Lamogine 25mg Tablet

Prescription Required
SALT COMPOSITION
Storage
Store at room temperature (10-30°C)

Overview

Introduction

Lamogine 25mg Tablet belongs to a group of medicines called anti-epileptics. It is used to treat two conditions, epilepsy and bipolar disorder. It works by blocking the signals in the brain that trigger epileptic seizures (fits) and in another way to prevent extreme mood swings.

Lamogine 25mg Tablet can be used alone or in combination with other medicines. It may be taken with or without food. Your doctor will decide the correct dose for you. This may increase gradually until your condition is stable. This medicine may take several weeks to work but it is important to take it regularly to get the maximum benefit. Do not stop taking it, even if you feel fine unless your doctor advises you to. You may have more seizures, or your bipolar disorder may get worse.

The most common side effects of this medicine include skin rashes, headache, nausea and vomiting, difficulty sleeping, dizziness, and feeling sleepy or drowsy. Most side effects wear off, but if they bother you or do not go away, tell your doctor. Inform your doctor immediately if you notice a rash or peeling of skin. There may be ways of preventing or reducing these effects. Long-term treatment can cause weakness in your bones (osteoporosis), increasing your risk of breaking a bone.

Before taking this medicine, tell your doctor if you have kidney or liver problems, depression, or suicidal thoughts. Also let your healthcare professional know about all other medications you are using as some may affect, or be affected by, this medicine, including contraceptive pills. Consult your doctor if you are pregnant or breastfeeding as the dose may need to be adjusted. You should avoid driving or anything that requires concentration if this medicine makes you drowsy or dizzy. You may need frequent blood tests to check how you are responding to this medicine.

Uses of Lamogine Tablet

Benefits of Lamogine Tablet

In Epilepsy/Seizures

Lamogine 25mg Tablet is used alone or with other medicines to prevent and control seizures (fits). It works by decreasing the nerve impulses which cause the seizures. It can help reduce symptoms such as confusion, uncontrollable jerking movements, loss of awareness, and fear or anxiety. By controlling the frequency of seizures, it will help you go about your daily activities with more confidence. It may also allow you to do some activities that you would otherwise be forbidden or scared to do (such as swimming and driving). This medicine may take several weeks or months to work effectively as the dose is adjusted. Carefully follow all instructions and never take more tablets than your doctor tells you to. It needs to be taken regularly as prescribed to be most effective.

In Bipolar disoder

Lamogine 25mg Tablet works to restore the normal balance of nerve activity in your brain. It is sometimes called a mood stabilizer and can help prevent extreme changes in mood and help you feel less agitated. You may experience fewer episodes of depression and low mood. It can take several weeks for this medicine to work and you may still feel low during this time. It is likely that you will take this medicine for at least six months but possibly much longer. It needs to be taken regularly to work effectively. Do not stop taking it unless your doctor advises you to. You should continue to eat well and keep fit to reduce symptoms of bipolar disorder.

Side effects of Lamogine Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Lamogine

  • Skin rash
  • Headache
  • Nausea
  • Vomiting
  • Dryness in mouth
  • Insomnia (difficulty in sleeping)
  • Sleepiness
  • Dizziness
  • Back pain
  • Abdominal pain
  • Blurred vision
  • Double vision
  • Impaired coordination
  • Nasal congestion (stuffy nose)
  • Infection

How to cope with side effects?

The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.

