He returns to your pharmacy with a new prescription for Lamotrigine 25 mg with instructions to take 1 tablet daily for 2 weeks, then 1 tablet PO twice daily for 2 weeks then 2 tablets PO twice daily for 2 for 2 weeks, then 2 tablets PO twice daily for 2 weeks, then 3 tablets PO twice daily thereafter. He

He returns to your pharmacy with a new prescription for Lamotrigine 25 mg with instructions to take 1 tablet daily for 2 weeks, then 1 tablet PO twice daily for 2 weeks then 2 tablets PO twice daily for 2 for 2 weeks, then 2 tablets PO twice daily for 2 weeks, then 3 tablets PO twice daily thereafter. He tells you that the carbamazepine is being discontinued because he developed a rash a few days ago.

 

Guide question:

How does Carbamazepine manifest rash in the patient’s case?

 

AVM is asking why it is necessary to increase the dose of lamotrigine so slowly.

Guide question:

How will you respond to the patient?

 

Expert Answer