LAMOTIRIGINE

85/100 · Critical

Manufactured by Actavis Pharma, Inc.

High Safety Concerns with Lamotrigine, Particularly Seizures and Suicidal Ideation

130,106 FDA adverse event reports analyzed

Last updated: 2026-05-12

About LAMOTIRIGINE

LAMOTIRIGINE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Actavis Pharma, Inc.. Based on analysis of 130,106 FDA adverse event reports, LAMOTIRIGINE has a safety score of 85 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for LAMOTIRIGINE include DRUG INEFFECTIVE, SEIZURE, TOXICITY TO VARIOUS AGENTS, OFF LABEL USE, DRUG INTERACTION. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for LAMOTIRIGINE.

AI Safety Analysis

Lamotirigine has a safety concern score of 85 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 130,106 adverse event reports for this medication, which is primarily manufactured by Actavis Pharma, Inc..

The most commonly reported adverse events include Drug Ineffective, Seizure, Toxicity To Various Agents. Of classified reports, 81.1% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Seizures and suicidal ideation are the most common serious adverse events.

Drug interactions and intentional overdose are also significant concerns. Falls and confusion are frequent, indicating potential cognitive effects.

Patients taking Lamotirigine should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Lamotrigine can cause drug interactions and should be used with caution in combination with other medications. Intentional overdose is a serious concern. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Lamotirigine received a safety concern score of 85/100 (high concern). This is based on a 81.1% serious event ratio across 68,341 classified reports. The score accounts for 130,106 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

DRUG INEFFECTIVE5,956 reports
SEIZURE4,094 reports
TOXICITY TO VARIOUS AGENTS3,762 reports
OFF LABEL USE3,233 reports
DRUG INTERACTION3,098 reports
COMPLETED SUICIDE2,954 reports
FATIGUE2,835 reports
DIZZINESS2,826 reports
NAUSEA2,817 reports
RASH2,757 reports
FOETAL EXPOSURE DURING PREGNANCY2,664 reports
HEADACHE2,560 reports
SOMNOLENCE2,435 reports
DEPRESSION2,268 reports
VOMITING2,173 reports
CONDITION AGGRAVATED2,139 reports
ANXIETY2,066 reports
PYREXIA1,956 reports
FALL1,785 reports
EPILEPSY1,783 reports
INTENTIONAL OVERDOSE1,744 reports
DRUG REACTION WITH EOSINOPHILIA AND SYSTEMIC SYMPTOMS1,686 reports
TREMOR1,613 reports
OVERDOSE1,600 reports
CONFUSIONAL STATE1,579 reports
INSOMNIA1,536 reports
MATERNAL EXPOSURE DURING PREGNANCY1,522 reports
DIARRHOEA1,505 reports
PAIN1,481 reports
CONVULSION1,468 reports
SUICIDAL IDEATION1,446 reports
SUICIDE ATTEMPT1,356 reports
PRODUCT USE IN UNAPPROVED INDICATION1,280 reports
MALAISE1,265 reports
ASTHENIA1,259 reports
WEIGHT INCREASED1,246 reports
DYSPNOEA1,230 reports
EXPOSURE DURING PREGNANCY1,226 reports
STEVENS JOHNSON SYNDROME1,219 reports
PRURITUS1,200 reports
GAIT DISTURBANCE1,162 reports
PRODUCT SUBSTITUTION ISSUE1,158 reports
MEMORY IMPAIRMENT1,134 reports
AGITATION1,125 reports
GENERALISED TONIC CLONIC SEIZURE1,065 reports
AGGRESSION1,017 reports
FEELING ABNORMAL1,004 reports
DEATH975 reports
PNEUMONIA971 reports
ARTHRALGIA925 reports
WEIGHT DECREASED913 reports
HYPOTENSION907 reports
BALANCE DISORDER903 reports
TOXIC EPIDERMAL NECROLYSIS880 reports
CARDIAC ARREST841 reports
DECREASED APPETITE823 reports
PRODUCT DOSE OMISSION ISSUE822 reports
DRUG HYPERSENSITIVITY820 reports
IRRITABILITY804 reports
HYPERTENSION803 reports
LOSS OF CONSCIOUSNESS791 reports
COMA789 reports
HYPOAESTHESIA727 reports
VISION BLURRED725 reports
URTICARIA719 reports
ABDOMINAL PAIN714 reports
ATAXIA712 reports
ABDOMINAL PAIN UPPER711 reports
TACHYCARDIA709 reports
TREATMENT FAILURE709 reports
CARDIO RESPIRATORY ARREST705 reports
PARAESTHESIA703 reports
DISTURBANCE IN ATTENTION702 reports
ALOPECIA694 reports
DRUG ABUSE692 reports
SLEEP DISORDER684 reports
MUSCLE SPASMS683 reports
STATUS EPILEPTICUS678 reports
ABORTION SPONTANEOUS677 reports
PRODUCT USE ISSUE674 reports
MIGRAINE672 reports
CONSTIPATION667 reports
PAIN IN EXTREMITY667 reports
HYPERSENSITIVITY665 reports
COGNITIVE DISORDER660 reports
DRUG LEVEL INCREASED657 reports
SEROTONIN SYNDROME640 reports
ERYTHEMA629 reports
DRUG EXPOSURE DURING PREGNANCY625 reports
ACUTE KIDNEY INJURY606 reports
URINARY TRACT INFECTION601 reports
DRUG INTOLERANCE589 reports
THERAPEUTIC PRODUCT EFFECT INCOMPLETE585 reports
BLISTER584 reports
GENERAL PHYSICAL HEALTH DETERIORATION582 reports
INTENTIONAL SELF INJURY572 reports
COUGH569 reports
MUSCULAR WEAKNESS560 reports
RASH MACULO PAPULAR553 reports
DEPRESSED MOOD551 reports

