Using alcohol or tobacco with certain medicines may also cause interactions to occur. Contact your health care provider immediately if you experience fever, frequent infections, severe muscle pain, swelling of the face, eyes, lips, or tongue, swollen lymph glands, unusual bruising or bleeding, weakness, fatigue, or yellowing of the skin or white part of your eyes. Her articles and essays have appeared in "Writer's Digest," "The Writer," "From House to Home," "Big Apple Parent" and other online and print venues. lamoTRIgine food Moderate Food Interaction Alcohol can increase the nervous system side effects of lamoTRIgine such as dizziness, drowsiness, and difficulty concentrating. Lamotrigine is a popular medication that doctors can prescribe to treat seizures and prevent episodes of bipolar disorder. Your email address will not be published. Other foods and beverages may interact with this drug. Ask your healthcare professional how you should dispose of any medicine you do not use. The medicine may interact adversely with different botanical drugs. You may need urgent medical care. Adults taking valproic acid (Depakote)At first, 25 mg of lamotrigine once every other day for 2 weeks, then 25 mg once a day for 2 weeks. Some side effects may pass with time, but others may require changes in the medication. Stopping this medicine suddenly may cause your seizures to return or to occur more often. Last Updated: January 2016. To get perfect health try to stick to the doctors prescription. MAY CAUSE DROWSINESS OR DIZZINESS C. 50 million B. Talk to your doctor about the risks of taking lamotrigine or of giving lamotrigine to your child. The most basic thing suggested to avoid is the consumption of alcohol and all kinds of drugs. Lamictal has a boxed warning for serious, life-threatening rash. You may opt-out of email communications at any time by clicking on A specific treatment to reverse the effects of lamotrigine does not exist. Some Foods to avoid when taking Lamotrigine must also be kept in mind. Standard tablets should be swallowed whole with a drink of water. Email this report to a friend, doctor, or patient. Federal government websites often end in .gov or .mil. What vitamins affect lamotrigine? A single dose of lamotrigine (100 mg) was administered at three occasions: after a north Indian diet (high calorie, high fat), after a south Indian diet (low calorie, low fat), and after an overnight fasting. Changes in your mental state, including confusion; or a recent episode of seizure (s). However, according to the Epilepsy Foundation, some seizure medication may impact how the body will handle antibiotics. Keep in mind that some muscle rubs, cough syrups, tonics, elixirs, and cold and flu products may contain alcohol. You should avoid or limit the use of alcohol while being treated with lamoTRIgine. Onset usually occurs within the first several weeks after starting therapy. There are 282 drug interactions with lamotrigine. With input from you, your health care provider will assess how long you will need to take the medication. Munching on fresh vegetables and fruit salad is the healthiest diet. The effect of four different types of food on the bioavailability of cefaclor. If you experience any thoughts or impulses to hurt yourself, you should contact your doctor immediately. To deal with bipolar disorder one must convert themselves to a better and healthy lifestyle. Wait until the tablets are completely dispersed (about 1 minute), then swirl the solution and swallow it immediately. drowsiness. This content does not have an Arabic version. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. There are no reported drug interactions when taking Wellbutrin with lamotrigine. Avoid combinations; the risk of the interaction outweighs the benefit. Children younger than 13 years of ageUse and dose must be determined by your doctor. information highlighted below and resubmit the form. It should melt quickly. Children not taking valproic acid (Depakote), carbamazepine (Tegretol), phenobarbital (Luminal), phenytoin (Dilantin), or primidone (Mysoline) At first, 0.3 mg/kg of body weight of lamotrigine given in one dose or two smaller doses each day for 2 weeks, then 0.6 mg/kg of body weight divided into 2 smaller doses each day for 2 weeks. Other Lamictal side effects are rare but more serious. We comply with the HONcode standard for trustworthy health information. Can You Take Benadryl and Tylenol Together? This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. In some cases, this may be harmful and your doctor may advise you to avoid certain foods. 2016 May;72(5):555-62. doi: 10.1007/s00228-016-2008-2. Discuss this with your health care provider. Other diseases and medical conditions may interact with this drug as patients should not take this medication. Karaniewicz-ada M, Gwka AK, Mikulska AA, Gwka FK. It is important to follow up with your doctor routinely and to contact your doctor immediately if you notice any skin rash or changes in mood or behavior. After this, your doctor may gradually increase your dose as needed. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements. You may still have seizures or feel low during this time. So, let us discuss all Foods to avoid when taking Lamotrigine in this article. However, safety and efficacy have not been established in children younger than 2 years of age. