Generic Name: Lamogin (la MOE tri jeen)Brand Name: LaMICtal, LaMICtal ODT, LaMICtal XR, Subvenite, . show all 20 brand names LaMICtal CD, LaMICtal Starter Kit (Blue), LaMICtal Starter Kit (Green), LaMICtal Starter Kit (Orange), LaMICtal ODT Patient Titration Kit (Blue), LaMICtal ODT Patient Titration Kit (Orange), LaMICtal ODT Patient Titration Kit (Green), LaMICtal XR Patient Titration Kit (Blue), LaMICtal XR Patient Titration Kit (Orange), LaMICtal XR Patient Titration Kit (Green), LamoTRIgine Starter Kit (Blue), LamoTRIgine Starter Kit (Green), LamoTRIgine Starter Kit (Orange), Subvenite Starter Kit (Blue), Subvenite Starter Kit (Green), Subvenite Starter Kit (Orange)
Medically reviewed by Drugs.com on Oct 8, 2019 – Written by Cerner Multum
The biggest risk with Lamogin is a rare allergic reaction called Stevens-Johnson Syndrome, which can be fatal if left untreated. Many medications can cause this reaction, including antibiotics like Bactrim and penicillin and over-the-counter medications like Tylenol and Motrin. The risk of getting the rash can be prevented if the following precautions are followed:
- Dosing increases must be raised very slowly.
- It should be stopped if any new rash or skin changes occur while you’re starting the medication. (After the first 3 months the risk of Stevens-Johnson Syndrome declines to almost zero).
- To avoid false-alarm rash confusion, the use of new soaps, getting a sunburn, exposure to poison ivy and starting any other new medications should be avoided during the first 3 months of starting Lamogin.
With those steps, the risk of this severe rash is about 1 in 3,000; without them, it’s more like 1 in 100. “Unfortunately, there is still a high risk of non-serious, benign rashes (10% chance), so many people have to stop Lamogin to be on the safe side,” Dr. Aiken explains. “If you responded to Lamogin but had to stop it because of a rash, it may be possible to restart at a lower dose.”
LAMICTAL ODT (Lamogin) Patient Titration Kit For Patients Not Taking Carbamazepine, Phenytoin, Phenobarbital, Prim >25-mg, white to off-white, round, flat-faced, radius-edged tablets debossed with “LMT” on one side and “25” on the other, 50 mg, white to off-white, round, flat-faced, radius-edged tablets debossed with “LMT” on one side and “50” on the other, and 100 mg, white to off-white, round, flat-faced, radius-edged tablets debossed with “LAMICTAL” on one side and “100” on the other, blister pack of 35 (14/25-mg tablets, 14/50-mg tablets, and 7/100-mg tablets) (NDC 01730778-00).
Your starting dosage of Lamogin should not be higher than the recommended starting dosage. Also, your dosage should not be increased too quickly. If your dosage is too high or increased too quickly, you’re at higher risk of a serious or life-threatening skin rash.
If you’re taking this drug to treat seizures and are supposed to stop taking it, your doctor will slowly lower your dosage over at least two weeks. If your dosage isn’t slowly lowered and tapered off, you will be at increased risk of having more seizures.
Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. This information is not a substitute for medical advice. Always speak with your doctor or pharmacist about dosages that are right for you.
Lamogin oral tablet is used for long-term treatment. It comes with risks if you don’t take it as prescribed.
If you stop taking the drug suddenly or don’t take it at all: If you take this drug to treat seizures, stopping the drug suddenly or not taking it at all may cause serious problems. These include an increased risk of seizures. They also include risk of a condition called status epilepticus (SE). With SE, short or long seizures occur for 30 minutes or more. SE is a medical emergency.
If you take this drug to treat bipolar disorder, stopping the drug suddenly or not taking it at all may cause serious problems. Your mood or behavior may get worse. You may need to be admitted to the hospital.
If you miss doses or don’t take the drug on schedule: Your medication may not work as well or may stop working completely. In order for this drug to work well, a certain amount needs to be in your body at all times.
If you take too much: You could have dangerous levels of the drug in your body. If you think you’ve taken too much of this drug, call your doctor or seek guidance from the American Association of Poison Control Centers at 1-800-222-1222 or through their online tool. But if your symptoms are severe, call 911 or go to the nearest emergency room right away.
