Buy Lamictal

Generic Name: Buy lamictal

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Clinical studies of lamotrigine for epilepsy and for bipolar disorder did not include sufficient numbers of geriatric subjects 65 years of age or older to determine whether they respond differently or exhibit a different safety profile than younger adults. Geriatric patients exhibit a lower clearance and longer lamotrigine half-life when compared to young adults.

It is recommended that older adults receive dosages at the low end of the normal adult range. Liver and kidney function should be assessed in the geriatric patient prior to lamotrigine initiation since dosages should be adjusted for organ function impairments.

According to the Beers Criteria, anticonvulsants are considered potentially inappropriate medications PIMs in geriatric patients with a history of falls or fractures and should be avoided in these patient populations, with the exception of treating seizure and mood disorders, since anticonvulsants can produce ataxia, impaired psychomotor function, syncope, and additional falls.

If lamotrigine must be used, consider reducing use of other CNS-active medications that increase the risk of falls and fractures and implement other strategies to reduce fall risk. The federal Omnibus Budget Reconciliation Act OBRA regulates medication use in residents of long-term care facilities.

According to the OBRA guidelines, some anticonvulsants may be used to treat disorders other than seizures e. The need for indefinite continuation in treating any condition should be based on confirmation of the condition and its potential cause s. Determining effectiveness and tolerability through evaluation of symptoms should be used to adjust doses. Therapeutic drug monitoring is not required or available for most anticonvulsants.

In addition, significant signs and symptoms of toxicity can occur at normal or low serum concentrations, and symptom control for seizures or behavior can occur at subtherapeutic serum concentrations.

In addition to confusion between the brand name products, Lamictal's generic name, lamotrigine, has been the source of four medication error reports to USP. Other measures that may help to prevent errors involving similar sounding drug names include: spelling back the name of the drug when a phone-in prescription is received, providing the indication for use when appropriate, questioning new prescriptions if the drug does not seem to be appropriate for the patient's condition when the patient profile is current, and flagging similar sounding product names in computer entry and pharmacy computer systems.

Patients can take an active part in reducing the chances of medications errors by knowing the name of the medication they have been prescribed and the reason it was prescribed. When obtaining a refill the patient should question any changes in color, shape, size, and dosage from the original prescription.

For additional tips for consumers on medication safety see the USP press release, U. Pharmacopeia Tells Consumers How to Avoid Medication Errors. Readers are advised that official USP cautions and warnings for drugs appear in the USP-NF or USP DI. There is an increased risk of recurrence of Bipolar Disorder BD episodes or worsening symptoms in pregnancy after the discontinuation of mood stabilizers. Similarly, changes in medication concentration due to the physiological changes in pregnancy may effectively reduce the medication dose and thus its efficacy in pregnancy.

Therapeutic dose monitoring has proven to have great utility in preventing seizure recurrence in women with epilepsy WWEspecifically, dose monitoring of lamotrigine LTG. Similar guidelines to that of women with epilepsy would benefit pregnant women with BD who are taking lamotrigine LTG in pregnancy.

However, the pharmacokinetics as well as the utility of therapeutic dose monitoring of LTG in pregnant patients with Bipolar Disorder has not been well studied.

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Among a limited group of exposed infants, no adverse effects were observed. The potential benefits of breast-feeding should be weighed against the potential risk of adverse effects occurring in the infant. Should a woman decide to breast-feed while on therapy with lamotrigine, the infant should be monitored for adverse effects.

As there is individual variation in response to all AED therapy, patients taking Lamictal to treat epilepsy should consult their physician on the specific issues of driving and epilepsy. No studies on the effects on the ability to drive and use machines have been performed.

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Of eleven reports received, three reported that these sound-alike and look-alike brand names had the potential to cause an error, while the remaining eight described errors that actually transpired. Of the eight actual errors, seven resulted in patients taking the wrong medication.

One patient received over 30 doses of Lamictal 25 mg instead of Lamisil 250 mg. Glaxo Wellcome, the manufacturer of Lamictal, has issued a "Dispensing Errors Alert" calling on prescribers, dispensers, manufacturers, and patients to be aware of the potential for error in order to help avoid future errors.

This is especially important because patients with epilepsy who do not receive their antiepileptic medication could be at risk for developing serious consequences, including status epilepticus. Lamictal has also been confused with other products that have similar proprietary names.

One report described an error where a prescription for Lomotil 2. In three additional MER Program reports involving Lamictal and Lomotil, it was noted that patient counseling was instrumental in preventing the patients from receiving the wrong medication.

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Lamotrigine's role in regulating the chemical processes within nerves has led to it being studied to see if it has a neuroprotective effect. Lamotrigine is given orally as tablets for the treatment of pain. Experimental doses range from 25-400mg per day. People start on a low dose that is gradually increased. Lamotrigine can stop some types of oral contraceptive pill from working, so this should be taken into account.

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Common Buy Lamictal ide effects may include:

  • In single dose studies in subjects with end stage renal failure, plasma concentrations of lamotrigine were not significantly altered.

  • The safety and effectiveness of lamotrigine has not been established 1 as initial monotherapy or 2 for simultaneous conversion to monotherapy from 2 or more concomitant AEDs.

  • In patients receiving concomitant therapy with valproate, the appropriate treatment regimen should be used see section 4.

  • The seizure medicines with this effect are:The FDA has approved Lamictal for some seizures in children as young as 2 years of age.

Reducing the release of glutamate from the nerve cells in the brain is another way in which lamotrigine helps stabilise the electrical activity in the brain and prevent epileptic fits.

In addition to its use for treating epilepsy, lamotrigine is used by specialists as a mood stabiliser for treating people with the psychiatric illness, bipolar affective disorder. Lamotrigine is used to help prevent episodes of depression in people who suffer mostly from this side of the illness. It is not fully understood how lamotrigine works in this illness, but is thought to be to do with the reduction of glutamate in the brain.

Where can I get more information?

  • Lamotrigine is an inhibitor of renal tubular secretion via organic cationic transporter 2 OCT2 proteins, and famotidine is excreted via this route.

  • Anything other than that is extremely tiring and usually so dull to me that I can't finish it.