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Clinical resource

What Happens If You Take Lamictal And Do Not Have Bipolar Disorder

Lamictal is approved in the United States for bipolar I maintenance treatment to delay future mood episodes after acute treatment. It is also prescribed for specific seizure disorders.

Medically reviewed byDr. Sarah Boss, MD
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Quick Summary

  • Lamictal, or lamotrigine, is prescribed for epilepsy and bipolar disorder, but taking it without medical authorization still carries significant risks.
  • Possible effects include dizziness, nausea and sleep problems. Any new rash needs immediate medical advice because a serious reaction cannot be reliably excluded at onset.
  • Use lamotrigine only as prescribed, seek urgent help for serious reactions, and consult your physician before changing or stopping treatment.

Lamictal (lamotrigine) is a commonly used drug for the treatment of bipolar disorder. It can also be used to treat disorders like epilepsy. You might experience adverse effects if you take Lamictal but do not have bipolar disorder.

You must never take prescription medicines that your doctor has not recommended. This can result in severe adverse effects and drug interactions.

This article discusses the effects of taking Lamictal without having bipolar disorder. The article will also familiarize you with Lamictal and its other adverse effects.

Lamictal is a commonly prescribed medicine for the treatment of seizure disorders, such as epilepsy. Physicians also recommend Lamictal to treat bipolar disorder symptoms. It can help prolong the period between manic and depressed episodes of bipolar illness.

In the United States, Lamictal is approved for bipolar I maintenance treatment to delay future mood episodes after acute treatment. It is not recommended for acute mania, and efficacy for acute mood episodes is not established in the US label. Your physician may offer additional medications to help you control your episodes and recover from them.

Lamictal may take up to six weeks to reach full effectiveness. For planned discontinuation, consult your physician first. A new rash requires immediate medical advice; Lamictal is usually stopped unless a clinician determines that the rash is clearly unrelated. Keep on taking it as prescribed by your doctor, even if you feel better.

You must not take prescription drugs without a doctor’s authorization. Lamictal is primarily used for the treatment of epilepsy and other neurological conditions of seizure disorders. For bipolar I disorder, its US-approved role is maintenance treatment, not acute mania. Some guidelines also support specialist use for bipolar depression.

Even if you do not have a seizure or bipolar disorder, you are still prone to adverse effects if you take Lamictal. These adverse effects may include a severe rash and thoughts of committing suicide.

Lamictal has the potential to produce an overdose or interfere with other drugs. Therefore, it is essential to only take Lamictal as prescribed by your doctor. They can guide drug dosing and cross-reaction between drugs.

Most drugs, including Lamictal, can have serious or mild adverse effects. To provide you with an overview of the possible side effects of Lamictal, we have included some of the most prevalent ones below. We have not listed all possible adverse effects.

Consult your physician or pharmacist for further information regarding the possible adverse effects of Lamictal. They might also be able to offer measures to prevent or alleviate adverse effects.

Certain factors may influence the adverse effects of a medicine. These considerations can include your age, any additional health concerns you may have, and any other medications you may be taking.

Mild Side Effects

Below are some of the minor side effects that Lamictal may induce. For information about the drug’s other moderate side effects, we recommend speaking with your doctor or pharmacist. It may also be useful to consult the Lamictal medication guide.

Included among the mild side effects of Lamictal described in studies are:

  • Increase or decrease in body weight
  • Dizziness
  • Fever — contact a clinician promptly, especially with rash, swollen glands, or feeling unwell
  • Rash, even if apparently mild — seek immediate medical advice
  • Tremors
  • Infections, such as influenza
  • Abdominal (tummy) pain
  • Back pain
  • Sleepiness
  • Vomiting, nausea, and loose stools
  • Insomnia (trouble sleeping) 
  • Hair loss
  • Enhanced libido and other sexual side effects (sex drive)
  • Headache
  • Acne

Some mild effects may improve, but do not wait for a rash or signs of a serious reaction to resolve. However, if you feel that the side effects are bothersome, consult your doctor or pharmacist.

Serious Side Effects

Infrequently, Lamictal may have serious side effects. If you experience major adverse effects after taking Lamictal, you should contact your doctor immediately. If you believe you are experiencing a medical emergency, you must immediately call your local emergency service.

Among the serious adverse effects of Lamictal reported in research are:

  • Aseptic Meningitis (Inflammation Of The Covering Layers Of Your Spinal Cord)
  • Hazy Or Distorted Vision
  • The Development Of Hemophagocytic Lymphohistiocytosis (HLH, Could Be A Fatal Immune System Reaction)
  • Decreased Blood Cell Counts
  • Allergic Reaction
  • Suicidal Ideation Or Actions
  • Boxed Warning: Severe Skin Rashes

If your doctor recommends Lamictal, you may question if the drug’s negative effects are permanent.

Lamictal, like most medications, can induce both moderate and severe side effects. Some mild effects may improve, but rash, fever with systemic symptoms, or other signs of a serious reaction require prompt assessment.

A significant skin reaction, like toxic epidermal necrolysis, may cause Lamictal to have long-term consequences. Multiorgan hypersensitivity reaction, also called a drug reaction with eosinophilia and systemic symptoms (DRESS), is yet another of these severe skin reactions.