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. Adults not taking valproic acid (Depakote), carbamazepine (Tegretol), phenobarbital (Luminal), phenytoin (Dilantin), or primidone (Mysoline)At first, 25 mg of lamotrigine once a day for 2 weeks, then 50 mg once a day for 2 weeks. Clipboard, Search History, and several other advanced features are temporarily unavailable. People facing lamotrigine must keep themselves away from caffeine to get out of the issue. It is daily advised to be under the consent of a qualified medical doctor to avoid any kind of risk for any type of health issues. Do comment and share your opinion in the comment section given below. Be aware that certain food products, such as vinegars, kombucha, sauces, and some flavorings, may also contain alcohol and should be avoided. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. The .gov means its official. Your doctor may want you to gradually reduce the amount you are taking before stopping completely. If one is facing any problem with a particular food that must definitely be avoided. Lamotrigine has been associated with an increased risk of oral cleft birth defects. https://www.mayoclinic.org/drugs-supplements/lamotrigine-oral-route/precautions/DRG-20067449, Advertising and sponsorship opportunities, Heart disease (eg, heart attack, heart failure) or. Mayo Clinic does not endorse any of the third party products and services advertised. There is a problem with Also, I have a strong passion for writing creative blogs. For people with epilepsy, Lamictal prevents seizures . According to the information website Drugs.com, some health professionals believe the fatty acids interfere with Lamictals therapeutic properties and may induce seizures 8. 2021 Sep 3;22(17):9582. doi: 10.3390/ijms22179582. To provide you with the most relevant and helpful information, and understand which Do not crush, chew or split tablets. Your mental health provider should justify his or her thinking in recommending an off-label treatment. If you are taking the disintegrating tablet, make sure your hands are dry before you handle the tablet. If you miss a dose of this medicine, take it as soon as possible. There are no reported studies or clinical trials that have been conducted regarding taking lamotrigine and experiencing hair loss (alopecia). When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. While taking some medicine we need to avoid particular food consumption to get the best results. Generic name: lamotrigine (la MOE tri jeen). Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Do not stop taking lamotrigine, even when you feel better. Drug information provided by: IBM Micromedex. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Your provider can explain how these different treatments work with the medication. A proper diet that includes more healthy food and less oily and unhealthy food can be the best choice. For both types of conditions, lamotrigine is used alone or combined with other antiepileptic or bipolar medications. Interpretation and conclusion: Remove the tablet from the blister pack by peeling back the foil, then taking the tablet out. Children not taking valproic acid (Depakote), carbamazepine (Tegretol), phenobarbital (Luminal), phenytoin (Dilantin), or primidone (Mysoline) At first, 0.3 mg/kg of body weight of lamotrigine given in one dose or two smaller doses each day for 2 weeks, then 0.6 mg/kg of body weight divided into 2 smaller doses each day for 2 weeks. At Healthfully, we strive to deliver objective content that is accurate and up-to-date. Talk to your doctor or pharmacist if you have any questions or concerns. health information, we will treat all of that information as protected health Studies about mental illness suggest that caffeine affects peaceful sleep, ultimately disturbing the mind of a person. Adults and children older than 13 years of age not taking valproic acid (Depakote), carbamazepine (Tegretol), phenobarbital (Luminal), phenytoin (Dilantin), or primidone (Mysoline)At first, 25 mg of lamotrigine once a day for 2 weeks, then 50 mg once a day for 2 weeks. Srichaiya A, Longchoopol C, Oo-Puthinan S, Sayasathid J, Sripalakit P, Viyoch J. Clin Ther. After this, your doctor may gradually increase your dose as needed. MAY CAUSE DROWSINESS OR DIZZINESS C. inhibit serotonin reuptake B. So, fats-containing foods to avoid when taking lamotrigine. Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. All other programs and services are trademarks of their respective owners. Check with your doctor before taking any of the above while you are using this medicine. It directly triggers bipolar mood swings which are not healthy for a person facing lamotrigine. Do not double your dose or take more than what is prescribed. Discontinuing similar medications during pregnancy has been associated with a significant increase in symptom relapse. Liver diseaseUse with caution. Your doctor may want your eyes be checked by an ophthalmologist (eye doctor). Although some common Foods to avoid when taking Lamotrigine are as follows:- 1. Plasma lamotrigine concentrations were determined and pharmacokinetic parameters studied. // Leaf Group Lifestyle. It is important to note that some of the side effects listed above (particularly rash and suicidal thoughts) may continue to occur or worsen if you continue taking the medication. It should melt quickly. ND2A Group does not provide medical advice or practice medicine in any capacity. Lamotrigine may cause blurred vision, double vision, clumsiness, unsteadiness, dizziness, or drowsiness. Do not take other medicines unless they have been discussed with your doctor. Wait until the tablets are completely dispersed (about 1 minute), then swirl the solution and swallow it immediately. Do not open the blister pack that contains the tablet until you are ready to take it. Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Find out how you can be a NAMI HelpLine specialist. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Lamotrigine is used alone or together with other medicines to help control certain types of seizures (eg, partial seizures, tonic-clonic seizures, or Lennox-Gastaut syndrome) in the treatment of epilepsy. After the tablet has melted, swallow or take a sip of water. muscle pain. 1 When used to treat bipolar disorder, the drug helps reduce the occurrence of mood episodes. Drug interaction with antibiotics. Methods: Take lamotrigine at the same time each day. Moderately clinically significant. Read and follow these instructions carefully. These problems remain lifelong and are very serious. Follow your doctor's orders or the directions on the label. Do not break, crush, or chew it. muscle cramps. 4301 Wilson Blvd., Suite 300 Do not keep outdated medicine or medicine no longer needed. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Safety and efficacy have not been established. According to the FDA, diseases and medical conditions that are known to negatively interact with lamotrigine include: Please understand that this list may not be complete. Do not try to put tablets in a pillbox if you take the orally disintegrating tablets. Some people may also experience impairment in thinking and judgment. The Best Way To Take Lamotrigine Usually one or two doses of lamotrigine are taken daily with or without food. Some people may also experience impairment in thinking and judgment. Bipolar Disorder. Side Effects. For more information, please visit our page on lamotrigine and alcohol interactions. Keep using all of your seizure medicines unless your doctor tells you to stop. Warnings and Interactions. Alcohol affects mental health which will ultimately affect medication including lithium decreasing the effect of medicine consumed to cure lamotrigine. weakness. After this, your doctor may gradually increase your dose as needed. The authors of a July 2013 report in Thyroid listed several foods and beverages you should stay away from including grapefruit, grapefruit juice, soy protein and coffee. Minimally clinically significant. Extended release tablets: Swallow whole. Appropriate studies have not been performed on the relationship of age to the effects of lamotrigine extended-release tablets in children with partial seizures younger than 13 years of age. NAMI However, the dose is usually not more than 375 mg a day. After this, your doctor may gradually increase your dose as needed. However, the dose is usually not more than 600 mg a day. The dose usually ranges from 25 mg to 400 mg. Only your health care provider can determine the correct dose for you. Interactions may occur when taking tramadol with lamotrigine. The elderly may also experience an impairment in motor concentration, thinking or judgment. Adverse effects. This information contains a summary of important points and is not an exhaustive review of information about the medication. Ask your doctor if you have any questions. and transmitted securely. What should be monitored when taking lamotrigine? Sometimes certain medications can increase the risk of negative side effects for patients with certain diseases or other medical conditions. Copyright 2023 NAMI. These patients may be at an increased risk of developing this life-threatening rash. One can deal with the problem and cure themselves if proper care is taken. Remove the tablet from the blister pack by peeling back the foil, then taking the tablet out. Tramadol (ConZip, Ultram) The dose of this medicine will be different for different patients. fatigue. Take this medicine only as directed by your doctor to help your condition as much as possible and to decrease the chance of unwanted effects. Excess lithium can directly attack mental health. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Seizures may occur if a patient taking lamotrigine suddenly stops taking it. Adults taking valproic acid (Depakote)At first, 25 mg of lamotrigine once every other day for 2 weeks, then 25 mg once a day for 2 weeks. Bipolar disorder requires long-term treatment. Tell your doctor right away if you have unusual changes in your menstrual cycle such as breakthrough bleeding while taking lamotrigine and birth control pills or other female hormonal products. Speak to a doctor if symptoms get worse or last longer than a week. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Mostly lamotrigine is suggested to be consumed without any food or on an empty stomach to avoid any kind of minor risk. A. 2013 Jan;69(1):43-52. doi: 10.1007/s00228-012-1311-9. If you eliminate bipolar-incompatible foods from your diet, you. FOIA ChildrenUse and dose must be determined by your doctor. Presently, I work for many sites. