Tag Archives: Lamictal

Lamotrigine: 25mg, 50mg, 100mg, 150mg, 200mg, 250mg. Uses and Administration

Lamotrigine, a phenyltriazine compound, is an antiepileptic used mainly for monotherapy or adjunctive treatment of partial seizures and primary and secondarily generalised tonic-clonic seizures. It may be used for seizures associated with the Lennox-Gastaut syndrome and for the maintenance treatment of bipolar disorder. The doses given below for the use of lamotrigine in epilepsy are… Read More »

Information about Bipolar Disorder for Patients and Families

Bipolar disorder, also called manic-depressive disorder, is a recurrent illness in which the individual’s mood cycles between depression and mania with periods of normality. The illness is a mood disorder. The individual’s moods may swing from manic euphoria, with boundless energy in pursuit of grandiose plans, to depths of depression, with feelings of despair and… Read More »

Bipolar Disorder – Chronic Illness

Etiology and Pathophysiology Bipolar disorder is a chronic illness characterized by recurrent episodes of aberrant mood. Episodes may manifest with symptoms of mania, hypomania (a less severe form of mania), depression, or a mixture of both depression and mania. Mania is characterized by persistently elevated, expansive, or highly irritable mood that typically lasts for at… Read More »

Chronic Illness: Current Therapies

The main goal of bipolar disorder drug treatment is to establish euthymia (stable mood with a persistent sense of well-being) without inducing mania or rapid cycling (i.e., four or more mood episodes in a 12-month period). For this reason, drug treatment usually consists of an agent or, more frequently, combinations of agents that exert both… Read More »

Treatment Of The Child Or Adolescent With Newly Diagnosed Epilepsy

Paediatric epilepsy is amazingly diverse. In some children, basic diagnosis, seizure classification and treatment are straightforward. Other patients have difficult-to-diagnose seizures, complicated seizure classification and a variable response to treatment. Some seizures are subclinical, others are barely noticeable, and occasionally they are life threatening. Many children with epilepsy have no associated disabilities, but all children… Read More »

TTHs occurring about once to twice a week…

At a new-patient appointment, a 29-year-old woman reported TTHs occurring about once to twice a week. She had multiple repetitive questions about her headaches and, despite normal brain imaging in the past year, was difficult to reassure that her headaches were not due to a dread disease. At your suggestion, she considered a preventative medication;… Read More »

Treatment of idiopathic intracranial hypertension?

Which of the following is used to preserve vision in patients with idiopathic intracranial hypertension (IIH)? A. Optic nerve sheath decompression (ONSD) B. Intracranial venous sinus stent placement C. Ventriculoperitoneal shunt placement D. Lumboperitoneal shunt placement E. All of the above The answer is E. Optic nerve sheath decompression (ONSD), which is also called optic… Read More »

Which of the drugs has been shown to be effective in the prophylaxis of migraine in children?

Which of the following medications has been shown to be effective in the prophylaxis of basilar-type migraine in children? A. Propranolol (Inderal) B. Topiramate (Topamax) C. Gabapentin (Neurontin) D. Lamotrigine (Lamictal) E. All of the above The answer is B. Basilar-type migraine represents up to 20% of migraine headaches in children and adolescents. This primary… Read More »

Which drug has shown benefit in treating SUNCT?

Which medication has shown benefit in treating SUNCT and short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms (SUNA)? A. Lamotrigine (Lamictal) B. Gabapentin (Neurontin) C. Topiramate (Topamax) D. Lidocaine E. All of the above The answer is E. SUNCT and SUNA are primary headache syndromes, classified as TACs, and associated with hypothalamic activation. They… Read More »

Which drugs is most likely to lead to overt hypothyroidism?

Which medication, when given to patients with preexisting treated hypo-thyroidism, is most likely to lead to overt hypothyroidism? A. Lamotrigine (Lamictal) B. Carbamazepine (Tegretol) C. Phenytoin (Dilantin) D. Divalproex sodium (Depakote) E. Gabapentin (Neurontin) The answer is B. Enzyme-inducing antiepilepsy medications, including carbamazepine (Tegretol) and oxcarbazepine (Trileptal), can reduce serum thyroid hormone concentrations through increased… Read More »