Drug interactions

lamotrigine + valproate

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Overview

Severity: Major · Evidence level: High

↑ lamotrigine → SJS/TEN risk.

Mechanism of action

Inhibits LTG glucuronidation.

Clinical management

Use reduced LTG dosing; monitor for rash.

Drug reference

References

Frequently asked questions

Can I take lamotrigine with valproate?

The interaction is rated: Major. ↑ lamotrigine → SJS/TEN risk.

How serious is the interaction between lamotrigine and valproate?

The interaction is rated: Major. Evidence level: High.

How is the interaction between lamotrigine and valproate managed?

Use reduced LTG dosing; monitor for rash.

Why do lamotrigine and valproate interact?

Inhibits LTG glucuronidation.

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