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Author Question: Samantha is taking lamotrigine (Lamictal) for her seizures and requests a prescription for combined ... (Read 74 times)

maychende

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on: Jul 24, 2018
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


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xoxo123

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Reply #1 on: Jul 24, 2018
Answer to Question 1

3

Answer to Question 2

2


maychende

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Reply 2 on: Jul 24, 2018
Thanks for the timely response, appreciate it

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Reply 3 on: Yesterday
Excellent

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