How do you approach the management of patients on lamotrigine who develop a minor rash?

Lamictal rash can be dangerous but if we stop or switch lamictal for any rash during treatment we can run out of options soon.

Get a good history and pictures, if possible. How long have they been on lamictal and was there a recent dose change or did the pharmacy change their generic brand? Have an...

When mild rash occurs during the initial titration phase, I have had success in slowing down the titration rate. Upon initial notice of the rash, I have the patient return to the previous dose in the titration protocol. If the rash worsens or fails to improve, I would be likely at this point to disc...

We have so many choices with AED's, it's best in the patient's safety to stop Lamictal.

If it’s a minor rash with no other problems (skin rash only and non-confluent or wide spread) I slow down and monitor daily with phone calls and or Telemed med weekly. I like LTG and there usually is a reason these days for choosing it with the availability of other AED so I feel comfortable with mo...