  • Coping with Skin rash
    There are many treatments for a wide range of skin problems. Avoid hot showers or baths because hot water can irritate the skin. Make sure to pat dry your skin after a bath or shower. Do not rub or scratch the affected area. Leave the skin exposed to the air as much as possible. Do not use perfumed soaps or deodorants. Water containing chlorine can make most skin problems worse, so avoid swimming. Avoid spicy foods, alcohol, tobacco smoke and caffeine as it may also make itching worse. Avoid excessive sun exposure. Always use sunscreen and protective clothing when outdoors. Moisturizers can be used regularly to soothe and hydrate the affected area. If it does not get better within a week, speak to a pharmacist or doctor.
  • Coping with Headache
    Make sure you rest and drink plenty of fluids. Rest in a quiet, dimly lit room. Do not sleep more than you normally would. Do not strain your eyes (for example by looking at a screen). Do not drink alcohol. Headaches are usually temporary and usually go away with time. But, if they last longer or get worse, ask your doctor to recommend a painkiller.
  • Coping with Nausea
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop from feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Vomiting
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Dryness in mouth
    Keep a drink available that you can sip through the day. Rinse your mouth with warm salted water and chew sugarless gum or hard candy. Try breathing through your nose more often than your mouth. Avoid caffeinated beverages, smoking and alcohol because they can make your condition worse. Use lip balm if your lips are also dry. Try to avoid foods that are acidic (like lemons), spicy, salty or sugary. If this side effect bothers you or does not go away, talk to your doctor about artificial saliva products or other suitable treatments.
  • Coping with Sleepiness
    If the medicine is making you drowsy during the day, stop what you are doing and sit or lie down until you feel better. You can also consider taking a nap. Physical exercises such as walking may be helpful. Do not drink alcohol, as it will make you feel more tired. Avoid driving or operating heavy equipment when you are feeling drowsy. This problem usually goes away as your body gets used to the medicine. However, if it does not, ask your doctor if you can take your medicine at bedtime or whether the dose can be reduced.
  • Coping with Dizziness
    This is usually short-lived and should go away within a few days. If this happens, stop what you are doing and sit or lie down until you feel better. Lying still in a dark, quiet room may help reduce the spinning feeling. Sleep with your head slightly raised on two or more pillows. Get up slowly from a lying or sitting position. Get plenty of rest and try to relax as being anxious can make it worse. Try taking this medicine at bedtime to reduce the symptoms. Drinking plenty of water and ginger tea may also help. Avoid alcohol, caffeine and smoking as it will make you feel worse. Avoid driving or using tools or machinery until you feel better.
  • Coping with Back pain
    Stay as active as possible and try to continue your daily activities. Do not rest for long periods. Try exercises and stretches specifically designed for back pain. Walking, swimming, yoga and pilates may also be helpful. Taking baths with salt water after exercise may also reduce the pain. Hot or cold compression packs and gentle back massage can give short-term relief. Take anti-inflammatory painkillers if you need to. Back pain normally gets better on its own but if it is severe or lasts more than a couple of weeks, you should see a doctor.
  • Coping with Abdominal pain
    In most cases, this is mild enough to be treated at home. Try to rest and relax. Putting a heat pad or covered hot water bottle on your stomach may also help. Having a warm bath or shower can help you relax and relieve the pain. Drink plenty of clear fluids such as water and reduce your intake of coffee, tea, lemon juice or soda. Avoid alcohol and smoking as these can aggravate the pain. Eating slowly and having smaller and more frequent meals can also help. If the pain is severe, speak to your doctor. They may be able to guide you better.
  • Coping with Blurred vision
    You can consider washing your eyes with water. Avoid driving or using tools or machines if your vision is impaired. Do not take your next dose if your vision is still blurry. If it gets worse or does not improve, ask your doctor to recommend eye drops or talk about changing your medications.
  • Coping with Impaired coordination
    If you feel unsteady, stop what you are doing and sit or lie down until you feel better. Try getting up very slowly from a sitting or lying position. If your condition does not improve, talk with your doctor about changing the dose or trying an alternative medicine.
  • Coping with Nasal congestion (stuffy nose)
    Try saline spray or nose drops. Taking steam inhalation or placing a warm wet towel on your face can also help. Use a humidifier if the air in your house is too dry. Using an extra pillow at night to lift up your head can also improve your breathing. If your condition does not improve, you should talk to your doctor. The doctor may be able to prescribe you certain over-the-counter medicines that can help improve your condition.
  • Coping with Infection
    If you have a low level of white blood cells, you are more likely to get infections. There are several ways to reduce your chances of catching or spreading an infection. Avoid unnecessary exposure to germs when you can. Wash your hands frequently and thoroughly with soap or use a sanitiser. Avoid crowds and avoid contact with people who are ill or have infections. Use disposable tissues for coughs and sneezes. Consider using an appropriate face mask. Do not share personal items like cutlery, glasses, towels or toothbrushes with others. Get enough rest and eat a well balanced healthy diet.

How to use Lamogine Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Lamogine 25mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Lamogine Tablet works

Lamogine 25mg Tablet is an antiepileptic medication. It controls seizures or fits by decreasing the abnormal and excessive activity of the nerve cells in the brain.

Safety Advice

Alcohol
UNSAFE
Lamogine 25mg Tablet may cause excessive drowsiness with alcohol.
Pregnancy
CONSULT YOUR DOCTOR
Lamogine 25mg Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breastfeeding
SAFE IF PRESCRIBED
Lamogine 25mg Tablet is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Monitor the baby for rash, sleepiness or poor sucking. Also, get the platelet count and liver function test done periodically.
Driving
UNSAFE
Lamogine 25mg Tablet may cause side effects which could affect your ability to drive.
Lamogine 25mg Tablet can cause dizziness and double vision. This may affect your ability to drive.
Kidney
CAUTION
Lamogine 25mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Lamogine 25mg Tablet may be needed. Please consult your doctor.
Liver
CAUTION
Lamogine 25mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Lamogine 25mg Tablet may be needed. Please consult your doctor.

What if you forget to take Lamogine Tablet?