Key Safety Signals

  • Seizures and epilepsy are common, with 1783 reports.
  • Suicidal ideation and suicide attempts are reported in 1446 and 1356 cases respectively.
  • Drug interactions and intentional overdose are significant, with 3098 and 1744 reports respectively.

Patient Demographics

Adverse event reports by sex: Female: 38,396, Male: 19,660, Unknown: 286. The most frequently reported age groups are age 43 (906 reports), age 32 (862 reports), age 35 (828 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 68,341 classified reports for LAMOTIRIGINE:

  • Serious: 55,409 reports (81.1%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 12,932 reports (18.9%)
Serious 81.1%Non-Serious 18.9%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female38,396 (65.8%)
Male19,660 (33.7%)
Unknown286 (0.5%)

Reports by Age

Age 43906 reports
Age 32862 reports
Age 35828 reports
Age 25820 reports
Age 50818 reports
Age 28808 reports
Age 30808 reports
Age 44774 reports
Age 38766 reports
Age 37763 reports
Age 26761 reports
Age 40758 reports
Age 52757 reports
Age 21753 reports
Age 48743 reports
Age 23738 reports
Age 42736 reports
Age 49735 reports
Age 56726 reports
Age 20724 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Lamotrigine can cause drug interactions and should be used with caution in combination with other medications. Intentional overdose is a serious concern.

What You Should Know

If you are taking Lamotirigine, here are important things to know. The most commonly reported side effects include drug ineffective, seizure, toxicity to various agents, off label use, drug interaction. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Monitor patients for signs of suicidal ideation and behavior, especially in the first few months of treatment. Be aware of potential drug interactions and adjust dosing accordingly. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA continues to monitor the safety of Lamotrigine and has not issued any new warnings based on this data.

Frequently Asked Questions

How many adverse event reports has the FDA received for Lamotirigine?

The FDA has received approximately 130,106 adverse event reports associated with Lamotirigine. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Lamotirigine?

The most frequently reported adverse events for Lamotirigine include Drug Ineffective, Seizure, Toxicity To Various Agents, Off Label Use, Drug Interaction. By volume, the top reported reactions are: Drug Ineffective (5,956 reports), Seizure (4,094 reports), Toxicity To Various Agents (3,762 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Lamotirigine.

What percentage of Lamotirigine adverse event reports are serious?

Out of 68,341 classified reports, 55,409 (81.1%) were classified as serious and 12,932 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Lamotirigine (by sex)?

Adverse event reports for Lamotirigine break down by patient sex as follows: Female: 38,396, Male: 19,660, Unknown: 286. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Lamotirigine?

The most frequently reported age groups for Lamotirigine adverse events are: age 43: 906 reports, age 32: 862 reports, age 35: 828 reports, age 25: 820 reports, age 50: 818 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Lamotirigine?

The primary manufacturer associated with Lamotirigine adverse event reports is Actavis Pharma, Inc.. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Lamotirigine?

Beyond the most common reactions, other reported adverse events for Lamotirigine include: Completed Suicide, Fatigue, Dizziness, Nausea, Rash. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Lamotirigine?

You can report adverse events from Lamotirigine to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Lamotirigine's safety score and what does it mean?

Lamotirigine has a safety concern score of 85 out of 100 (high concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Seizures and suicidal ideation are the most common serious adverse events.

What are the key safety signals for Lamotirigine?

Key safety signals identified in Lamotirigine's adverse event data include: Seizures and epilepsy are common, with 1783 reports.. Suicidal ideation and suicide attempts are reported in 1446 and 1356 cases respectively.. Drug interactions and intentional overdose are significant, with 3098 and 1744 reports respectively.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Lamotirigine interact with other drugs?

Lamotrigine can cause drug interactions and should be used with caution in combination with other medications. Intentional overdose is a serious concern. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Lamotirigine.

What should patients know before taking Lamotirigine?

Monitor patients for signs of suicidal ideation and behavior, especially in the first few months of treatment. Be aware of potential drug interactions and adjust dosing accordingly.

Are Lamotirigine side effects well-documented?

Lamotirigine has 130,106 adverse event reports on file with the FDA. Drug interactions and intentional overdose are also significant concerns. The volume of reports for Lamotirigine reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Lamotirigine?

The FDA continues to monitor the safety of Lamotrigine and has not issued any new warnings based on this data. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to LAMOTIRIGINE based on therapeutic use, drug class, or shared indications:

CarbamazepineValproatePhenytoin
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.