DRESS can have an adverse effect on organs like the heart, liver, and kidneys. There have, for instance, been extremely rare instances of liver failure caused by DRESS. (For additional information on DRESS and Lamictal, please read “Allergic response” below.)

If you are concerned about the long-term detrimental consequences of your Lamictal treatment, we recommend you consult your physician.

In healthy individuals, the half-life of lamotrigine is approximately 25 hours, indicating that it takes around 25 hours to eliminate half of the drug from the body. In between four and five half-lives, the majority of medication is eliminated from the body. The time for adverse effects to improve varies. A new rash must be assessed immediately and can progress even after the medication is stopped; do not rely on a four-to-five-day recovery estimate.

Some adverse effects may improve as the body responds to the medication. According to medical advice, lamotrigine should be stopped at the first indication of rash, unless the rash is unrelated to the drug. This is because a lamotrigine-induced rash may range from mild to severe or even life-threatening.

Meningitis, blood abnormalities, severe allergic reactions, immune system problems, and status epilepticus are among the adverse effects that may require medical therapy to address. Many of these illnesses are life-threatening and require rapid emergency care. Some disorders may have long-lasting effects.

  • Share all medical problems and prescriptions with the healthcare practitioner.
  • Use lamotrigine as prescribed.
  • Stay away from alcohol
  • Drive with caution and avoid other unsafe activities.
  • Drink plenty of fluids.
  • Consult a healthcare professional.
  • Observe for indicators of heart issues.
  • Discuss planned discontinuation with the prescriber; seek immediate advice for a new rash or suspected serious reaction

Examine your medications every time you fill a prescription. Due to different formulations and other pharmaceuticals that are occasionally confused with lamotrigine (due to similar sounding or looking drug names), it is a good idea to verify your prescription each time you have a refill.

Questions

Frequently Asked Questions

Can Lamictal Be Given For Anxiety Or Depression?
Lamictal is not US-approved for anxiety or unipolar depression. It is approved for bipolar I maintenance, and some guidelines support its use for bipolar depression. Off-label use means prescribing outside the licensed indication and requires an individual benefit-risk assessment.
Medication is not recommended specifically to treat borderline personality disorder itself; co-occurring conditions should be assessed separately.
If you have issues concerning off-label uses of Lamictal, we advise you to consult with a physician.
How Does Lamictal Make You Feel?
As with all medications, Lamictal affects each individual differently.
For instance, Lamictal does not normally give energy. In fact, you can experience weariness as a side effect. You could also have difficulty with body coordination. Memory issues and suicidal tendencies or actions are among the rarer adverse effects that could impair your mood.
Before beginning Lamictal, we advise you to consult with a medical practitioner. You might ask them what you might feel after treatment begins.
Does Lamictal Cause Anxiety
Although this medicine can have beneficial therapeutic effects for certain people, you may encounter mental health issues. This medicine may cause suicidal thoughts, agitation, panic attacks, restlessness, new or worsening irritability, anxiety, risky impulses, depression, aggressive behavior, insomnia, excessively exuberant emotions, and other mood-related side effects.
Inform a close friend or family member about these signs so they can support you in keeping an eye out for them. Inform your doctor immediately if you develop mental health problems or mood changes.
Is Lamictal A Mood Stabilizer?
In the treatment of bipolar I illness, Lamictal is regarded as a mood stabilizer. (Lamictal is neither an antipsychotic nor a Category I drug-controlled substance)
A mood stabilizer is a kind of medication used to avoid mood episodes in bipolar disorder. These bouts may be manic, depressed, or mixed in nature.
Lamictal belongs to the class of pharmaceuticals known as antiepileptic drugs.
Bipolar disorder may be treated with antipsychotics like aripiprazole (Abilify) and other mood stabilizers, similar to Lamictal.
Your doctor can guide you about whether Lamictal or another medicine is more appropriate for your condition.

Editorial evidence

Evidence & sources

Selected clinical guidelines, peer-reviewed research, and public-health sources used in this article.

01Cochrane Library. (2022). Lamotrigine for bipolar disorder. Cochrane Library.View source
02National Center for Biotechnology Information. (n.d.). Nbk470442.View source
03Food and Drug Administration. (1991). Lamotrigine (Lamictal) approval package. PubMed.View source
View all 12 sourcesShow fewer sources
04American Psychiatric Association. (n.d.). What are bipolar disorders? American Psychiatric Association.View source
05National Library of Medicine. (n.d.). Lamotrigine. MedlinePlus.View source
06National Institute for Health and Care Excellence. (2022). Epilepsies in children, young people and adults. NICE.View source
07National Institutes of Health. (n.d.). Epilepsy.View source
09National Center for Biotechnology Information. (n.d.). Nbk548562.View source
10National Institute of Mental Health. (n.d.). Bipolar disorder. National Institute of Mental Health.View source
11National Institute for Health and Care Excellence. (2014). Bipolar disorder: Assessment and management. NICE.View source
12National Health Service. (2024). Lamotrigine. NHS.View source
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