the normal balance of nerve activity in your brain. It is sometimes called a mood stabilizer and can help prevent extreme changes in mood and help you feel less agitated. You may experience fewer episodes of depression and low mood. It can take several weeks for this medicine to work and you may still feel low during this time. It is likely that you will take this medicine for at least six months but possibly much longer. It needs to be taken regularly to work effectively. Do not stop taking it unless your doctor advises you to. You should continue to eat well and keep fit to reduce symptoms of bipolar disorder.

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Side effects of Lamictal Tablet SR

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Lamictal

Skin rash
Headache
Nausea
Vomiting
Dryness in mouth
Insomnia (difficulty in sleeping)
Sleepiness
Dizziness
Back pain
Abdominal pain
Blurred vision
Double vision
Impaired coordination
Nasal congestion (stuffy nose)
Infection

How to use Lamictal Tablet SR

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Lamictal XR 200mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Lamictal Tablet SR works

Lamictal XR 200mg Tablet is an antiepileptic medication. It controls seizures or fits by decreasing the abnormal and excessive activity of the nerve cells in the brain.

Safety advice

Alcohol

UNSAFE

Lamictal XR 200mg Tablet may cause excessive drowsiness with alcohol.

Pregnancy

CONSULT YOUR DOCTOR

Lamictal XR 200mg Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

Breast feeding

SAFE IF PRESCRIBED

Lamictal XR 200mg Tablet is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Monitor the baby for rash, sleepiness or poor sucking. Also, get the platelet count and liver function test done periodically.

Driving

UNSAFE

Lamictal XR 200mg Tablet may cause side effects which could affect your ability to drive.
Lamictal XR 200mg Tablet can cause dizziness and double vision. This may affect your ability to drive.

Kidney

CAUTION

Lamictal XR 200mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Lamictal XR 200mg Tablet may be needed. Please consult your doctor.

Liver

CAUTION

Lamictal XR 200mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Lamictal XR 200mg Tablet may be needed. Please consult your doctor.

What if you forget to take Lamictal Tablet SR?

If you miss a dose of Lamictal XR 200mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.\n

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

Lamictal XR 200mg Tablet

₹26.63/Tablet SR

Lamitor OD 200 Tablet SR

Torrent Pharmaceuticals Ltd

₹57.1/tablet sr

114% costlier

Lamez OD 200 Tablet SR

Intas Pharmaceuticals Ltd

₹61.3/tablet sr

130% costlier

Lametec 200 OD Tablet

Cipla Ltd

₹29.1/tablet sr

9% costlier

JI Lmt OD 200mg Tablet SR

Ishjas Pharma Pvt Ltd

₹31.5/tablet sr

18% costlier

Flylep 200mg Tablet SR

Ryon Pharma

₹41.7/tablet sr

57% costlier

Quick tips

Take your medication regularly as directed by your doctor as missing doses can trigger seizures.
Make sure that you have sufficient amount of medicine present with you.
Some healthy tips to prevent seizures:
- Practice yoga every day.
- Get enough sleep at nighttime.
- Limit the use of screen time such as mobile/laptop.
- Take your medication on time.
It may cause headaches. Drink plenty of water and take a suitable pain killer. Inform your doctor if it does not go away.
It may cause skin rash. Inform your doctor immediately if you notice a rash, itching and peeling of skin.
Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts.
Do not stop taking the medication suddenly without talking to your doctor as it may increase the frequency of seizure.

Fact Box

Chemical Class

Phenyltriazine Derivative

Habit Forming

Therapeutic Class

NEURO CNS

Action Class

Sodium channel modulators (AED)

Patient concerns

I have chronic major unipolar depression n anxiety since 20 years, I m using paroxetine 50 mg , lamictal 200mg, buspin 10mg.Still I feel dull mood n memory issues.Kindly advice any add on medication that can lift my mood n improve my memory problems

Dr. Ambrish Dharmadhikari

Psychiatry

You need to visit Psychiatrist for same. Indian law does not allow us to prescribe medication online. I could help you to find better psychiatrist. In my opinion, to improve mood, in addition to current medications you need non pharmacological approach too. You need to take therapy (cognitive behavioural therapy). I would suggest to visit VIMHANS and visit Dr. Shivani Agraval there. She shall help you in that. Please give my reference, she will help you. - Dr. Ambrish Dharmadhikari Consultant Psychiatrist, Mumbai

Treatment about bipolar disorder

Dr. Ravi Shankar M.

