LAMICTAL XR 50 Tablet 30's

Introduction About LAMICTAL XR 50 TABLET

LAMICTAL XR 50 TABLET contains Lamotrigine which belongs to the group of
medicines called Anti-epile
manage epilepsy (phase of uncontrolled electrical signals in the brain, causing
seizures).

LAMICTAL XR 50 TABLET is also used in adults for the long-term management of
bipolar I disorder to prolong the time between mood episodes in people who have
been managed for mood episodes with other medicine. Bipolar disorder is a mental
disorder that causes extreme mood swings including emotional highs (m
hypom

Your doctor will monitor your management and may advise you to avoid sunlight or
protect yourself against the sun (Ex. use of a sunscreen and to wear protective
clothing).

Before taking LAMICTAL XR 50 TABLET, inform your doctor if you have or had
depression, heart problems or mood disorders, if you had ase
after taking LAMICTAL XR 50 TABLET or if you are taking pills to manage
pregnancy.

LAMICTAL XR 50 TABLET should be used with caution in pregnant or breastfeeding
women. LAMICTAL XR 50 TABLET is not recommended for use for children (under 2
years of age) so, consult your child’s doctor for advice.

Patients taking LAMICTAL XR 50 TABLET may have thoughts of self-harm. If at any
time you have these thoughts, immediately see your doctor. The most common side
effects of taking LAMICTAL XR 50 TABLET are dizziness, shaking, headache,
diarrhea, sleep or vision problems, rash, etc. Call your doctor if any of the
symptoms get worse.

Uses Of LAMICTAL XR 50 TABLET

LAMICTAL XR 50 TABLET manages:

• epilepsy
• bipolar I disorder

How LAMICTAL XR 50 TABLET Works

LAMICTAL XR 50 TABLET likely works similarly in bipolar disorder, as it does in
reducing seizures. It acts by inhibiting sodium currents (which is out of
control in epile
excitatory brain chemical).

How to use LAMICTAL XR 50 TABLET

Take LAMICTAL XR 50 TABLET as advised by your physician. You can take it with
meals or on an empty stomach.

For Tablet: Swallow LAMICTAL XR 50 TABLET with a glass of water. Do not
crush or chew it.

For Dispersible Tablet: Disperse LAMICTAL XR 50 TABLET in the specified
quantity of water as mentioned in the label. Consume the mixture immediately
after reconstitution.

Your doctor will decide a proper dose and duration of therapy for you according
to your age, body weight and disease condition. Continue to take LAMICTAL XR 50
TABLET for the prescribed duration to achieve better results. Do not stop taking
LAMICTAL XR 50 TABLET unless your doctor advises you to stop.

Side Effects Of LAMICTAL XR 50 TABLET

Common

• dizziness, headache
• sleepiness or lack of sleep
• shaking, lack of coordination
• back pain, tiredness
• nausea, vomiting, stomach pain
• diarrhea, dry mouth
• rash
• blurred or double vision
• fever, stuffy nose, sore throat
• infections (including seasonal flu)

Uncommon

• unusual hair loss or thinning (alopecia)
• skin rashes or sunburn after exposure to sun or artificial light (photosensitivity)

Rare

• conjunctivitis (itchy eyes with discharge, crusty eyelids)
• meningitis (symptoms including fever, nausea, vomiting, headache, stiff neck and extreme sensitivity to bright light)
• nystagmus (rapid and uncontrollable eye movements)
• Stevens-Johnson syndrome (a life-threatening skin reaction)

Stop taking LAMICTAL XR 50 TABLET and contact your doctor immediately if you
experience any of the following side effects:

• serious skin reaction (skin rash, blistering or peeling, hives, painful sores in your mouth or around your eyes)
• blood or liver problems (fever, frequent infections, severe muscle pain, swollen face, eyes, lips, tongue or lymph nodes, unusual bruising or bleeding, paleness, weakness, fatigue, yellow skin or eyes, trouble walking or seeing, fits for the first time or happening more often, pain or tenderness in upper stomach area)
• heartbeat problems (fast, slow or pounding heartbeat, feel your heart skip a beat, breathlessness, chest pain, lightheadedness)
• (suicidal ideas or attempt, new or worsening depression, anxiety or irritability, agitation or restlessness, aggression, anger or violence, acting on dangerous impulses, p
• ase

How To Manage Side Effects

Nausea:

Take LAMICTAL XR 50 TABLET with or just after meals. Stick to simple meals.
Avoid eating oily or spicy foods. If symptom persists, contact your doctor.

Vomiting:

Get adequate rest. Drink lots of fluids, especially water. Have small sips if
you feel sick. Eat when you feel like it – no need to eat or avoid any specific
foods. If symptom persists, contact your doctor.

Diarrhea:

Drink fluids such as water or fruit juices so that you are sufficiently
hydrated. If symptom persists, contact your doctor.

Dry mouth:

Sip water regularly and other sugar free liquids. Do not use alcohol-containing
mouthwashes because they can make your mouth dry, use the one that is used only
for dry mouth. Limit your caffeine intake. Avoid smoking or using tobacco
products. If symptom persists, contact your doctor.

Headache:

Drink plenty of water and get adequate rest. Try to be relaxed and stress free.
Take medicine for headache after asking your doctor. If symptom persists,
contact your doctor.

Dizziness:

Lie down until dizziness gets better, then gradually get up. Don’t hurry and
move slowly and carefully. Get adequate rest. Drink plenty of water and other
fluids. Avoid coffee, cigarettes, alcohol and drugs. If symptom persists,
contact your doctor.

