Lamictal
(Lamotrigine)
Lamictal is a mood stabiliser particularly effective at preventing the depressive episodes of bipolar disorder. Unlike many mood stabilisers, it does not typically cause sedation or significant weight gain, making it a well-tolerated long-term option.
Most patients pay less than $20 per appointment.
Lamictal works by stabilising electrical activity in the brain and reducing the release of glutamate. It is often the preferred mood stabiliser for bipolar II disorder and for people whose main struggle is depression rather than mania. It must be titrated slowly to reduce the risk of a serious skin reaction.
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Adam is an LGBTQ+ affirming psychiatrist with 23 years in private practice, offering care for depression, bipolar disorder, anxiety, PTSD, OCD, addiction, and ADHD. He takes time to understand each person as a whole human being, working with adolescents, adults, and seniors across diverse backgrounds.
MD PsychiatristReal questions. Honest answers.
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Lamictal (lamotrigine) is FDA-approved for epilepsy and as a maintenance treatment for bipolar I disorder. It is especially effective at preventing bipolar depressive episodes.
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Lamictal must be started at a very low dose and increased gradually over several weeks. Rapid titration raises the risk of a rare but serious skin reaction called Stevens-Johnson syndrome.
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A small percentage of people develop a rash on Lamictal, and in rare cases this can be serious. Contact your doctor immediately if you develop any rash, especially one accompanied by fever or blistering.
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No — Lamictal is one of the few mood stabilisers that is weight-neutral for most people. This makes it a popular choice when weight is a concern.
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Headache, dizziness, blurred vision, and nausea are the most common early side effects. These typically improve as your body adjusts.
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Yes — Lamictal is particularly effective at preventing and managing the depressive phases of bipolar disorder. It is less effective for acute mania.
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Lamictal has significant interactions with other mood stabilisers and hormonal contraceptives. Your psychiatrist will manage these carefully.
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Book a free consult at Outspace. Our psychiatrists will assess whether Lamictal is right for you and create a safe titration plan.