Ayurveda

Tab. Manasa Mitra Vataki 1-0-1 and Kalyanaka Ghritam 10 gram twice a day with luke warm wtar after food and Sarswatharishta 15 ml twice a day with equal quantity of water for 2 months

Suffering from bipolar disorder

Dr. Jyoti Kapoor Madan

Psychiatry

Bipolar Affective Disorder is a chronic problem caused by Neuro chemical disturbance in brain. It is characterised by excessive mood swings leading to disruption in routine life. Treatment is with mood stabilizer medicines and antipsychotic medicines which may need to continue throughout life. Please see a psychiatrist for further guidance.

User feedback

Patients taking Lamictal XR 200mg Tablet

Once A Day

86%

Twice A Day

14%

What are you using Lamictal Tablet SR for?

Epilepsy

50%

Others

50%

FAQs

Q. I started Lamictal XR 200mg Tablet and developed a rash. The doctor stopped Lamictal XR 200mg Tablet immediately and prescribed another medicine. Why?

There have been reports where patients developed serious rashes within 8 weeks of starting Lamictal XR 200mg Tablet and were hospitalized. Sometimes these rashes turn into severe skin infections and may endanger the patient’s life. Therefore, it is advised that if a patient develops rashes after starting Lamictal XR 200mg Tablet, it should be stopped and should not be restarted. Use of Lamictal XR 200mg Tablet is stopped even if the rashes are mild and non-serious. It is because of this that your doctor changed the medicine.

Q. How long does it take Lamictal XR 200mg Tablet to work?

Though it varies from person to person, your symptoms may take about 6-8 weeks to improve.

Q. What can be the consequences of taking a higher than the recommended dose of Lamictal XR 200mg Tablet?

You may experience quick and uncontrollable movements of your eye, clumsiness, and lack of coordination. High doses of Lamictal XR 200mg Tablet may cause problems with your balance, changes in heartbeat rhythm, loss of consciousness, fits (convulsions) or coma. Even if there are no signs of discomfort, seek immediate medical attention of a doctor or nearby hospital.

Q. Can Lamictal XR 200mg Tablet affect pregnancy?

Studies on the human population do not show any effects of Lamictal XR 200mg Tablet on pregnant women or her fetus. However, it is advisable that you inform your doctor immediately if you become pregnant or are planning to get pregnant while taking Lamictal XR 200mg Tablet. In case therapy with Lamictal XR 200mg Tablet is considered during pregnancy, your doctor may prescribe the lowest effective dose.

Q. Can I take Lamictal XR 200mg Tablet with other antiepileptic medicines?

It is important that you inform your doctor if you are already on any other antiepileptic medicines. The reason being, taking Lamictal XR 200mg Tablet with some antiepileptics (like valproate and carbamazepine) may increase the chances of developing side effects. Also, the dose of Lamictal XR 200mg Tablet may need adjustment if taken with antiepileptic medicines such as oxcarbazepine, felbamate, gabapentin, levetiracetam, pregabalin, topiramate or zonisamide.

Q. How to take Lamictal XR 200mg Tablet?

Lamictal XR 200mg Tablet can be taken with or without food. Continue taking Lamictal XR 200mg Tablet in the dose and duration advised by the doctor to get maximum benefits of Lamictal XR 200mg Tablet.

Q. I have symptoms of depression. Can I take Lamictal XR 200mg Tablet?

Yes, you can take Lamictal XR 200mg Tablet if you have depression symptoms. In fact, Lamictal XR 200mg Tablet is used in preventing depression. But, do not self medicate. Do not start or stop taking Lamictal XR 200mg Tablet on your own, unless otherwise advised by the doctor.

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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

Stahl SM, editor. Lamotrigine. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 325-32.
McNamara JO. Pharmacotherapy of the Epilepsies. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. pp. 599-600.
Porters RJ, Meldrum BS. Antiseizure Drugs. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 409.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 771-74.
Lamotrigine. Uxbridge, Middlesex: GlaxoSmithKline UK; 1991 [revised 24 Oct. 2018]. [Accessed 23 Jan. 2019] (online) Available from:
Lamotrigine. Greenville, NC: GlaxoSmithKline; 2009. [Accessed 25 Mar. 2019] (online) Available from:
Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198. [Accessed 20 Mar. 2019] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 25 Mar. 2019] (online) Available from:
Lamotrigine [Package Insert]. Gangtok, Sikkim: Torrent Pharmaceuticals Ltd.; 2021. [Accessed 08 Jul. 2023]. (online) Available from:

Marketer details

Name: Glaxo SmithKline Pharmaceuticals Ltd

Address: Dr. Annie Besant Road, Mumbai - 400 030

Country of origin: United states

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