Skin rash:

Avoid hot showers to manage further irritation of skin. Do not scratch the
affected area. Use protective clothing when going outdoors. Regularly moisturize
your skin. If symptom persists, contact your doctor.

Blurred vision:

Do not drive or go outside on your own if you have blurred eyesight. Close your
eyes for some time until you have a clear vision. Call your doctor if your
vision remains blur for a long period.

Warning & Precautions

!### Pregnancy

LAMICTAL XR 50 TABLET should be used with caution in women who are pregnant or
planning to have a baby. Consult your doctor before taking it.

!### Breastfeeding

LAMICTAL XR 50 TABLET should be used with caution in breastfeeding women as it
may pass through the breast milk. Consult your doctor before taking it.

!### Driving and Using Machines

Do not drive or operate any machines if you experience dizziness, sleepiness and
other symptoms and signs of central nervous system depression after taking
LAMICTAL XR 50 TABLET.

!### Kidney

LAMICTAL XR 50 TABLET should be taken with caution in patients with kidney
impairment. Consult your doctor before taking it.

!### Liver

LAMICTAL XR 50 TABLET should be taken with caution in patients with moderate to
severe liver problems. Consult your doctor before taking it.

!### Allergy

Do not take LAMICTAL XR 50 TABLET if you are allergic to Lamotrigine or any of
the other ingredients of this medicine. Inform your doctor if you had a rash or
allergic reaction to another antiepile

!### Heart Disease

LAMICTAL XR 50 TABLET should be taken with caution in patients with a personal
or family history of heart problems or irregular heartbeats, including genetic
abnormalities. Consult your doctor before taking it.

Others

Before taking LAMICTAL XR 50 TABLET, inform your doctor if you:

• have or had depression, suicidal ideas or behavior or mood problems
• had ase

Use in pediatrics:

LAMICTAL XR 50 TABLET is not recommended for use in children (under 2 years of
age). Consult your child’s doctor for advice.

Use in geriatrics:

LAMICTAL XR 50 TABLET should be used with caution in elderly patients (aged
above 75 years). Consult your doctor before taking it.

Interactions

A. Drug-Drug interactions:

Before taking LAMICTAL XR 50 TABLET, inform your doctor if you are taking any of
the following medicines:

• medicines used to manage epilepsy and mental health problems (Ex. oxcarbazepine, phenobarbital, primidone, phenytoin, valproate)
• medicines used for HIV management (Ex. lopinavir, ritonavir, atazanavir, ritonavir)
• medicines used to manage pregnancy (Ex. ethinylestradiol, levonorgestrel)
• rifampin (used for bacterial infections like tuberculosis)

Overdosage:

If you or anyone else accidentally take too much of LAMICTAL XR 50 TABLET,
consult your doctor immediately or visit the nearby hospital. Symptoms of
LAMICTAL XR 50 TABLET overdose are disturbed coordination, balance and speech,
rapid uncontrolled eye movements, fits and decreased level of consciousness.

Synopsis

Drug	:	Lamotrigine
Pharmacological Category	:	Phenyltriazine Antiepile
Therapeutic Indication	:	Epilepsy, Bipolar disorder
Dosage Forms	:	Tablet, Dispersible tablet

More Information

• Keep LAMICTAL XR 50 TABLET out of reach of children
• Store LAMICTAL XR 50 TABLET below 25°C

FAQs About LAMICTAL XR 50 TABLET

Can I take LAMICTAL XR 50 TABLET if I am taking oral contrace

Women taking LAMICTAL XR 50 TABLET should inform their doctor if they are
planning to start or stop use of oral contrace
preparations, as it might affect blood levels of LAMICTAL XR 50 TABLET. Also,
promptly inform your doctor if you experience adverse reactions or changes in
menstrual pattern (Ex. break-through bleeding) while taking LAMICTAL XR 50
TABLET along with the contrace

Can I stop taking LAMICTAL XR 50 TABLET?

Do not stop taking LAMICTAL XR 50 TABLET without talking to your doctor.
Stopping LAMICTAL XR 50 TABLET suddenly may cause serious problems like
unstoppable seizures. Talk with your doctor about how to stop LAMICTAL XR 50
TABLET slowly.

Is LAMICTAL XR 50 TABLET safe to take during breastfeeding?

Breastfeeding women should know that LAMICTAL XR 50 TABLET is present in breast
milk and they should monitor their child for potential adverse effects of this
medicine (Ex. difficulty breathing, episodes of temporarily stopping breathing,
poor sucking or sleepiness). Discuss the benefits and risks of continuing
breastfeeding with your doctor before taking LAMICTAL XR 50 TABLET.

Are there any side effects to look out for, while taking LAMICTAL XR 50
TABLET?

During management with LAMICTAL XR 50 TABLET, look out for signs and symptoms
like fever, rash, lymphadenopathy, irregular heartbeat, new or worsening of
depression, any unusual changes in mood or behavior, suicidal thoughts or
behavior or thoughts about harming yourself. You or your caregivers should
immediately report concerned behaviors to your doctor.

What if I forget to take a dose of LAMICTAL XR 50 TABLET?

If you forget to take a dose of LAMICTAL XR 50 TABLET, do not take it two times
to make up for the missed dose. If you miss a dose, it is important that you ask
your doctor for advice on how to start taking the medicine again.