LAMICTAL
Used for Epilepsy
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Manufactured by GlaxoSmithKline
*You can pay as little as $0 per fill using Drug Coupons or Patient Assistance Programs. Subject to applicability & eligibility requirements.
This content is intended for US audiences only
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LAMICTAL key facts
What is LAMICTAL?
LAMICTAL is the brand name for lamotrigine and is available as an oral tablet and suspension.
What dosages is LAMICTAL available in?
LAMICTAL is available as a 25 mg, 100 mg, 150 mg, and 200 mg oral tablet and a 2 mg, 5 mg, and 25 mg tablet for oral suspension.
What is LAMICTAL used for?
LAMICTAL is an antiepileptic that is used to treat seizures (partial seizures, tonic-clonic seizures), seizures of Lennox-Gastaut syndrome, and bipolar disorder.
How does LAMICTAL work?
LAMICTAL is an antiepileptic. It’s not exactly clear how this medication works to manage seizures and treat bipolar disorder.
For seizures, research suggests that lamotrigine (Lamictal) can block and prevent your brain from sending certain chemicals or signals that can overly excite your nerves. This helps lower bursts of activity in your brain, which can prevent seizures.
How do I take LAMICTAL?
LAMICTAL is typically started at a low dose, and the dose will be raised in the following weeks. The dose depends on what you’re taking lamotrigine (Lamictal) for, your age, and the other medications that you’re taking. Your dose might also differ if you have kidney or liver problems. The typical maintenance dose ranges from 100 mg to 500 mg per day, split into 1 or 2 doses throughout the day.
Is it safe for me to take LAMICTAL?
LAMICTAL is a safe and effective treatment when used for FDA licensed indications. However, like all medications, they may give you unwanted side effects. You should always discuss potential side effects with your physician to ensure the medication is suitable and right for you. You should not use this medication if you have a known hypersensitivity to the drug or its ingredients.
LAMICTAL Common Side Effects
Common side effects of LAMICTAL:
- Dizziness
- Headache
- Double vision
- Loss of coordination
- Nausea
- Blurry vision
- Sleepiness
- Stuffy nose
- Sore throat
- Rash
LAMICTAL Serious Side Effects
Serious side effects are rare with LAMICTAL. Contact your healthcare provider immediately if you experience any of the following.
- Severe allergic or skin reaction: rash, blistering or peeling of skin, hives, painful sores in your mouth or around your eyes, fever, trouble breathing, swollen lymph nodes
- Overactive immune system: fever, rash, belly pain or swelling, brown urine, yellowing of the whites of the eyes or skin
- Irregular heartbeat
- Suicidal thoughts and behavior
- Meningitis (brain inflammation): stiff neck, rash, fever, light sensitivity, headache, chills, nausea, vomiting
Effects of other drugs, drug classes and over-the-counter products on LAMICTAL
The following medications may interact with LAMICTAL:
- Valproate increases lamotrigine concentrations more than 2-fold
- Carbamazepine, phenytoin, phenobarbital, primidone, and rifampin decrease lamotrigine concentrations by approximately 40%
- Estrogen-containing oral contraceptives decrease lamotrigine concentrations by approximately 50%.
- Protease inhibitors lopinavir/ritonavir and atazanavir/lopinavir decrease lamotrigine exposure by approximately 50% and 32%, respectively
- Coadministration with organic cationic transporter 2 substrates with narrow therapeutic index is not recommended
Who makes LAMICTAL?
GlaxoSmithKline
Is LAMICTAL safe in pregnancy?
LAMICTAL may cause harm to your unborn baby based on animal studies. You should talk to your healthcare provider before taking this medication if you are pregnant. There is a pregnancy exposure registry that monitors pregnancy outcomes in women exposed to AEDs, including LAMICTAL, during pregnancy. Encourage women who are taking LAMICTAL during pregnancy to enroll in the North American Antiepileptic Drug (NAAED)
Pregnancy Registry by calling 1-888-233-2334 or visiting AED pregnancy registry
The FDA's medical product safety reporting program for health professionals, patients and consumers.
Learn more about reporting side effectsDrug Savings Guide
A practical guide to saving money and receiving support with prescription costs
How can NowPatient help me to lower the cost of my LAMICTAL prescription?
After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your LAMICTAL prescription
Applicability to each program will be dependent on your insurance status.
How do the NowPatient LAMICTAL savings programs work?
After you have created your FREE account with NowPatient, you can access the various programs from your account dashboard. Each program has clear instructions on how to check your eligibility. You can see how the process works by clicking on the feature link below and seeing the ‘How it works’ steps.
Drug Coupon and Patient Assistance Programs require an eligibility quiz to be completed.
Are the NowPatient LAMICTAL savings programs suitable for everyone, regardless of insurance status?
