Information about LAMITOR

Composition: 
Each chewable/dispersible tablet contains  5 or 25 or 100 mg lamotrigine.
Indications:
Epilepsy:
Adjunctive Therapy:
LAMOTRIGINE is indicated as adjunctive therapy for the following seizure types in patients aged 2 years and older:
• partial-onset seizures.
• primary generalized tonic-clonic (PGTC) seizures.
• generalized seizures of Lennox-Gastaut syndrome.
Monotherapy:
LAMOTRIGINE is 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 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.
Bipolar Disorder:
LAMOTRIGINE is 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.
Contraindications:
LAMOTRIGINE is contraindicated in patients who have demonstrated hypersensitivity (e.g., rash, angioedema, acute urticaria, extensive pruritus, mucosal ulceration) to the drug or its ingredients.
Dosage and administration:
See enclosed insert.
Hepatic Impairment:
No dosage adjustment is needed in patients with mild liver impairment. Initial, escalation, and maintenance doses should generally be reduced by approximately 25% in patients with moderate and severe liver impairment without ascites and 50% in patients with severe liver impairment with ascites. Escalation and maintenance doses may be adjusted according to clinical response.
Renal Impairment:
Reduced maintenance doses may be effective for patients with significant renal impairment. Few patients with severe renal impairment have been evaluated during chronic treatment with lamotrigine. Because there is inadequate experience in this population, LAMOTRIGINE should be used with caution in these patients.
Storage conditions: 
Store below 30° C.
Packaging:
25 & 100 mg: Carton pack of 20 chewable/dispersible tablets.
5 mg: Carton pack of 10 or 30 chewable/dispersible tablets.