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Re: Need Help - Lamictal Again » simcha

Posted by ed_uk2010 on September 1, 2010, at 6:24:56

In reply to Re: Need Help - Lamictal Again, posted by simcha on August 31, 2010, at 18:46:30

Hi Simcha,

I guess you'll be increasing the dose quite slowly? This decreases the risk of rash. Although mild rashes are common with lamotrigine (and without it), severe rashes are rare. In the absence of other symptoms, urticaria (hives) is not normally suggestive of a severe reaction.

Signs that a rash could become severe include:

Discomfort, ulceration and blistering inside the mouth or on the lips
Soreness and redness of the eyes or inside the nostrils
Rash affecting the genitals - can cause pain on urination
Skin blistering or peeling
Rash + systemic symptoms such as fever, sore throat, enlarged and tender lymph nodes and feeling generally flu-like and unwell.

If any of these symptoms occur, lamotrigine should be stopped and not restarted.

To reduce the risk of rash occuring when starting lamotrigine:

Do not start other new medications or supplements at the same time
Do not start eating new foods
Do not use new cosmetics, conditioners, deodorants, detergents or fabric softeners
If appropriate, wear a suitable sunscreen to avoid sunburn
Take precautions to avoid Poison Oak/Poison Ivy exposure
Do not start lamotrigine within 2 weeks of having a rash, viral syndrome or vaccination.

Hope this is useful.

 

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