Lamictal® Tablets for Epilepsy and Bipolar I Disorder

Lamotrigine is a prescription anticonvulsant for seizures and for maintenance treatment in bipolar I disorder. It helps stabilize electrical activity in the brain and may delay mood episodes. We offer US delivery from Canada with transparent options, including Lamotrigine price without insurance for cash-pay buyers.

What Lamictal Is and How It Works

Lamictal® belongs to the sodium channel–blocking class of antiepileptic medicines. It is thought to reduce pathologic neuronal firing and glutamate release, which can help lower seizure risk and support mood stability in bipolar I disorder. Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.

Many people start on Lamotrigine tablets and continue under a clinician’s guidance. This medicine is approved for partial-onset seizures, primary generalized tonic-clonic seizures, and seizures associated with Lennox-Gastaut syndrome. It is also indicated for maintenance treatment of bipolar I disorder to help delay the time to occurrence of mood episodes.

For bipolar I disorder, the treatment is not indicated for acute mania or acute depression. It is used as maintenance therapy once a prescriber has stabilized symptoms. For seizure disorders, it can be used alone or in combination with other antiepileptic therapies depending on the clinical plan.

Who It’s For

This therapy is indicated for adults and some pediatric patients with epilepsy, including partial-onset and generalized seizures, and for adults with bipolar I disorder as maintenance therapy to delay mood episodes. It may be prescribed alone or as add-on therapy.

People with a history of hypersensitivity to this medicine or any component should not take it. Those with prior serious skin reactions to this class may need an alternative. Caution is advised in liver impairment, in combination with interacting antiepileptics, and when used with estrogen-containing contraceptives. Your prescriber will determine suitability.

Dosage and Usage

Dosing is individualized and follows a slow titration schedule from the official label to reduce rash risk. Immediate-release tablets are typically taken twice daily. Extended-release options are taken once daily. When used with valproate or enzyme-inducing antiepileptics, titration pathways differ; follow your prescriber’s plan and the approved label.

Swallow standard tablets with water. Chewable-dispersible tablets may be chewed or dissolved in a small amount of liquid per label instructions. Extended-release tablets should be swallowed whole, not crushed or split. Ask your clinician about timing strategies that fit your routine. Lamotrigine XR is an option for once-daily convenience when appropriate.

For detailed titration considerations, see our guide Exploring The Recommended Lamictal Dosage, and always defer to your prescriber and the official prescribing information.

Strengths and Forms

Formulations include immediate-release tablets, chewable-dispersible tablets, orally disintegrating tablets, and extended-release tablets. Availability may vary by partner pharmacy. Commonly seen strengths include 25 mg and 100 mg; your prescriber will choose a strength and form suitable for your plan.

Many patients use generic lamotrigine for equivalent active ingredient with potential savings. If you need a specific formulation for swallowing or dosing convenience, your prescriber can specify that on the prescription.

Missed Dose and Timing

If you miss a dose, take it when remembered unless it is near the next scheduled dose. In that case, skip the missed dose and resume your normal schedule. Do not double doses. If you miss several days, contact your prescriber before restarting because retitration may be needed to reduce rash risk.

Consistent timing supports stable blood levels. Consider alarms or a daily routine anchor, such as after breakfast or at bedtime, if approved by your clinician.

Storage and Travel Basics

Store tablets at room temperature in their original packaging, away from moisture and direct light. Keep out of reach of children and pets. Do not store in the bathroom. If your prescriber provides a pill organizer, retain one original labeled container for reference when traveling.

For trips, pack extra doses, carry a copy of your prescription, and keep medicine in your carry-on bag. Some travelers request a doctor’s note describing the treatment and dosing schedule. Our pharmacies use encrypted checkout and follow temperature-controlled handling when required.

Benefits

This medicine can help reduce seizure frequency and improve seizure control when used as directed. In bipolar I disorder maintenance, it may delay time to occurrence of mood episodes. Once-daily extended-release options can support adherence for eligible patients. Multiple formulations may help patients who have trouble swallowing standard tablets.