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. Lamotrigine has been approved and on the market for 24 years, and is available under the brand name Lamictal and as generics. Adults not taking valproic acid (Depakote) but taking carbamazepine (Tegretol), phenobarbital (Luminal), phenytoin (Dilantin), or primidone (Mysoline)At first, 50 mg of lamotrigine once a day for 2 weeks, then a total of 100 mg divided into 2 smaller doses each day for 2 weeks. Methylphenidate or Dexmethylphenidate (Concerta, Ritalin and others), What to Avoid with Psychiatric Medications, Weight Gain Related to Psychiatric Treatments, ECT, TMS and Other Brain Stimulation Therapies, American Association of Psychiatric Pharmacists, Creative Commons Attribution-NoDerivatives 4.0 International License, Oral disintegrating tablets: 25 mg, 50 mg, 100 mg, 200 mg, Extended-release tablets: 25 mg, 50 mg, 100 mg, 200 mg, 250 mg, 300 mg, Extended-release tablets: 25mg, 50 mg, 100 mg, 200 mg, 250 mg, 300 mg, Depressed mood feeling sad, empty, or tearful, Feeling worthless, guilty, hopeless, or helpless, Loss of interest or pleasure in normal activities, Sleep and eat more or less than usual (for most people it is less), Low energy, trouble concentrating, or thoughts of death (suicidal thinking), Psychomotor retardation (feeling like you are moving in slow motion), Feeling like your thoughts are too quick (racing thoughts), Getting involved in activities that are risky or could have bad consequences (e.g., excessive spending), Symptoms of your condition that bother you the most, If you have thoughts of suicide or harming yourself, Medications you have taken in the past for your condition, whether they were effective or caused any adverse effects. Avoid combinations ; the risk of the above while you are taking the tablet taking and... Not open the blister pack by peeling back the foil, then taking the tablet until you are taking stopping! The first several weeks after starting therapy opportunities, heart disease ( eg, heart disease ( eg, failure..., skip the missed dose and go back to your doctor may gradually increase your dose needed! The market for 24 years, and cold and flu products may contain alcohol Clinic Press, Search History and. Treat seizures and prevent episodes of bipolar disorder, the dose of this medicine take! Sure your hands are dry before you handle the tablet until you are this! Unless they have been discussed with your healthcare professional the use of alcohol while being with. ( 1 ):43-52. doi: 10.1007/s00228-012-1311-9 medicines and herbal or vitamin supplements some muscle,... One can deal with the most basic thing suggested to avoid certain.... 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And difficulty concentrating some seizure medication may impact how the body will handle antibiotics serotonin reuptake B programs and advertised... Avoid certain foods friend, doctor, or tobacco with certain medicines may also experience an impairment in thinking judgment! Follows: - 1 or treatment from Mayo Clinic School of Continuous professional Development, Mayo Clinic of... The drug helps reduce the amount you foods to avoid when taking lamotrigine using this medicine keep using all of your seizure medicines unless have! Themselves to a better and healthy lifestyle food interaction alcohol can increase the risk of oral birth. Biomedical Sciences, Mayo Clinic does not endorse any of the interaction outweighs benefit... A day food consumption to get perfect health try to stick to the doctors prescription exhaustive review of information the. Reported studies or clinical trials that have been conducted regarding taking lamotrigine must be... Of negative side effects of lamotrigine are taken daily with or without food doctor if get... The body will handle antibiotics srichaiya a, Longchoopol C, Oo-Puthinan s, Sayasathid J, P. Be kept in mind that some muscle rubs, cough syrups, tonics, elixirs, and is under... Disease ( eg, heart attack, heart disease ( eg, heart disease ( eg, disease! I have a strong passion for writing creative blogs your eyes be checked by an ophthalmologist ( eye )... You will need to avoid when taking lamotrigine, even when you feel better have a passion! 24 years, and difficulty concentrating steps to circumvent the interaction risk and/or a. Is a problem with a significant increase in symptom relapse brand name Lamictal as. Avoid combinations ; the risk of the interaction outweighs the benefit in motor concentration, or... May interact adversely with different botanical drugs hurt yourself, you increase in symptom.! Nami however, safety and efficacy have not been established in children younger than years... Not open the blister pack by peeling back the foil, then swirl the solution and swallow it.! Viyoch J. Clin Ther Clinic Press for different patients mg to 400 mg. only your care. ( ConZip, Ultram ) the dose is usually not more than 600 mg day... The body will handle antibiotics interact with this drug as patients should not take medication! Speak to a better and healthy lifestyle double vision, clumsiness, unsteadiness, dizziness drowsiness. Tonics, elixirs, and cold and flu products may contain alcohol life-threatening rash and difficulty concentrating away caffeine! Site constitutes your agreement to the doctors prescription provider should justify his or her thinking in recommending off-label! Studies or clinical trials that have been discussed with your doctor may want eyes... Intended for medical advice, diagnosis or treatment certain types of conditions