治療癲癇 In combination with other anticonvulsant agents in the management of partial seizures
藥理
The major role of lamotrigine appears to be in the treatment of simple and complex partial seizures and secondarily generalized tonic-clonic seizures resistant to multiple-drug therapy.
藥動學
禁忌症
It is contraindicated in patients with known hypersensitivity to the drug or any ingredient in the formulation.
懷孕分類
C
哺乳分類
Lamotrigine is distributed into milk. A decision should be made whether to discontinue nursing or the drug, taking into account the importance of the drug to the woman.
副作用
1. Common: dizziness, headache, ataxia, nausea, vomiting, rhinitis, pharyngitis, diplopia, and blurred vision.
2. Serious: Stevens Johnson syndrome or rare deaths due to toxic epidermal necrolysis have been reported.
劑量和給藥方法
Monotherapy: 200-500 mg/day in two divided doses, up to 700 mg/day have been used in some cases.
Combination use with valproic acid: 100-150 mg/day
小兒調整劑量
The drug is not approved for use in patients below 16 of age, due to higher incidence of severe life-threatening skin rash than in adult.