Country: United States
Language: English
Source: NLM (National Library of Medicine)
LAMOTRIGINE (UNII: U3H27498KS) (LAMOTRIGINE - UNII:U3H27498KS)
Cardinal Health
ORAL
PRESCRIPTION DRUG
Adjunctive Therapy Lamotrigine tablets are indicated as adjunctive therapy for the following seizure types in patients aged 2 years and older: Monotherapy Lamotrigine tablets are indicated for conversion to monotherapy in adults (aged 16 years and older) with partial-onset seizures who are receiving treatment with carbamazepine, phenytoin, phenobarbital, primidone, or valproate as the single antiepileptic drug (AED). Safety and effectiveness of lamotrigine tablets have not been established (1) as initial monotherapy; (2) for conversion to monotherapy from AEDs other than carbamazepine, phenytoin, phenobarbital, primidone, or valproate; or (3) for simultaneous conversion to monotherapy from 2 or more concomitant AEDs. Lamotrigine tablets are indicated for the maintenance treatment of bipolar I disorder to delay the time to occurrence of mood episodes (depression, mania, hypomania, mixed episodes) in patients treated for acute mood episodes with standard therapy [see Clinical Studies (14.2)] . Limitations
Lamotrigine 100 mg available: Overbagged with 10 tablets per bag, NDC 55154-8129-0
Abbreviated New Drug Application
Cardinal Health ---------- MEDICATION GUIDE Lamotrigine (lam-OH-try-jeen) Tablets USP Rx only What is the most important information I should know about lamotrigine tablets? 1. Lamotrigine tablets may cause a serious skin rash that may cause you to be hospitalized or even cause death. There is no way to tell if a mild rash will become more serious. A serious skin rash can happen at any time during your treatment with lamotrigine tablets, but is more likely to happen within the first 2 to 8 weeks of treatment. Children and teenagers aged between 2 and 17 years have a higher chance of getting this serious skin rash while taking lamotrigine tablets. The risk of getting a serious skin rash is higher if you: ·take lamotrigine tablets while taking valproate [DEPAKENE® (valproic acid) or DEPAKOTE® (divalproex sodium)]. ·take a higher starting dose of lamotrigine tablets than your healthcare provider prescribed. ·increase your dose of lamotrigine tablets faster than prescribed. Call your healthcare provider right away if you have any of the following: · a skin rash · blistering or peeling of your skin · hives · painful sores in your mouth or around your eyes These symptoms may be the first signs of a serious skin reaction. A healthcare provider should examine you to decide if you should continue taking lamotrigine tablets. 2. Other serious reactions, including serious blood problems or liver problems. Lamotrigine tablets can also cause other types of allergic reactions or serious problems that may affect organs and other parts of your body like your liver or blood cells. You may or may not have a rash with these types of reactions. Call your healthcare provider right away if you have any of these symptoms: · fever · frequent infections · severe muscle pain · swelling of your face, eyes, lips, or tongue · swollen lymph glands · unusual bruising or bleeding · weakness, fatigue · yellowing of your skin or the white part of your eyes 3. Like other antiepileptic drugs, lamotrigine tablets may cause suicidal t Read the complete document
LAMOTRIGINE- LAMOTRIGINE TABLET CARDINAL HEALTH ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE LAMOTRIGINE TABLETS SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR LAMOTRIGINE TABLETS. LAMOTRIGINE TABLETS, FOR ORAL USE INITIAL U.S. APPROVAL: 1994 _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ CASES OF LIFE-THREATENING SERIOUS RASHES, INCLUDING STEVENS-JOHNSON SYNDROME AND TOXIC EPIDERMAL NECROLYSIS, AND/OR RASH-RELATED DEATH, HAVE BEEN CAUSED BY LAMOTRIGINE. THE RATE OF SERIOUS RASH IS GREATER IN PEDIATRIC PATIENTS THAN IN ADULTS. ADDITIONAL FACTORS THAT MAY INCREASE THE RISK OF RASH INCLUDE: • • • BENIGN RASHES ARE ALSO CAUSED BY LAMOTRIGINE; HOWEVER, IT IS NOT POSSIBLE TO PREDICT WHICH RASHES WILL PROVE TO BE SERIOUS OR LIFE THREATENING. LAMOTRIGINE TABLETS SHOULD BE DISCONTINUED AT THE FIRST SIGN OF RASH, UNLESS THE RASH IS CLEARLY NOT DRUG RELATED. (5.1) RECENT MAJOR CHANGES Boxed Warning 5/2015 Indications and Usage, Bipolar Disorder (1.2) 5/2015 Warnings and Precautions, Serious Skin Rashes (5.1) 5/2015 Warnings and Precautions, Laboratory Tests (5.13) 3/2015 INDICATIONS AND USAGE Lamotrigine is indicated for: (1) Epilepsy - adjunctive therapy in patients aged 2 years and older: (1) • • • Epilepsy - monotherapy in patients aged 16 years and older: Conversion to monotherapy in patients with partial-onset seizures who are receiving treatment with carbamazepine, phenytoin, phenobarbital, primidone, or valproate as the single AED. (1.1) (1) Bipolar disorder : Maintenance treatment of bipolar I disorder to delay the time to occurrence of mood episodes in patients treated for acute mood episodes with standard therapy. (1.2) LIMITATIONS OF USE: TREATMENT OF ACUTE MANIC OR MIXED EPISODES IS NOT RECOMMENDED. EFFECTIVENESS OF LAMOTRIGINE TABLETS IN THE ACUTE TREATMENT OF MOOD EPISODES HAS NOT BEEN ESTABLISHED. (1) DOSAGE AND ADMINISTRATION •Dosing is based on concomitant medications, indication, and patient a Read the complete document