Lamictal® Chewable Tablets for Epilepsy and Bipolar I Maintenance

Lamictal® chewable dispersible tablets contain lamotrigine, an anticonvulsant that also helps maintain stability in bipolar I disorder. This page helps you compare Canadian pricing and order Lamictal chewable from Canada with US delivery. Many people pay cash, including those without insurance, using our secure checkout.

What Lamictal® Is and How It Works

Lamotrigine reduces seizure activity and helps delay mood episodes in bipolar I disorder. It blocks voltage-sensitive sodium channels and is thought to reduce the release of excitatory neurotransmitters such as glutamate. The chewable dispersible tablets can be chewed, swallowed whole, or dispersed in liquid, which supports flexible dosing.

At CanadianInsulin, orders are filled by licensed Canadian pharmacies after we confirm a valid prescription with your clinic.

Lamotrigine is approved for multiple seizure types, including partial-onset seizures, primary generalized tonic-clonic seizures, and seizures associated with Lennox-Gastaut syndrome. For bipolar I disorder, lamotrigine is indicated for maintenance treatment to delay the time to mood episodes. It is not approved for treating acute mania or acute bipolar depression.

Who Lamictal® Is For

Lamotrigine is used in adults and pediatric patients with epilepsy, with age limits based on the specific indication. The chewable dispersible tablets are often used in children who need small, precise dose changes. Adults with bipolar I disorder may use lamotrigine as maintenance therapy to help prevent mood swings over time.

People with a history of hypersensitivity to lamotrigine should not take it. Serious skin reactions can occur, especially if the starting dose is too high, the dose is increased too quickly, or when used with valproate. Patients with liver or kidney impairment, or those who have had aseptic meningitis with lamotrigine, need careful clinical review.

Learn more about epilepsy in our condition hub: Epilepsy.

Dosage and Usage

Dosing is individualized and follows a slow titration schedule to reduce rash risk. The starting dose and maintenance target depend on age, other medicines, and indication.

• Initiation begins at a low daily dose, with increases every 1 to 2 weeks.
• Valproate increases lamotrigine levels, so lower lamotrigine doses are used with valproate.
• Enzyme-inducing antiepileptics such as carbamazepine, phenytoin, phenobarbital, and primidone may require higher lamotrigine doses.
• Adjunctive therapy for seizures can be once or twice daily after titration. Pediatric dosing is weight based.
• For bipolar I maintenance, typical adult targets vary by co-therapy. Many patients taking lamotrigine alone maintain around 200 mg per day. With inducers, higher totals may be used. With valproate, targets are lower.
• The labeled maximum with certain inducers can be up to 400 mg per day. Always follow the schedule provided by the prescriber.

Do not change the dose or stop suddenly without medical advice. Abrupt changes can increase seizure risk and destabilize mood.

Strengths and Forms

Lamictal chewable dispersible tablets are commonly available in these strengths:

• Lamictal 2 mg chewable tablet
• Lamictal 5 mg chewable tablet
• Lamictal 25 mg chewable tablet

Availability may vary by pharmacy and prescription. These lamotrigine chewable tablets allow small, precise dose changes during titration.

Missed Dose and Timing

If a dose is missed, take it when remembered unless it is close to the next dose. Do not double up. If several doses are missed, contact the clinic because re-titration may be needed to lower rash risk. Try to take doses at the same time each day.

Storage and Travel Basics

Store Lamictal chewable tablets at room temperature, typically 20 to 25°C (68 to 77°F). Keep the bottle closed and protect it from moisture. Do not store in a bathroom.

For travel, keep medicine in original labeled packaging. Use a carry-on bag to avoid extreme temperatures. Pack a copy of your prescription. If crossing time zones, ask your clinic how to keep dosing intervals steady. For US trips, your order ships from Canada to the US. You can store your supply safely in a cool, dry place.

Benefits

Lamotrigine supports seizure control across several seizure types, including Lennox-Gastaut syndrome. In bipolar I disorder, it helps delay the time to mood episodes when used as maintenance therapy. The chewable dispersible format is convenient for patients who have trouble swallowing tablets or who need small, stepwise dose adjustments. Flexible administration options include chewing, swallowing whole, or dispersing in a small amount of water or diluted fruit juice.

