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Proven seizure control with tolerability your pediatric patients need

In an 18-week, multicenter, double-blind, placebo-controlled trial in 199 patients 2 to 16 years of age

LAMICTAL demonstrated efficacy in pediatric patients inadequately controlled on existing therapy

Significantly greater median reduction in seizure frequency (Weeks 1–18)

Study design:
LAMICTAL or placebo was added to existing therapy of up to two AEDs over 6-week titration phase. Fixed doses (determined by weight and concomitant AED therapy) were continued over 12-week maintenance phase unless intolerance developed, in which case medication could be decreased to minimum maintenance dose and/or discontinued.
 
•   Safety and effectiveness of LAMICTAL have not been established 1) as initial monotherapy, 2) for conversion to monotherapy from AEDs other than carbamazepine, phenytoin, phenobarbital, primidone, or valproate, or 3) for simultaneous conversion to monotherapy from 2 or more concomitant AEDs


Most Common Side Effects

Events occurring in >10% of patients in either treatment group

Adverse Event LAMICTAL
(n=98)
Placebo
(n=101)
Somnolence

24%

18%

Vomiting

22%

19%

Infection

21%

22%

Dizziness

21%

5%

Headache

18%

15%

Rash*

16%

18%

Fever

14%

12%

Abdominal pain

13%

7%

Tremor

12%

2%

Nausea

11%

2%

Rhinitis

14%

17%

Accidental injury

14%

15%

Diarrhea

13%

13%

Pharyngitis

11%

10%

Asthenia

11%

6%

Ataxia

10%

2%

Otitis media

9%

11%

*Includes rash, erythema multiforme, maculopapular rash, urticaria, Stevens-Johnson syndrome, and vesiculobullous rash.


•   92% of patients taking LAMICTAL and 96% of patients taking placebo reported at least 1 adverse event

•   Approximately half of patients in each treatment group were receiving 1 versus 2 concomitant AEDs

•   Two patients taking LAMICTAL required hospitalization for rash; one on concomitant VPA was given an unconfirmed diagnosis of Stevens-Johnson syndrome. In both cases, all symptoms resolved when LAMICTAL was withdrawn

More than 5 million patient exposures worldwide and growing²

More than 13 years of worldwide postmarketing experience

Learn about pediatric dosing of LAMICTAL.

References: 1. Duchowny M, Pellock JM, Graf WD, et al. A placebo-controlled trial of lamotrigine add-on therapy for partial seizures in children. Neurology. 1999;53:1724-1731. 2. Data on file, GlaxoSmithKline. Based on kg of lamotrigine sold.

Important Safety Information

•   Serious rashes requiring hospitalization and discontinuation of treatment have been reported in association with the use of LAMICTAL, some of which have included Stevens-Johnson syndrome
  
-   Epilepsy clinical trials: The incidence of these rashes is approximately 0.8% (8/1000) in pediatric patients (age <16 years) receiving LAMICTAL as adjunctive therapy and 0.3% (3/1000) in adults on adjunctive therapy. In a prospectively followed cohort of 1983 pediatric patients taking adjunctive LAMICTAL, there was 1 rash-related death
•   In worldwide postmarketing experience, rare cases of toxic epidermal necrolysis and/or rash-related death have been reported in adult and pediatric patients, but their numbers are too few to permit a precise estimate of the rate
•   Hypersensitivity reactions, some fatal or life-threatening, have occurred in association with the use of LAMICTAL. It is important to note that early manifestations of hypersensitivity (eg, fever, lymphadenopathy) may be present even though a rash is not evident. If such signs or symptoms are present, the patients should be evaluated immediately. LAMICTAL should be discontinued if an alternative etiology cannot be established
•   Prior to initiation of treatment with LAMICTAL, the patient should be instructed that a rash or other signs or symptoms of hypersensitivity (eg, fever, lymphadenopathy) may herald a serious medical event and that the patient should report any such occurrence to a physician immediately
•   To avoid an increased risk of rash, the recommended initial dose and subsequent dose escalations of LAMICTAL should not be exceeded
•   LAMICTAL should ordinarily be discontinued at the first sign of rash, unless the rash is clearly not drug-related


Complete Prescribing Information for LAMICTAL® (lamotrigine) Tablets



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