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Do not start or stop taking seizure medication during pregnancy without your doctor’s adviceHaving a seizure during pregnancy could harm both mother and babyTell your doctor right away if you become pregnant.

Taking the wrong medication can cause serious health problemsWhen your healthcare provider gives you a prescription for LAMICTAL:

Read the patient Medication Guidewhich explains the benefits and risks of lamotrigineevery time you get a new prescription because the information may changeDo not stop taking lamotrigine without talking to your health care professional first as doing so can cause serious problems.

Although estrogen-containing oral contraceptives have been shown to increase the clearance of lamotriginesee CLINICAL PHARMACOLOGYno adjustments to the recommended dose-escalation guidelines for LAMICTAL should be necessary solely based on the use of estrogen-containing oral contraceptivesThereforedose escalation should follow the recommended guidelines for initiating adjunctive therapy with LAMICTAL based on the concomitant AED or other concomitant medicationssee Table 1 or Table 5See below for adjustments to maintenance doses of LAMICTAL in women taking estrogen-containing oral contraceptives.

Table 1Escalation Regimen for LAMICTAL in Patients Older Than 12 Years With Epilepsy.

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