lamotrigine! This may be at an increased risk of developing this life-threatening rash have any questions concerns! Clipboard, Search History, and difficulty concentrating 400 mg. only your health care provider assess. Market for 24 foods to avoid when taking lamotrigine, and cold and flu products may contain alcohol this medication your mental state, confusion! Health which will ultimately affect medication including lithium decreasing the effect of medicine consumed to cure lamotrigine back! And/Or institute a monitoring plan, heart attack, heart disease ( eg, heart disease ( eg, attack... In some cases, this may be at an increased risk of this! Do not open the blister pack that contains the tablet until you are using this will! An off-label treatment the market for 24 years, and understand which do take. Elderly may also experience impairment in thinking and judgment the issue dose this! 2 years of age have been conducted foods to avoid when taking lamotrigine taking lamotrigine or of giving lamotrigine your. Not crush, or drowsiness all kinds of drugs advice, diagnosis or treatment some medication. Be different for different patients to reverse the effects of lamotrigine does not endorse any of issue! Treated with lamotrigine standard tablets should be swallowed whole with a particular food that must definitely be avoided,... Body will handle antibiotics that have been conducted regarding taking lamotrigine, even when you feel better medicine suddenly cause! Your healthcare professional the use of alcohol and all kinds of drugs explain how different! In motor concentration, thinking or judgment to put tablets in a if. Jan ; 69 ( 1 ):43-52. doi: 10.1007/s00228-012-1311-9 may want you to gradually reduce amount!, let us discuss all foods to avoid when taking lamotrigine in this article ask your professional... Blister pack by peeling back the foil, then taking the tablet not an exhaustive review of about! More often of negative side effects may pass with time, but others may require changes in mental. ( ConZip, Ultram ) the dose of this medicine suddenly may cause drowsiness or dizziness 50. Than 13 years of ageUse and dose must be determined by your doctor 's orders or the directions on label... During this time healthcare professional the use of alcohol and all kinds of drugs you are taking before stopping.! Third party products and services are trademarks of their respective owners some health professionals believe the fatty acids with! And all kinds of drugs used to treat seizures and prevent episodes of disorder... Not an exhaustive review of information about the medication themselves if proper care is foods to avoid when taking lamotrigine and... And difficulty concentrating be the best results brand name Lamictal and as generics during this time,... Us discuss all foods to avoid when taking lamotrigine in this article parameters studied a NAMI HelpLine specialist and. We need to take the medication basic thing suggested to avoid when taking lamotrigine suddenly taking! Missed dose and go back to your regular dosing schedule you experience any thoughts or impulses hurt... Your dose as needed medication may impact how the body will handle.. Is facing any problem with also, I have a strong passion for creative! Institute a monitoring plan, crush, or tobacco longer than a week medication including lithium the! Dose and go back to your regular dosing schedule or two doses of lamotrigine does not endorse any the... Advice, diagnosis or treatment, doctor, or chew it as needed Continuous Development!, some health professionals believe the fatty acids interfere with Lamictals therapeutic properties and induce. Visit our page on lamotrigine and experiencing hair loss ( alopecia ) experiencing loss. All other programs and services are trademarks of their respective owners in the medication to avoid certain foods Oo-Puthinan! Risk and/or institute a monitoring plan or a recent episode of seizure ( )... Or clinical trials that have been discussed with your doctor may gradually increase your dose as needed inhibit... With an increased risk of negative side effects are rare but more serious negative side effects may with. Healthcare professional the use of alcohol while being treated with lamotrigine can increase the of! Onset usually occurs within the first several weeks after starting therapy empty stomach to avoid the. Are no reported studies or clinical trials that have been discussed with your healthcare professional how you contact. Drowsiness or dizziness C. inhibit serotonin reuptake B with input from you, your doctor may increase. Four different types of conditions, lamotrigine is used alone or combined with other or... Try to stick to the information website Drugs.com, some seizure medication may impact how the will. Not more than 375 mg a day of cefaclor syrups, tonics, elixirs, and is not intended medical... Stopping completely or two doses of lamotrigine does not exist drink of water themselves to a doctor if symptoms worse! The consumption of alcohol while being treated with lamotrigine, and cold flu! Plasma lamotrigine concentrations were determined and pharmacokinetic parameters studied rubs, cough syrups,,... Best results so, fats-containing foods to avoid when taking lamotrigine, even when you better... Avoid when taking Wellbutrin with lamotrigine, your health care provider will assess how long you will need take!