No. Each program has its own eligibility and applicability requirements. The table below shows if a program is available to you, based on your insurance status.
| Rx Advantage Card* for LAMICTAL | Canadian Prescription Savings* for LAMICTAL | LAMICTAL Drug Coupon* | LAMICTAL Patient Assistance Program* | |
| Insured (federal, state or government) | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
| Insured (Commercial or Private) | Available | Available | Available If Offered by Pharmaceutical Company | Available If Offered by Pharmaceutical Company |
| Uninsured | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
| Insured but without pharmacy benefit or drug coverage | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
*This is not insurance.
Are the NowPatient drug savings programs suitable for brand and generic versions of LAMICTAL?
No. Each program has applicability requirements. Please see below
| Rx Advantage Card* for LAMICTAL | Canadian Prescription Savings* for LAMICTAL | LAMICTAL Drug Coupon* | LAMICTAL Patient Assistance Program* | |
| Brand | Yes | Yes | Yes, If Offered by Pharmaceutical Company | Yes, If Offered by Pharmaceutical Company |
| Generic | Yes | Yes | No | No |
*This is not insurance.
If you have Medicare Part D or Medicare Advantage and none of the LAMICTAL savings options are applicable or affordable for me, what can you do?
If you are insured with Medicare and the LAMICTAL drug savings options are not applicable to you and still remain unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
The government site is easy to use and after you have selected your state, it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.
People who qualify for both Medicare and Medicaid are called ‘dual eligibles’.
If you are denied Medicaid for LAMICTAL, and you are still unable to afford your copay or co-insurance element (for example if you are in the coverage gap or Donut Hole) then you may be eligible for a federal support program like Low Income Subsidy. To be eligible for Low Income Subsidy, you need to be a resident in one of the 50 States or the District of Columbia. You can check eligibility online at SSA Medicare D Extra Help. You can also call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).
I am uninsured or underinsured and none of the LAMICTAL prescription saving options are applicable or affordable for me, what can I do?
If you are uninsured or underinsured (for example, LAMICTAL is not covered by your plan) and the drug savings options are not applicable or still unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.
If you are denied and all else fails, and if you have been prescribed LAMICTAL for an FDA-approved indication, you can call the pharmaceutical company to see if they have any other assistance programs.
I am commercially or privately insured and none of the LAMICTAL prescription saving options are applicable or affordable for me, what can I do?
If your medication is not covered by your plan, you can you can appeal your insurance company’s decision. Sometimes, a formal appeal can result in the drug being covered if it is deemed medically necessary.
If you cannot afford your copay, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
However, being privately insured might complicate your eligibility for Medicaid, as having private insurance may be considered in the financial eligibility assessment.
The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. If you qualify, state Medicaid may cover the full cost of your medication.
If I have federal, state or commercial insurance and none of the LAMICTAL prescription saving options are applicable or affordable for me, are there any other support organisations that can help me with my co-insurance or copay?
If you have already tried Medicaid and received a denial letter or if you are insured with Medicare and have been denied Low-Income Subsidy, then you can try one of the following organizational support programs:
1. Patient Access Network Foundation (PAN) assistance for LAMICTAL
If you are having trouble paying for your LAMICTAL medication due to unaffordable copays or deductibles, the Patient Access Network Foundation (PAN), may be able to assist you. To qualify for PAN assistance for LAMICTAL you will need to meet one or all of the following criteria:
- Your income is below 400% of the federal poverty level
- LAMICTAL is prescribed for an approved FDA indication
- You live in and receive treatment in the United States or U.S. territories, even if you do not have U.S. citizenship
- You have Medicare insurance coverage that covers LAMICTAL
- If LAMICTAL is listed on PAN’s list of covered medications
You can check the Patient Access Network Foundation Website for more information.
2. HealthWell Foundation Copay Program for LAMICTAL
If you are having trouble paying for your LAMICTAL medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for LAMICTAL you will need to meet the following criteria:
- You live in and are being treated in the United States
- You are insured and your plan covers LAMICTAL
- If LAMICTAL is listed on the HealthWell Foundation’s list of covered medications
You can check the HealthWell Foundation Website for more information.
3. Patient Advocate Foundation Co-Pay Relief Program for LAMICTAL
Patient Advocate Foundation’s Co-Pay Relief program exists to help reduce the financial distress you or your family may face when paying for your LAMICTAL treatment. If you qualify and can demonstrate the need, the foundation will provide you with direct payment covering co-pays, co-insurance, and deductibles. To qualify for assistance for LAMICTAL you will need to meet the following criteria:
- You must be currently insured and have coverage for LAMICTAL
- You must have a confirmed diagnosis and treatment plan
- You must reside and receive treatment in the United States
- Your Income must fall at or below 300% or 400% of the Federal Poverty Guideline (FPG) with consideration for the Cost of Living Index (COLI) and number in the household
- Applications can also be completed by contacting the program sponsor, toll-free at 866-512-3861.
You can check the Patient Advocate Foundation Website for more information.
Medical Disclaimer
NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.
The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.
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