{"product_id":"lamictal-tablets-25-mg-brand-name","title":"LAMICTAL Tablets 25 mg  [Brand Name]","description":"\u003cdiv\u003e\n\u003cstrong\u003e\u003cem\u003e\u003cbr\u003e\u003cspan style=\"color: rgb(255, 42, 0);\"\u003eATTENTION\u003c\/span\u003e\u003c\/em\u003e\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003e\u003cspan style=\"color: rgb(255, 42, 0);\"\u003ePlease check countries we ship currently  at the  following URL\u003c\/span\u003e \u003c\/strong\u003e\u003cbr\u003e\u003ca href=\"https:\/\/zen-pharmacy-japan.com\/pages\/countries-we-ship-currently\" title=\"Countries we ship currently\" target=\"_blank\"\u003ehttps:\/\/zen-pharmacy-japan.com\/pages\/countries-we-ship-currently\u003c\/a\u003e\u003cbr\u003e\u003cspan style=\"color: rgb(43, 0, 255);\"\u003e\u003cstrong\u003ePlease read \"Drug Information\" before purchase.\u003c\/strong\u003e\u003c\/span\u003e\u003cbr\u003e\u003ca rel=\"noopener\" title=\"LAXOBERON Tablet 2.5mg [Brand Name]\" href=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0743\/1759\/4876\/files\/Laxoberon_Tablet_2.5mg.pdf?v=1777355198\" target=\"_blank\"\u003e\u003c\/a\u003e\u003ca rel=\"noopener\" title=\"LAMICTAL Tablets 25 mg  [Brand Name]\" href=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0743\/1759\/4876\/files\/Lamictal_Tablets_25_mg_bipolar_disorder.pdf?v=1778823882\" target=\"_blank\"\u003e\u003cimg alt=\"\" src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0011\/1689\/7343\/files\/230417_DrugInfomation_480x480.jpg?v=1681699621\"\u003e\u003c\/a\u003e\u003cbr\u003e\u003cspan style=\"color: rgb(255, 42, 0);\"\u003e\u003cstrong\u003eActive ingredient\u003c\/strong\u003e\u003c\/span\u003e\u003cbr\u003eLamotrigine\u003cbr\u003e\u003cspan style=\"color: rgb(255, 42, 0);\"\u003e\u003cstrong\u003eBrand name medicine\u003c\/strong\u003e\u003c\/span\u003e\u003cbr\u003eLAMICTAL\u003cbr\u003e\u003cspan style=\"color: rgb(255, 42, 0);\"\u003e\u003cstrong\u003eEffects of this medicine\u003c\/strong\u003e\u003c\/span\u003e\u003cbr\u003e・This medicine modulates excitatory neurotransmitter release to suppress excessive excitation of neurons, and reduces mood swing in bipolar disorder.\u003cbr\u003e・It is usually used to suppress relapse\/recurrence of depressive\/manic episode in patients with bipolar disorder.\u003cbr\u003e\u003cspan style=\"color: rgb(255, 42, 0);\"\u003e\u003cstrong\u003eDosing schedule (How to take this medicine)\u003c\/strong\u003e\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e・In patients taking sodium valproate:\u003cbr\u003e・In general, for adults, in the first and second week take 1 tablet (25 mg of the active ingredient) at a time, once every other day; in the third and 4th week take 1 tablet (25 mg) at a time, once a day. In the 5th week, take 2 tablets (50 mg) per day, once a day or in two divided doses; in the 6th week and thereafter, as the maintenance dose, take 4 tablets (100 mg) per day, once a day or in two divided doses. The dosage may be adjusted according to the symptoms but may be gradually increased by a maximum of 2 tablets (50 mg) per day at intervals of at least one week. The maximum daily dose is 8 tablets (200 mg).\u003cbr\u003e・In patients taking phenytoin, carbamazepine, phenobarbital, primidone, rifampicin or lopinavir\/ritonavir, etc. and NOT taking sodium valproate:\u003cbr\u003eIn general, for adults, in the first and second week take 2 tablets (50 mg of the active ingredient) at a time, once a day; in the third and 4th week take 4 tablets (100 mg) per day, in two divided doses. In the 5th week take 8 tablets (200 mg) per day, in two divided doses; in the 6th week take 12 tablets (300 mg) per day, in two divided doses. In the 7th week and thereafter, as the maintenance dose, take 12 to 16 tablets (300 mg to 400 mg) per day, in two divided doses. The dosage may be adjusted according to the symptoms but may be gradually increased by a maximum of 4 tablets (100 mg) per day at intervals of at least one week. The maximum daily dose is 16 tablets (400 mg).\u003cbr\u003e・For lamictal monotherapy, or in patients taking aripiprazole, olanzapine, zonisamide, gabapentin, cimetidine, topiramate, pregabalin, lithium, levetiracetam, perampanel or lacosamide, etc. and NOT taking sodium valproate:\u003cbr\u003eIn general, for adults, in the first and second week take 1 tablet (25 mg of the active ingredient) at a time, once a day; in the third and 4th week take 2 tablets (50 mg) per day, once a day or in two divided doses. In the 5th week take 4 tablets (100 mg) per day, once a day or in two divided doses; in the 6th week and thereafter, as the maintenance dose, take 8 tablets (200 mg) per day, once a day or in two divided doses. The dosage may be adjusted according to the symptoms but may be gradually increased by a maximum of 4 tablets (100 mg) per day at intervals of at least one week. The maximum daily dose is 16 tablets (400 mg).