DRUG STUDY Lamotrigine
DRUG STUDY Lamotrigine
DRUG STUDY Lamotrigine
BSN 4B/B1
DRUG STUDY
NAME OF DRUG DOSAGE & ROUTE ACTION INDICATION SIDE EFFECT NURSING RESPONSIBILITIES
Generic Name: Dosage: Unknown. May Bipolar disorder for CNS: ataxia, dizziness, Before administering the medication
Lamotrigine Adults: Initially, 25 inhibit release of maintenance drowsiness, headache, check the rights of drug administration.
mg immediate-release glutamate and treatment to delay somnolence, fatigue, anxiety, Check if the patient is not allergy to
Brand Name: P.O. once daily for 2 aspartate time to occurrence abnormal thinking, memory, the drug.
Lamictal weeks; then 50 mg (excitatory of mood episodes depression, confusion, Starter and titration kits are available
P.O. once daily for 2 neurotransmitters) (depression, mania, dysarthria, emotional lability, to provide doses consistent with
Therapeutic Class: weeks. Dosage may in the brain via hypomania, mixed fever, incoordination, recommended titration schedule for
Anticonvulsants then be doubled at action at voltage- episodes) in patients insomnia, irritability, malaise, the first 5 weeks of treatment.
weekly intervals, to sensitive sodium treated for acute suicidal ideation. Chewable dispersible tablets may be
Pharmacologic Class: maintenance dosage of channels. mood episodes with CV: palpitations, chest pain, swallowed whole, chewed, or
Phenyltriazines 200 mg daily standard therapy. edema. dispersed in water or diluted fruit
EENT: blurred vision, juice.
Route: diplopia, vision abnormality, If tablets are chewed, give a small
By mouth rhinitis, nystagmus, amount of water or diluted fruit juice
pharyngitis. to aid in swallowing.
GI: nausea, vomiting, Use cautiously in patients with renal,
abdominal pain, anorexia, hepatic, or cardiac impairment.
constipation, diarrhea, dry Observe and inform the patient about
mouth, dyspepsia. GU: the overdose S&S: Ataxia, nystagmus,
amenorrhea, dysmenorrhea, increased seizures, decreased level of
urinary frequency. consciousness, coma, intraventricular
Musculoskeletal: arthralgia, conduction delay.
back pain, muscle spasm, Closely monitor all patients taking or
neck pain, weakness. starting AEDs for changes in behavior
Respiratory: cough, dyspnea, indicating worsening of suicidal
bronchitis. thoughts or behavior or depression.
Skin: rash, dermatitis Symptoms such as anxiety, agitation,
hostility, mania, and hypomania may
be precursors to emerging suicidality.
Reduce lamotrigine dose if drug is
added to a multidrug regimen that
includes valproic acid.