Samantha is taking lamotrigine (Lamictal) for her seizures and ...

[maychende]

Samantha is taking lamotrigine (Lamictal) for her seizures and requests a prescription for combined oral contraceptives (COCs), which interact with lamotrigine and may cause:
 
  1. Contraceptive failure
  2. Excessive weight gain
  3. Reduced lamotrigine levels, requiring doubling the dose of lamotrigine
  4. Induction of estrogen metabolism, requiring higher estrogen content OCs be prescribed

Question 2

Zainab is taking lamotrigine (Lamictal) and presents to the clinic with fever and lymphadenopathy. Initial evaluation and treatment includes:
 
  1. Reassuring her she has a viral infection and to call if she isn't better in 4 or 5 days
  2. Ruling out a hypersensitivity reaction that may lead to multi-organ failure
  3. Rapid strep test and symptomatic care if strep test is negative
  4. Observation only, with further assessment if she worsens

[xoxo123]

Answer to Question 1

3

Answer to Question 2

2

[maychende]

TYSM

[mcabuhat]

Gracias!