\u003cbr\u003e・This preparation contains 25 mg of the active ingredient in a tablet, and may be used with tablets of different content amount. There is another preparation containing 100 mg of the active ingredient in a tablet. In any case, strictly follow the instructions.\u003cbr\u003e・If you miss a dose, take the missed dose as soon as possible. However, if it is almost time for the next dose, skip the missed dose and follow your regular dosing schedule. You should never take two doses at one time.\u003c\/div\u003e\n\u003cdiv\u003eBefore using this medicine, be sure to tell your doctor and pharmacist\u003cbr\u003e・If you have previously experienced any allergic reactions (itch, rash, etc.) to any medicines or foods.\u003cbr\u003e・If you have or have had suicidal ideations.\u003cbr\u003e・If you have: organic brain disorder, predisposition to schizophrenia, liver disorder, renal disorder or abnormal electrocardiogram.\u003cbr\u003e・If you have: cardiac failure, underlying cardiac disease (myocardial infarction, cardiac valvulopathy, cardiomyopathy, etc.) or conduction disorder.\u003cbr\u003e・If you are pregnant or breastfeeding.\u003cbr\u003e・If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.)\u003cbr\u003e\u003cspan style=\"color: rgb(255, 42, 0);\"\u003e\u003cstrong\u003ePrecautions while taking this medicine\u003c\/strong\u003e\u003c\/span\u003e\u003cbr\u003e・This medicine may cause rashes (often appear as patchy or dome-shaped rashes) and serious skin problems, which usually occur within 8 weeks of starting this medicine. Pay extra attention if this medicine is used with sodium valproate. Pay attention to the development of skin disorders. Contact your doctor or pharmacist immediately if any abnormality is observed. You and your family members need to be informed of it from your doctor until you fully understand it.\u003cbr\u003e・This medicine may cause sleepiness and decreased attentiveness\/concentration\/reflex action. Avoid operating dangerous machinery, such as driving a car.\u003cbr\u003e・In patients with depression, this medicine may make them suicidal. During medication, especially at the beginning of a course of treatment or at the time of dose changes, if any symptoms such as strong anxiety or suicidal ideation occur, consult with your doctor.\u003cbr\u003e・If you are breastfeeding, avoid breastfeeding while taking this medicine.\u003cbr\u003e\u003cspan style=\"color: rgb(255, 42, 0);\"\u003e\u003cstrong\u003eStorage conditions and other information\u003c\/strong\u003e\u003c\/span\u003e\u003cbr\u003e・Keep out of the reach of children. Store at room temperature (1 to 30 degrees Celsius) away from direct sunlight and moisture.\u003cbr\u003e・Discard the remainder. Do not store them. If you do not know how to discard, seek advice of your pharmacy or medical institution. Do not give the unused medicines to others.\u003cbr\u003e・This medicine is provided in complicated packaging to prevent infants\/children from accidental swallowing. Open the package in consultation with your doctor or pharmacist.\u003cbr\u003e[To family members] You need to be informed about the possible change in the patient's mood or behavior such as suicidal ideations, being excitable, being aggressive or deterioration in mental condition due to slight irritation, or possible risk of worsening of their chronic disease such as depression. Please receive enough explanation from the doctor until you fully understand it, and monitor the patient's condition. If you notice any changes in behavior or symptoms in the patient, contact the doctor.\u003cbr\u003e\n\u003c\/div\u003e","brand":"ZEN PHARMACY JAPAN","offers":[{"title":"1 sheet (14 tablets)","offer_id":49096398930172,"sku":"1139009F3024-1","price":4073.0,"currency_code":"JPY","in_stock":false},{"title":"10 sheets (140 tablets)","offer_id":49096398962940,"sku":"1139009F3024-2","price":32582.0,"currency_code":"JPY","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0743\/1759\/4876\/files\/25_dd8a3081-3f3d-459c-abbe-7d06164b56d8.png?v=1778824861","url":"https:\/\/zen-pharmacy-japan.com\/products\/lamictal-tablets-25-mg-brand-name","provider":"ZEN PHARMACY JAPAN","version":"1.0","type":"link"}