Side Effects and Safety

• Headache
• Dizziness or drowsiness
• Blurred or double vision
• Nausea or vomiting
• Coordination problems or tremor
• Back pain
• Rash
• Insomnia

Serious adverse reactions can occur. These include severe skin reactions such as Stevens-Johnson syndrome and toxic epidermal necrolysis, multi-organ hypersensitivity reactions, hemophagocytic lymphohistiocytosis, blood dyscrasias, suicidal thoughts and behaviors, and aseptic meningitis. Seek urgent medical help for widespread rash, blistering, fever, swollen glands, or new thoughts of self-harm. Risk of central nervous system effects increases with alcohol or other sedatives.

Drug Interactions and Cautions

• Valproate increases lamotrigine levels. Lower lamotrigine doses are used.
• Enzyme inducers such as carbamazepine, phenytoin, phenobarbital, primidone, and rifampin can decrease lamotrigine levels, sometimes requiring higher doses.
• Estrogen-containing oral contraceptives can increase lamotrigine clearance. Dose adjustments may be needed, especially across hormone-free intervals.
• Other antiepileptics and CNS depressants can add to dizziness or drowsiness.
• Use caution in liver or kidney impairment.
• Do not restart at a previous dose after a long interruption without medical guidance, due to rash risk.

Always provide a full medication list to the clinic, including nonprescription products and herbal supplements.

What to Expect Over Time

Lamotrigine requires slow titration. Benefits build as the dose is increased to a personalized maintenance level. For epilepsy, many patients see seizure control improve after an effective dose is reached. For bipolar I maintenance, the goal is fewer and later mood episodes over months and years. Ongoing monitoring helps track tolerability, seizure frequency, and mood stability.

Lifestyle measures can support clinical care. Some patients discuss diet approaches with their clinician. For background reading, see our article on the Ketogenic Diet and this simple Keto Diet Guide. These articles are educational and not treatment advice.

Compare With Alternatives

Approved alternatives depend on the condition. For seizure control, another broad-spectrum option is Levetiracetam. For bipolar I disorder, certain atypical antipsychotics are also used in maintenance plans. One example is Abilify®, which has bipolar indications. Choice depends on prior response, side effect profile, co-medications, and your prescriber’s plan.

Pricing and Access

See Lamictal chewable Canadian pricing and compare your options before you buy. Many people look for Lamictal chewable price, Lamictal chewable cost, and cash-pay savings. You can buy Lamictal chewable online from Canada with prompt US shipping. Use our secure checkout to order Lamictal chewable online and view your final cost before payment.

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Availability and Substitutions

Availability can vary by strength and form. If a strength is temporarily unavailable, a prescriber may adjust the regimen or recommend an alternative. For seizure treatment, another option sometimes considered is Gabapentin. Any change should come from your clinician based on your diagnosis and treatment goals.

Patient Suitability and Cost Saving Tips

Lamotrigine is not right for everyone. A history of serious rash with lamotrigine, certain hypersensitivity reactions, or prior aseptic meningitis with this medicine require careful review. People with significant liver or kidney disease may need dose changes. For bipolar I disorder, lamotrigine is for maintenance and is not a treatment for acute mania or acute bipolar depression.

• Ask your prescriber about multi-month supplies to reduce pharmacy fees.
• If stable on a regimen, a 90-day refill can simplify travel and daily routines.
• Set refill reminders so you never run out during titration or maintenance.
• Store your medicine properly to prevent waste and maintain quality.

Community support matters. For general mental health awareness resources, see World Mental Health Day.

Questions to Ask Your Clinician

• What titration schedule should I follow for my diagnosis and co-medications
• How will we monitor for rash and other serious reactions
• What is the target maintenance dose for my plan
• Should doses be once daily or split into morning and evening
• How do my other medicines affect the lamotrigine dose
• What should I do if I miss several doses
• When should we reassess for long-term maintenance

Authoritative Sources

Review official product information before starting or changing therapy:

• FDA DailyMed: Lamotrigine
• GSK Prescribing Information
• Health Canada Drug Product Database

Start your Lamictal chewable order today with prompt US delivery from Canada.