Lamotrigine 2 mg/ml Oral Liquid is a specially compounded medication designed for oral use, offering a precise and manageable method of drug delivery. This liquid formulation is particularly beneficial for patients who experience difficulty swallowing tablets or capsules, such as children and the elderly. The medication is used to treat epilepsy by helping to control seizures, and it is also indicated for the maintenance treatment of bipolar disorder, where it can help to stabilize mood swings. The liquid form ensures accurate dosing and ease of administration for those requiring tailored dosing regimens.

Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
Lamotrigine 2 mg/ml Oral Liquid is a specially compounded medication designed for ease of administration and precise dosing. This oral liquid formulation is particularly beneficial for patients who have difficulty swallowing tablets or capsules, such as children and the elderly. The liquid form allows for flexible dosing, which can be adjusted according to the specific needs of the patient. Lamotrigine is an anticonvulsant medication primarily used to treat epilepsy and bipolar disorder. For patients with bipolar disorder, lamotrigine acts as a mood stabilizer, helping to diminish the intensity of mood swings.
The oral liquid formulation of lamotrigine ensures that the active ingredient is readily absorbed and can be administered in a measured dose using an oral syringe or dropper, providing accuracy and consistency in dosing. The compounding process also allows for the exclusion of certain excipients that may be present in commercial tablet forms, reducing the risk of allergic reactions or intolerances in sensitive patients.
For prescribers considering this formulation, it is important to note that lamotrigine requires careful titration to minimize the risk of rash, including the rare but serious Stevens-Johnson syndrome. Regular monitoring of the patient's clinical response and side effects is recommended. Additionally, the liquid form of lamotrigine should be stored under appropriate conditions to maintain stability and efficacy of the medication over time. As with all medications, the potential for drug interactions should be considered, and the patient's complete medication profile should be reviewed to avoid adverse interactions.
Patients and prescribers who are interested in the lamotrigine 2 mg/ml Oral Liquid formulation are encouraged to contact Bayview Pharmacy for further information. Our team of knowledgeable compounding pharmacists is available to answer any questions and provide guidance on the use of this customized medication.
Lamotrigine is an anticonvulsant medication commonly used to treat seizure disorders such as epilepsy and to stabilize mood in patients with bipolar disorder. When formulated as a 2 mg/ml oral liquid, it is particularly useful for patients who have difficulty swallowing tablets or capsules, including children and the elderly. However, it is important to be aware of potential drug interactions when taking lamotrigine in any form.
One significant interaction is with valproate (valproic acid), which can increase lamotrigine concentrations in the blood, potentially leading to toxicity. Patients taking both medications should be closely monitored for signs of lamotrigine toxicity, such as dizziness, ataxia, and blurred vision. Dosage adjustments of lamotrigine may be necessary when used concurrently with valproate.
Conversely, certain medications like carbamazepine, phenytoin, phenobarbital, and primidone can decrease the blood levels of lamotrigine, reducing its efficacy. If a patient is starting or stopping treatment with these medications, adjustments to the lamotrigine dose may be required to maintain seizure control or mood stabilization.
Oral contraceptives and hormone replacement therapy containing estrogen can also affect lamotrigine levels. Estrogen-containing drugs can decrease the concentration of lamotrigine in the blood, potentially reducing its effectiveness. Women starting or stopping estrogen-containing therapies should be monitored for changes in seizure control or mood symptoms, and dosage adjustments of lamotrigine may be necessary.
Other drugs that can interact with lamotrigine include rifampin, which can significantly decrease lamotrigine levels, and sertraline, which can increase lamotrigine levels when used together. Additionally, lamotrigine can interact with other central nervous system depressants, such as alcohol, antihistamines, and sedatives, potentially enhancing their sedative effects.
It is also important to note that lamotrigine itself can affect the metabolism of other drugs by inhibiting or inducing liver enzymes responsible for drug metabolism. This can lead to either increased levels of other medications, which may increase the risk of side effects, or decreased levels, which may reduce the effectiveness of those medications.
Patients should be advised to inform their healthcare provider of all medications they are taking, including over-the-counter drugs and herbal supplements, to avoid potential interactions. Regular monitoring, including blood tests, may be necessary to ensure the safe and appropriate use of lamotrigine oral liquid. If you have any questions or concerns about drug interactions with lamotrigine or require further information, please reach out to us at Bayview Pharmacy for assistance.
