LAMOTRIGINE

82/100 · Critical

Manufactured by GlaxoSmithKline LLC

Lamotrigine Adverse Events: High Serious Reaction Rate

249,683 FDA adverse event reports analyzed

Last updated: 2026-05-12

About LAMOTRIGINE

LAMOTRIGINE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by GlaxoSmithKline LLC. Based on analysis of 249,683 FDA adverse event reports, LAMOTRIGINE has a safety score of 82 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 LAMOTRIGINE include DRUG INEFFECTIVE, RASH, SEIZURE, NAUSEA, FATIGUE. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for LAMOTRIGINE.

AI Safety Analysis

Lamotrigine has a safety concern score of 82 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 249,683 adverse event reports for this medication, which is primarily manufactured by Glaxosmithkline Llc.

The most commonly reported adverse events include Drug Ineffective, Rash, Seizure. Of classified reports, 71.9% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Severe reactions such as rash, suicidal ideation, and Stevens-Johnson syndrome are common.

Seizures and convulsions are frequent, indicating potential efficacy issues. Psychiatric symptoms like depression and anxiety are notable.

Patients taking Lamotrigine should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Lamotrigine can interact with other drugs, potentially leading to toxicity or altered efficacy. Patients should avoid certain medications and inform healthcare providers of all current medications. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 82/100

Lamotrigine received a safety concern score of 82/100 (high concern). This is based on a 71.9% serious event ratio across 127,171 classified reports. The score accounts for 249,683 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 INEFFECTIVE9,925 reports
RASH8,408 reports
SEIZURE6,527 reports
NAUSEA6,151 reports
FATIGUE5,915 reports
OFF LABEL USE5,831 reports
DIZZINESS5,768 reports
HEADACHE5,565 reports
DEPRESSION4,954 reports
VOMITING4,545 reports
PYREXIA4,355 reports
SOMNOLENCE4,333 reports
ANXIETY4,322 reports
DRUG INTERACTION4,296 reports
TOXICITY TO VARIOUS AGENTS4,077 reports
INSOMNIA3,753 reports
CONVULSION3,672 reports
PAIN3,581 reports
FALL3,565 reports
CONDITION AGGRAVATED3,562 reports
FOETAL EXPOSURE DURING PREGNANCY3,354 reports
EPILEPSY3,209 reports
COMPLETED SUICIDE3,174 reports
DIARRHOEA3,143 reports
TREMOR3,132 reports
CONFUSIONAL STATE3,072 reports
MALAISE3,055 reports
WEIGHT INCREASED3,048 reports
PRURITUS2,921 reports
SUICIDAL IDEATION2,821 reports
DYSPNOEA2,816 reports
ASTHENIA2,770 reports
OVERDOSE2,671 reports
MEMORY IMPAIRMENT2,575 reports
STEVENS JOHNSON SYNDROME2,573 reports
FEELING ABNORMAL2,419 reports
MATERNAL EXPOSURE DURING PREGNANCY2,410 reports
DRUG REACTION WITH EOSINOPHILIA AND SYSTEMIC SYMPTOMS2,365 reports
ARTHRALGIA2,268 reports
PRODUCT USE IN UNAPPROVED INDICATION2,255 reports
INTENTIONAL OVERDOSE2,227 reports
SUICIDE ATTEMPT2,160 reports
EXPOSURE DURING PREGNANCY2,114 reports
GAIT DISTURBANCE2,031 reports
ALOPECIA2,024 reports
DRUG HYPERSENSITIVITY1,961 reports
WEIGHT DECREASED1,947 reports
AGITATION1,943 reports
PNEUMONIA1,866 reports
HYPERTENSION1,814 reports
HYPOAESTHESIA1,814 reports
DECREASED APPETITE1,781 reports
URTICARIA1,757 reports
PARAESTHESIA1,743 reports
MIGRAINE1,736 reports
ABDOMINAL PAIN UPPER1,710 reports
AGGRESSION1,671 reports
BALANCE DISORDER1,652 reports
ERYTHEMA1,651 reports
MUSCLE SPASMS1,617 reports
PRODUCT SUBSTITUTION ISSUE1,612 reports
LOSS OF CONSCIOUSNESS1,608 reports
DRUG EXPOSURE DURING PREGNANCY1,605 reports
HYPERSENSITIVITY1,570 reports
VISION BLURRED1,561 reports
GENERALISED TONIC CLONIC SEIZURE1,549 reports
IRRITABILITY1,542 reports
DEATH1,537 reports
PAIN IN EXTREMITY1,536 reports
BLISTER1,472 reports
ABDOMINAL PAIN1,442 reports
ABDOMINAL DISCOMFORT1,430 reports
PRODUCT USE ISSUE1,393 reports
HYPOTENSION1,392 reports
DRUG INTOLERANCE1,391 reports
PRODUCT DOSE OMISSION ISSUE1,388 reports
DISTURBANCE IN ATTENTION1,379 reports
SLEEP DISORDER1,372 reports
GENERAL PHYSICAL HEALTH DETERIORATION1,364 reports
GASTROOESOPHAGEAL REFLUX DISEASE1,357 reports
NASOPHARYNGITIS1,287 reports
PRODUCT QUALITY ISSUE1,285 reports
AMNESIA1,282 reports
HEPATIC ENZYME INCREASED1,279 reports
CONSTIPATION1,277 reports
DRY MOUTH1,276 reports
TOXIC EPIDERMAL NECROLYSIS1,250 reports
COMA1,232 reports
MUSCULAR WEAKNESS1,225 reports
LYMPHADENOPATHY1,215 reports
BACK PAIN1,167 reports
TYPE 2 DIABETES MELLITUS1,146 reports
COUGH1,144 reports
MANIA1,130 reports
SWELLING1,128 reports
CHEST PAIN1,105 reports
TREATMENT FAILURE1,100 reports
URINARY TRACT INFECTION1,100 reports
PERIPHERAL SWELLING1,091 reports
C REACTIVE PROTEIN INCREASED1,089 reports

