Question

A 55-year-old with suspected temporal lobe epilepsy is started on lamotrigine. What important counselling is required?

Accepted Answer

Risk of Stevens-Johnson syndrome; slow titration and stop if rash

Answer

Risk of agranulocytosis; urgent FBC if sore throat

Answer

Avoid dairy products

Answer

Risk of cholestatic jaundice; monitor LFT weekly

Answer

No significant adverse effects

Practice question

A 55-year-old with suspected temporal lobe epilepsy is started on lamotrigine. What important counselling is required?