Lamotrigine 2 mg/ml Oral Liquid is a specially compounded medication designed for ease of administration and precise dosing. This liquid formulation is particularly beneficial for patients who have difficulty swallowing tablets or capsules, such as children, the elderly, or those with dysphagia. The liquid form allows for flexible dosing, which can be adjusted according to the specific needs of the patient.
The active ingredient in this formulation, lamotrigine, is an anticonvulsant medication that is used to treat epilepsy and bipolar disorder. In epilepsy, lamotrigine works by stabilizing electrical activity in the brain, preventing the rapid and excessive firing of neurons that can lead to seizures. It does this by inhibiting voltage-sensitive sodium channels, which in turn reduces the release of excitatory neurotransmitters such as glutamate. By dampening this excitatory neurotransmission, lamotrigine helps to prevent the spread of seizure activity throughout the brain.
In the treatment of bipolar disorder, lamotrigine is thought to act as a mood stabilizer, although its exact mechanism in this condition is not fully understood. It is believed to help balance the levels of certain chemicals in the brain, which can help to reduce the severity and frequency of mood swings, particularly the depressive phases of bipolar disorder.
The oral liquid formulation of lamotrigine ensures that the medication is absorbed into the bloodstream via the digestive system. Once absorbed, it crosses the blood-brain barrier to exert its therapeutic effects within the central nervous system. The 2 mg/ml concentration allows healthcare providers to prescribe the exact dose required, which can be easily measured and administered using an oral syringe or dropper. This is particularly important for lamotrigine, as the dosing needs to be carefully titrated to minimize the risk of side effects and to achieve optimal therapeutic outcomes.
It is essential for patients and prescribers to understand that the compounding process for lamotrigine oral liquid must be carried out by a qualified compounding pharmacist to ensure the accuracy and safety of the medication. At Bayview Pharmacy, our team of compounding pharmacists is dedicated to providing high-quality, customized medications to meet the unique needs of each patient. If you have any questions about the lamotrigine 2 mg/ml Oral Liquid formulation or its use in treating epilepsy and bipolar disorder, please do not hesitate to reach out to us for more information.
Lamotrigine 2 mg/ml Oral Liquid is used to help control certain types of seizures in people with epilepsy and to treat bipolar disorder. This liquid formulation is specifically tailored for individuals who may have difficulty swallowing tablets or capsules.
This oral liquid formulation is suitable for children, adults, and the elderly, particularly for those who find it challenging to swallow solid dosage forms such as tablets or capsules.
The liquid should be measured accurately with a medication syringe or dropper and taken by mouth as directed by a healthcare professional. It can be taken with or without food but should be taken consistently in the same way to maintain even levels of medication in the blood.
If you miss a dose, take it as soon as you remember. If it is close to the time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double up on doses to make up for a missed one.
It is usually best to take the medication as prescribed without mixing it with food or liquids. However, if you have difficulty taking the medication, consult your healthcare provider for advice on whether you can mix it with a small amount of soft food or a beverage just before administration.
The time it takes for Lamotrigine to start working can vary between individuals. For seizure control, it can take several weeks to reach the full effect. Your healthcare provider will provide you with more information based on your specific condition and response to treatment.
Yes, as with any medication, there are potential side effects which may include dizziness, headache, blurred or double vision, lack of coordination, dry mouth, nausea, or vomiting. Serious side effects such as a rash may be a sign of an allergic reaction and require immediate medical attention.
Store the oral liquid in a cool, dry place away from light and moisture. Keep the bottle tightly closed and out of reach of children and pets. Discard any unused medication after the expiration date or as directed by a healthcare provider.
Lamotrigine may be used during pregnancy if clearly needed and prescribed by a healthcare provider. It is important to discuss the risks and benefits with your healthcare provider to ensure the safety of both the mother and the unborn child.
Because Lamotrigine can cause dizziness and affect coordination, it's recommended to avoid driving or operating heavy machinery until you know how the medication affects you. Speak with your healthcare provider about your specific health conditions and medication effects.
The dosage is individualized based on factors such as your specific medical condition, response to treatment, and other medications you are taking. Your healthcare provider will determine the appropriate dose for you, and it is crucial to follow their instructions carefully.
This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.
A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice. Discuss your situation with a licensed healthcare provider.
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Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.
Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.
Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.
Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.
Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.
Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.
Take orally