What to do if you miss a dose: Take it as soon as you remember. If you remember just a few hours before the time for your next dose, only take one dose. Never try to catch up by taking two tablets at once. This could result in dangerous side effects.
How to tell if the drug is working: If you take this drug to treat seizures, you should have fewer seizures, or less severe seizures. Be aware that you may not feel the full effect of this drug for several weeks.
If you take this drug to treat bipolar disorder, you should have fewer episodes of extreme moods. Be aware that you may not feel the full effect of this drug for several weeks.
Keep these considerations in mind if your doctor prescribes Lamogin for you.
A therapeutic plasma concentration range has not been established for Lamogin. Dosing of LAMICTAL should be based on therapeutic response .
Commonly reported side effects of Lamogin include: ataxia, skin rash, headache, insomnia, and nausea. Other side effects include: infection, dyspepsia, abnormal gait, constipation, and drowsiness. See below for a comprehensive list of adverse effects.
Will my dose go up or down?
When you start taking Lamogin, it's important to increase the dose slowly as this will help reduce or stop some side effects happening.
Once you find a dose that suits you, it'll usually stay the same.
Q: My granddaughter keeps having bouts of severe spasmodic bilateral abdominal pain. It's not her ovaries or appendix. She has no diarrhea or fever. Could it be Lamictal?
A: Lamictal (Lamogin) is a medication used to treat epilepsy and bipolar disorder. In a study of 339 patients, ranging in age from two to 16 years of age, 10 percent of patients taking the immediate-release medication for epilepsy experienced abdominal pain versus five percent taking a placebo. This is not a common reaction, but it is possible. Other common side effects reported with treatment with Lamictal include dizziness, drowsiness, mild nausea, vomiting, diarrhea, upset stomach, headache, lack of coordination, weight loss, insomnia, unusual dreams, runny or stuffy nose, or blurred vision. Serious side effects may also occur and require immediate medical attention. These reactions may include fever, sore throat, headache with severe blistering, peeling, and red skin rash, chest pain, pale skin, easy bruising or bleeding, body aches, flu symptoms, muscle pain, tenderness, or weakness, dark colored urine, clay-colored stools, stomach pain, or jaundice (yellow of the skin or eyes). Consult with doctor for proper evaluation of the abdominal pain and to determine the underlying cause and possible treatment options, if necessary. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Patti Brown, PharmD
By Beth Schneider | Medically Reviewed by Ruthan White, PharmD
Latest Update: 2014-11-05 Copyright © 2014 Everyday Health Media, LLC
Common side effects
The most common side effects of Lamogin are:
Other important side effects include:
- increased risk of developing aseptic meningitis and
- reduced white blood cells, red blood cells, and platelets.
- suicidal thoughts or behaviors
Multiorgan failure, including fatal liver disease rarely has been observed during Lamogin treatment.
As a general rule, anti-seizure medications should not be abruptly stopped because of the possibility of increasing the frequency of seizures. In most cases, the dose of Lamogin should be gradually lowered over a period of at least two weeks. Antiepileptic medications have been associated with an increased risk of suicidal thinking and behavior. Anyone considering the use of antiepileptic drugs must balance this risk of suicide with the clinical need for the drugs. Patients who are started on therapy should be closely observed for clinical worsening, suicidal thoughts, or unusual changes in behavior.
Before taking Lamogin, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: kidney disease, liver disease, a certain heart rhythm disorder (Brugada syndrome).
This drug may make you dizzy or drowsy or blur your vision. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy. Do not drive, use machinery, or do anything that needs alertness or clear vision until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).
Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
Children may be at greater risk for skin rashes while taking this drug. See also Warning section.
Older adults may be more sensitive to the side effects of this drug, especially dizziness, loss of coordination, or fainting. These side effects can increase the risk of falling.
During pregnancy, this medication should be used only when clearly needed. It may harm an unborn baby. However, since untreated seizures or mental/mood problems (such as bipolar disorder) are serious conditions that can harm both a pregnant woman and her unborn baby, do not stop taking this medication unless directed by your doctor. If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately talk to your doctor about the benefits and risks of using this medication during pregnancy. Since birth control pills, patches, implants, and injections may not work if taken with this medication (see also Drug Interactions section), discuss reliable forms of birth control with your doctor.
This drug passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.