Lamictal (Lamotrigine) 30 Tablets

What is LAMICTAL and what is it used for?

LAMICTAL is a member of the medication group called epilepsy preventive seizures. Tablets with currant fragrance, white and white in color, with multi-faceted and distinct oval shape, are notched. Tablets which may be lightly speckled have taraf GSCL5 5 pressure on one side and in 25 “on the other side. Each box contains 30 tablets.

LAMICTAL is used in the following cases:

Keep these instructions for use. You can need to read again.

If you have other questions, please talk your doctor or pharmacist.

This drug has been prescribed for you personally, please do not give to others.

When using this medicine, tell your doctor that you are taking this medicine when you go to a doctor or hospital.

Follow exactly what is written in this instruction. Do not use high or low doses other than the recommended dose for the drug.

It can be used with other anti-epileptic drugs in the treatment of epilepsy which can be seen in children aged between 2 and 12 years.

It is used alone or in addition to other drugs for the treatment of epilepsy in children and adults aged 12 years and older.

It is used in the treatment of bipolar disorder (bipolar mood disorder) in adults 18 years and older.

USER INSTRUCTIONS

Different age groups:

Use in children:

Epilepsy / Sara treatment for use: In

children, the dose is calculated according to body weight.

Take LAMICTAL as your doctor told you.

The dosage your doctor will give you depends on whether you take other drugs. This is especially important if you are taking any medication containing valproate.

Your doctor or pharmacist will tell you how many tablets you will take and when to take the tablets.

Lopinavir / ritonavir

Treatment is started with a dose of 0.15 to 0.6 mg / kg / day, divided into two doses, administered once a day or divided into two doses, depending on the drug administered with LAMICTAL, and the dose is gradually increased to 1 or 2 mg / day. / kg / day can be removed.

There is no information on use in children under 2 years of age. Do not use in this age group without consulting with your doctor.

Use in the treatment of

bipolar disorderbe used in the treatment of bipolar disorder in adolescents and children under the age of 18

:Use in the elderly:

It should notA different dose adjustment is not required in this age group.

Specific Use Conditions: Use in

Renal Failure: If you have kidney failure, your doctor will adjust the dose of your medicine according to the severity of your condition.

Use in liver failure: If you have a liver disorder, your doctor will adjust the dose of your medicine according to the severity of your condition.

Use in patients using hormone-containing contraceptives: Your doctor will adjust the dose of your medication based on the type of contraceptive medication you are using.

If you have an impression that the effect of LAMICTAL is too strong or too weak, talk to your doctor or pharmacist.

used LAMICTAL more than:used more than

If you haveyou shouldIf you haveyou should use from LAMICTAL, talk to a doctor or pharmacist.

use LAMICTAL,

If you forget toask your doctor what to do if you forget to take a dose.

Do not take double doses to compensate for forgotten doses.

Effects on termination of treatment with LAMICTAL

In patients undergoing epilepsy treatment: An abrupt discontinuation of LAMICTAL may trigger the return of epileptic seizures. If you do not need to discontinue your medication for a reason that is relevant to safety (eg rash), your doctor will gradually reduce the dose of your medication in 2 weeks.

In patients with bipolar disorder: The dose can be stopped without decreasing step by step.

4. What are the possible side effects?

Like all medicines, LAMICTAL may have side effects in people who are sensitive to the substances contained in its contents.

If you have any of the following, stop using LAMICTAL and IMMEDIATELY tell your doctor or contact your nearest hospital emergency department:

These are serious side effects. You may need urgent medical attention or hospitalization. All of these very serious side effects are very rare.

If you notice any of the following, tell your doctor immediately or you should contact the emergency department of the hospital closest to you:

Very rarely reported hypersensitivity syndrome. Swelling of the lymph glands in the fever, neck, armpits and groin, swelling of the face, abnormalities in blood and liver, disseminated intravascular coagulation, multiple organs not working are the main symptoms of this syndrome. The rash can also be seen as part of the syndrome.

Stevens-Johnson syndrome (hyperemia and around the eyes, skin and redness is characterized inflammation)

Toxic epidermal necrolysis (severe disease with intra-skin blisters)

Parkinson'sworseningdisease

due toliver dysfunctionyellowing of the skin,itching or abdominal pain

increasedseizure frequency

joints pain,back pain

aseptic meningitis

hypersensitivity tostimulus

Aggression

Tiger

not see reality, there are not things or feel

confusion

Headaches

Dizziness

Drowsiness

Insomnia

Tremor

Drowsiness

incoordination

unrest

imbalance

Movement disorders

Fatigue

These are all serious side effects. Emergency medical intervention may be required.

