Lamotrigine: study card

Lamotrigine — Antiepileptic / mood stabilizer (phenyltriazine). Study the mechanism, listed uses and warnings from the US label on one sourced card.

Generic name
Lamotrigine
Class
Antiepileptic / mood stabilizer (phenyltriazine)
Mechanism
Precise mechanism unknown; proposed inhibition of voltage-sensitive sodium channels, stabilizing membranes and reducing glutamate release.
Used for
Adjunctive treatment of the specified seizure types from age 2; Conversion to monotherapy for partial-onset seizures from age 16 when switching from one of the specifically listed antiseizure medicines; Maintenance of bipolar I disorder in adults after standard treatment of an acute episode
Common side effects
Dizziness; Headache; Diplopia; Ataxia; Nausea
Boxed warning
Lamotrigine can cause life-threatening or fatal rash, including SJS/TEN; serious rash is more frequent in children. Valproate, excessive initial dosing or escalation, and HLA-B*1502 may increase risk. Serious versus benign rash cannot be predicted reliably; the label calls for discontinuation at the first rash unless clearly unrelated to the drug.
Warnings
Hemophagocytic lymphohistiocytosis; Multiorgan hypersensitivity (DRESS); Cardiac rhythm abnormalities; blood dyscrasias
Interactions
Estrogen-containing oral contraceptives; Carbamazepine; Valproate

Brand questions use only name pairings verified against the linked product source. Unverified pairings are withheld from these questions; the other study content remains available.

Read the source label ↗

Label date: 20260904 · For learning, not clinical decisions. US label and brand information; always consult the current source.

Source snapshot checked: 2026-10-21. The source document and selected fields were compared. The complete card has not had an independent clinical review.

Pronunciation

Lamotrigine: la-MOE-tri-jeen

Pronunciation is shown for the US English generic name.

Body system

Neurology · 18 Drug cards

Compare with related cards

Primidone

Same body system: Neurology

Mechanism: Antiepileptic mechanism unknown; primidone and its metabolites phenobarbital and PEMA all have anticonvulsant activity.

On both cards: Common side effects — Diplopia; Ataxia; Nausea

Only on the Primidone card: Used for — Grand mal seizures; Psychomotor seizures; Focal epileptic seizures · Common side effects — Vertigo; Drowsiness · Warnings — Contraindicated in porphyria; Phenobarbital hypersensitivity; Rare blood dyscrasias, megaloblastic anemia

Oxcarbazepine

Same body system: Neurology

Mechanism: Activity is mainly mediated by MHD. The precise anti-seizure mechanism is unknown; in-vitro studies indicate voltage-sensitive sodium-channel blockade that stabilizes hyperexcited membranes.

On both cards: Common side effects — Dizziness; Diplopia; Nausea

Only on the Oxcarbazepine card: Used for — Partial-onset seizures: monotherapy or adjunctive treatment in adults; Partial-onset seizures: monotherapy in children aged 4 years and older; Partial-onset seizures: adjunctive treatment in children aged 2 years and older · Common side effects — Somnolence; Fatigue · Warnings — Hyponatremia; Serious dermatological reactions; Cross-hypersensitivity to carbamazepine · Interactions — Phenytoin; Strong CYP inducers (e.g., carbamazepine); Hormonal contraceptives

Gabapentin

Same body system: Neurology

Mechanism: The exact analgesic and antiepileptic mechanisms are unknown. Gabapentin is structurally related to GABA but does not affect its binding, uptake or degradation. It binds the alpha-2-delta calcium-channel subunit in vitro; the relevance to therapeutic effects is unknown.

On both cards: Common side effects — Dizziness; Ataxia

Only on the Gabapentin card: Used for — Postherpetic neuralgia in adults; Adjunctive treatment of partial-onset seizures in adults and children aged 3 or older · Common side effects — Somnolence; Peripheral edema; Fatigue · Warnings — DRESS (multiorgan hypersensitivity); Respiratory depression with CNS depressants; Suicidal behavior and ideation · Interactions — Opioids; Antacids (aluminum/magnesium hydroxide)

An item counts as shared only when both cards use the same wording. If a card does not list an item, that is not a statement that the effect never occurs.

Boxed warnings on related cards

Other cards with a boxed warning in this body system (Neurology): Clonazepam, Divalproex Sodium, Carbamazepine