Key Safety Signals

  • Severe rash, including Stevens-Johnson syndrome, is a key safety signal.
  • Suicidal ideation and attempts are reported, warranting close monitoring.
  • Seizure-related events are frequent, indicating potential drug ineffectiveness.

Patient Demographics

Adverse event reports by sex: Female: 75,506, Male: 35,161, Unknown: 535. The most frequently reported age groups are age 40 (2,102 reports), age 43 (1,902 reports), age 50 (1,522 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 127,171 classified reports for LAMOTRIGINE:

  • Serious: 91,381 reports (71.9%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 35,790 reports (28.1%)
Serious 71.9%Non-Serious 28.1%

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

Female75,506 (67.9%)
Male35,161 (31.6%)
Unknown535 (0.5%)

Reports by Age

Age 402,102 reports
Age 431,902 reports
Age 501,522 reports
Age 321,503 reports
Age 351,486 reports
Age 301,445 reports
Age 381,399 reports
Age 281,379 reports
Age 251,366 reports
Age 441,362 reports
Age 521,351 reports
Age 511,342 reports
Age 421,336 reports
Age 451,332 reports
Age 491,327 reports
Age 371,320 reports
Age 481,311 reports
Age 531,309 reports
Age 541,300 reports
Age 551,287 reports

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

Drug Interactions & Warnings

Lamotrigine can interact with other drugs, potentially leading to toxicity or altered efficacy. Patients should avoid certain medications and inform healthcare providers of all current medications.

What You Should Know

If you are taking Lamotrigine, here are important things to know. The most commonly reported side effects include drug ineffective, rash, seizure, nausea, fatigue. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Monitor for signs of severe rash, such as blistering or peeling skin, and seek immediate medical attention. Report any suicidal thoughts or behaviors to your healthcare provider immediately. 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 Lamotrigine for safety, particularly for severe rashes and suicidal ideation. Regular follow-ups are recommended for patients.

Frequently Asked Questions

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

The FDA has received approximately 249,683 adverse event reports associated with Lamotrigine. 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 Lamotrigine?

The most frequently reported adverse events for Lamotrigine include Drug Ineffective, Rash, Seizure, Nausea, Fatigue. By volume, the top reported reactions are: Drug Ineffective (9,925 reports), Rash (8,408 reports), Seizure (6,527 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Lamotrigine.

What percentage of Lamotrigine adverse event reports are serious?

Out of 127,171 classified reports, 91,381 (71.9%) were classified as serious and 35,790 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 Lamotrigine (by sex)?

Adverse event reports for Lamotrigine break down by patient sex as follows: Female: 75,506, Male: 35,161, Unknown: 535. 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 Lamotrigine?

The most frequently reported age groups for Lamotrigine adverse events are: age 40: 2,102 reports, age 43: 1,902 reports, age 50: 1,522 reports, age 32: 1,503 reports, age 35: 1,486 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 Lamotrigine?

The primary manufacturer associated with Lamotrigine adverse event reports is Glaxosmithkline Llc. 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 Lamotrigine?

Beyond the most common reactions, other reported adverse events for Lamotrigine include: Off Label Use, Dizziness, Headache, Depression, Vomiting. 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 Lamotrigine?

You can report adverse events from Lamotrigine 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 Lamotrigine's safety score and what does it mean?

Lamotrigine has a safety concern score of 82 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. Severe reactions such as rash, suicidal ideation, and Stevens-Johnson syndrome are common.

What are the key safety signals for Lamotrigine?

Key safety signals identified in Lamotrigine's adverse event data include: Severe rash, including Stevens-Johnson syndrome, is a key safety signal.. Suicidal ideation and attempts are reported, warranting close monitoring.. Seizure-related events are frequent, indicating potential drug ineffectiveness.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Lamotrigine interact with other drugs?

Lamotrigine can interact with other drugs, potentially leading to toxicity or altered efficacy. Patients should avoid certain medications and inform healthcare providers of all current medications. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Lamotrigine.

What should patients know before taking Lamotrigine?

Monitor for signs of severe rash, such as blistering or peeling skin, and seek immediate medical attention. Report any suicidal thoughts or behaviors to your healthcare provider immediately.

Are Lamotrigine side effects well-documented?

Lamotrigine has 249,683 adverse event reports on file with the FDA. Seizures and convulsions are frequent, indicating potential efficacy issues. The volume of reports for Lamotrigine reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Lamotrigine?

The FDA continues to monitor Lamotrigine for safety, particularly for severe rashes and suicidal ideation. Regular follow-ups are recommended for patients. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

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

CarbamazepineValproic acidPhenytoin
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.