Tell your doctor if you notice any of the following:

Pale appearing

These are mild side effects of LAMICTAL.

Please inform your doctor or pharmacist if you experience any side effects not mentioned in these instructions.

5. Storage of

LAMICTAL Keep LAMICTAL in a place where the child cannot see, reach, and pack.

Store LAMICTAL at room temperature below 30 ° C. Store in a dry place. Protect from light

Use in accordance with the expiration date. Do not use LAMICTAL after the expiration date in the packaging.

In these Instructions for Use:

suicidal ideation and behavior have been reported in patients treated with this drug. Therefore, patients should be closely monitored for suicidal ideation and behavior. When suicidal ideation and behavior occur, the patient or patient's relative should be advised to seek medical support.

Patients with bipolar disorder may have an increased risk of worsening symptoms, suicidal ideation and behavior, and the risk of self-harm. Patients with a history of suicidal ideation, young adults, and patients with suicidal ideation before treatment may be at higher risk. Therefore, patients receiving LAMICTAL should be closely monitored, especially at the beginning of treatment.

Hypersensitivity syndromes fever with rash in patients, lymphadenopathy (neck, which presents with swelling of the lymph glands in the armpit or groin), face edema,blood and liver

if you have skin rashes afterstarting treatment (typically within the first 8 weeks) majority of spills light and however, serious rashes may occur that require hospitalization and discontinuation of LAMICTAL treatment. The risk of severe skin rash is higher in children than in adults. The risk of general rashes increases in the following cases: - High LAMICTAL initial doses - Recommended dose increase in LAMICTAL treatment - Use of valproate with

LAMICTAL the effectiveness of the control drug may be reduced. Therefore, menstrual irregularities such as unexpected bleeding may occur. In such cases, the dose of lamotrigine may need to be adjusted.

If you have allergies or rashes against other epilepsy medications that you have used before. Ifhave

youkidney failure If you have a

liver disorder, you

may experience various symptoms such as abnormalities.

The dose should not be exceeded during the initial and subsequent dose increase due to the risk of rash formation.

Please consult your doctor if these warnings are valid for you, even at any time in the past.

Use of LAMICTAL with food and drinkuse of

There is no information regarding theLAMICTAL with food and drink.

Pregnancy

If you notice that you are pregnant during your treatment, consult your doctor or pharmacist immediately.

Breastfeeding

LAMICTAL is known to enter breast milk, so it is recommended that mothers who use LAMICTAL should not breastfeed their babies without consulting their doctor.

tools and machinery use

LAMICTAL treatment ofcan lead to side effects such as dizziness and double vision, so you should first see how the drug affects you. If you have epilepsy, consult your doctor about driving.

Important information about some of the excipients contained in

LAMICTAL If you are not allergic to any of the excipients in LAMICTAL, it is not expected to have a negative effect on these substances.

In combination with other drugs

Many drugs may affect the activity of LAMICTAL. Therefore, if you are using the following medicines, please inform your doctor before using LAMICTAL:

Consult your doctor or pharmacist before using the medication.

Your doctor will decide whether or not to use LAMICTAL during pregnancy.

Consult your doctor or pharmacist before using this medication.

Valporat

Carbamazepine

Phenytoin

Primidone

Phenobarbital

Rifampicin

Combination of ethinylestradiol / levonorgestrel

If you are currently using any prescription or non-prescription medication or have recently used it, please inform your doctor or pharmacist.

3. How to use LAMICTAL?

Instructions for appropriate use and dose / frequency of administration:

Epilepsy / Sara treatment:

Adults over 12 years of age: The dose used in the control of Sara disease is between 100 mg and 400 mg taken once a day or divided into two doses. When you first start taking LAMICTAL, your doctor will give you a much lower dose than this dose and will gradually increase the dose for several weeks.

Use in the treatment of bipolar disorder:

Adults aged 18 and over: The dose used in bipolar disorder is between 100 mg and 400 mg taken once a day or divided into two doses. When you first start taking LAMICTAL, your doctor will give you a much lower dose than this dose and will gradually increase the dose for several weeks.

If skin rash develops during LAMICTAL treatment, contact your doctor immediately.

Application route and method:

LAMICTAL can be chewed, dissolved in a small amount of water or swallowed whole with a small amount of water.