Side Effects and Safety

• Common effects: dizziness, headache, nausea, sleepiness, insomnia, fatigue
• Neurologic: blurred or double vision, tremor, incoordination
• Gastrointestinal: vomiting, abdominal discomfort
• Dermatologic: mild rash

Serious but uncommon risks include severe skin reactions (such as Stevens-Johnson syndrome), hypersensitivity reactions with multiorgan involvement, blood dyscrasias, aseptic meningitis, and suicidal thoughts and behaviors. Seek urgent care for rash with blistering, mucosal involvement, fever, or systemic symptoms. Risk of rash may increase with rapid dose escalation or reinitiation after interruption; follow the label and your prescriber’s guidance.

Drug Interactions and Cautions

Valproate can raise levels of this medicine; dose pathways differ when used together. Enzyme inducers such as carbamazepine, phenytoin, phenobarbital, and primidone can lower levels, requiring different titration schedules per the label. Estrogen-containing oral contraceptives can reduce lamotrigine concentrations and, in some cases, levels may fluctuate across the cycle.

Alcohol and sedatives may enhance dizziness or drowsiness. Tell your clinician about all medicines, vitamins, and herbal products. Do not start or stop interacting therapies without medical direction.

What to Expect Over Time

Improvements in seizure control may emerge as titration progresses and the maintenance dose is reached. In bipolar I disorder maintenance, benefits are preventive and may be noticed as longer intervals between mood episodes. Avoid abrupt discontinuation. Adherence helps keep levels steady; pairing doses with daily routines can support consistency.

Track symptoms, side effects, and any missed doses in a simple log. Share updates at follow-ups so your care team can adjust your plan if needed. For background on seizure types and triggers, see What Is Epilepsy.

Compare With Alternatives

Several approved options may be considered if you and your prescriber are evaluating alternatives. Levetiracetam is a common antiepileptic used for focal and generalized seizures; see Keppra. Carbamazepine is another option for certain seizure types; explore Tegretol. Choice depends on seizure type, tolerability, comorbidities, and other medicines.

Pricing and Access

We provide Canadian pricing with US shipping from Canada. Compare generic and brand options and discuss affordability with your clinician or pharmacist. Many patients look at Lamotrigine cost when planning multi-month fills. If paying cash, you can also compare Lamotrigine price to see how formulation and quantity affect overall spend.

For educational reading on serious risks, consider our article Whats Behind Epileptic Episodes. Category browsing can help you explore related therapies in Epilepsy, Bipolar Disorder, and Neurology. For occasional site promotions, visit our Promotions page.

Availability and Substitutions

Stock and formulations can vary. If a specific form or strength is not available, a prescriber may recommend a suitable alternative or a different tablet type. Some patients prefer Lamotrigine orally disintegrating tablets for ease of administration, while others use extended-release tablets for once-daily dosing. Your prescription determines what we can dispense.

Patient Suitability and Cost-Saving Tips

This treatment may not suit people with prior severe rash to this class or certain hypersensitivity syndromes. Use caution with liver disease and interacting medicines. Discuss family planning and contraception because hormone therapies can affect levels. If you are a candidate, a 60- to 90-day supply can reduce pharmacy trips and may lower per-tablet costs.

Set refill reminders so you do not miss doses during travel. Ask your prescriber if a generic is appropriate for you; compare options across forms to balance convenience and affordability. If paying cash, check the Lamotrigine cash price and consider comparing quantities. Our checkout is streamlined so you can upload your prescription and complete payment securely.

Questions to Ask Your Clinician

• Titration plan: how slowly to increase and when to check in
• Form selection: immediate-release, extended-release, or dispersible
• Interactions: valproate, enzyme inducers, and contraceptives
• Warning signs: what rash or systemic symptoms require urgent care
• Adherence: what to do after multiple missed doses
• Monitoring: when to schedule follow-ups or lab assessments

Authoritative Sources

Lamictal Prescribing Information

DailyMed Lamotrigine

Health Canada Lamotrigine

Ready to proceed? Place your order for the treatment today for Ships from Canada to US with prompt, express shipping. This page provides general information, not medical advice. Always follow your prescriber and the official label.