If you miss a dose of Lamogine 25mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Lamogine 25mg Tablet
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Quick Tips

  • Take your medication regularly as directed by your doctor as missing doses can trigger seizures.
  • Do not change the brand of your medicine and make sure that you have sufficient amount of medicine present with you.
  • Some healthy tips to prevent seizures:
    • Practice yoga every day.
    • Get enough sleep at nighttime.
    • Limit the use of screen time such as mobile/laptop.
    • Take your medication on time.
  • It may cause dizziness and sleepiness. Do not drive or do anything that requires mental focus until you know how it affects you.
  • It may cause headaches. Drink plenty of water and take a suitable pain killer. Inform your doctor if it does not go away.
  • It may cause skin rash. Inform your doctor immediately if you notice a rash, itching and peeling of skin.
  • Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts.
  • Do not stop taking the medication suddenly without talking to your doctor as it may increase the frequency of seizure.

Fact Box

Chemical Class
Phenyltriazine Derivative
Habit Forming
No

Interaction with Drugs

Taking Lamogine with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Brand(s): Eurolam, Alwel, Tenzo
SERIOUS
Brand(s): Antep, C Lep, Ametol
SERIOUS
Brand(s): Equblam, Zepox, Raipox
SERIOUS
Brand(s): Risure
SERIOUS

Patient Concerns

arrow
She has problem of epilepsy from last two years
Dr. Rahul Yadav
Paediatrics
Hello, epilepsy and seizures cannot be treated online without physically examining the child and detailed history.
?? ???? ?????? ?? ?????? ?? ?? ??? encorate Charon 200 500 tablet use krta hu kya iska koi solution h Jisse main completely thk ho jau
Dr. Jyoti Kapoor Madan
Psychiatry
Epilepsy requires regular treatment with anticonvulsants like encorate chrono for at least 3 years of seizure free period after which medicines may be tapered off unless seizures reappear. At present, there are no other effective treatment options.
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Do you have any questions related to Lamogine 25mg Tablet ?

User Feedback


FAQs

Q. I started Lamogine and developed a rash. The doctor stopped Lamogine immediately and prescribed another medicine. Why?

There have been reports where patients developed serious rashes within 8 weeks of starting Lamogine and were hospitalized. Sometimes these rashes turn into severe skin infections and may endanger the patient’s life. Therefore, it is advised that if a patient develops rashes after starting Lamogine, it should be stopped and should not be restarted. Use of Lamogine is stopped even if the rashes are mild and non-serious. It is because of this that your doctor changed the medicine.

Q. How long does it take Lamogine to work?

Though it varies from person to person, your symptoms may take about 6-8 weeks to improve.

Q. What can be the consequences of taking a higher than the recommended dose of Lamogine?

You may experience quick and uncontrollable movements of your eye, clumsiness, and lack of coordination. High doses of Lamogine may cause problems with your balance, changes in heartbeat rhythm, loss of consciousness, fits (convulsions) or coma. Even if there are no signs of discomfort, seek immediate medical attention of a doctor or nearby hospital.

Q. Can Lamogine affect pregnancy?

Studies on the human population do not show any effects of Lamogine on pregnant women or her fetus. However, it is advisable that you inform your doctor immediately if you become pregnant or are planning to get pregnant while taking Lamogine. In case therapy with Lamogine is considered during pregnancy, your doctor may prescribe the lowest effective dose.

Q. Can I take Lamogine with other antiepileptic medicines?

It is important that you inform your doctor if you are already on any other antiepileptic medicines. The reason being, taking Lamogine with some antiepileptics (like valproate and carbamazepine) may increase the chances of developing side effects. Also, the dose of Lamogine may need adjustment if taken with antiepileptic medicines such as oxcarbazepine, felbamate, gabapentin, levetiracetam, pregabalin, topiramate or zonisamide.

Q. How to take Lamogine?

Lamogine can be taken with or without food. Continue taking Lamogine in the dose and duration advised by the doctor to get maximum benefits of Lamogine.

Q. I have symptoms of depression. Can I take Lamogine?

Yes, you can take Lamogine if you have depression symptoms. In fact, Lamogine is used in preventing depression. But, do not self medicate. Do not start or stop taking Lamogine on your own, unless otherwise advised by the doctor.

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1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

  1. Stahl SM, editor. Lamotrigine. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 325-32.
  2. McNamara JO. Pharmacotherapy of the Epilepsies. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. pp. 599-600.
  3. Porters RJ, Meldrum BS. Antiseizure Drugs. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 409.
  4. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 771-74.
  5. Lamotrigine. Uxbridge, Middlesex: GlaxoSmithKline UK; 1991 [revised 24 Oct. 2018]. [Accessed 23 Jan. 2019] (online) Available from:External Link
  6. Lamotrigine. Greenville, NC: GlaxoSmithKline; 2009. [Accessed 25 Mar. 2019] (online) Available from:External Link
  7. Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198. [Accessed 20 Mar. 2019] (online) Available from:External Link
  8. Central Drugs Standard Control Organisation (CDSCO). [Accessed 25 Mar. 2019] (online) Available from:External Link

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