Conclusion: This is, to our knowledge, the largest network meta-analysis of pharmacotherapy for bipolar depression to date. Olanzapine plus fluoxetine, quetiapine, olanzapine, lurasidone, lumateperone, cariprazine, and lamotrigine were found to be more efficacious than placebo in adults with acute bipolar depression, with good confidence in the evidence, and to differ in their side-effect profiles. These findings can inform evidence-based care and the development of treatment guidelines internationally.
Lamotrigine side effects
Across 68 first-hand reports, people mentioned a side effect 9 times (about 13 per 100 reports). The most common: drowsiness, allergic reaction, word finding. User reports show what people notice — they can't tell you whether Lamotrigine is safe for you.
Reported side effects
In their own words
“I’ve since trialled Pregabalin and currently been on Lamotrigine for 7 weeks and zero improvement.”
“Failed Lamictal Trial, I actually tried Lamictal (25mg) for just one day, but it immediately blunted some of the positive stimulant effect, almost got in a car accident, and made me feel so flat that I panicked and stopped.”
“I have given very few of them fair trials, as I can't deal with the side effects for that long.”
“I've tried lamictal and felt no different...I even tried depakote and I felt stupid.”
“lamictal is up there with the ones that made me feel really 'off.'...I began to steal and just generally be very reckless...I could not get a rush or any pleasure from normal activities...At the end of the day...if it's not helping, bring it up with your doctor and stop taking it”
“I had some relief with lamotrigine. It hits other receptors, it impacts cognition greatly - word finding problems will definitely occur.”
Is Lamotrigine safe? What the research covers
Conclusion: The results of the analyzed studies were not sufficient to answer any of the stated questions; however, they allowed us to delineate future research directions. The identified animal studies suggested a possible synergistic antidepressant effect of ketamine and lamotrigine. The available clinical studies were not conclusive. No controlled studies on large groups of bipolar patients with multiple ketamine infusions combined with lamotrigine treatment have been published so far. There is some evidence for the reduction of ketamine's side effects by lamotrigine, and there are reports suggesting t
Conclusion: Lurasidone+LIT/VAL and quetiapine+LIT/VAL outperformed placebo+LIT/VAL for all-cause discontinuation. Treatment efficacy, tolerability, and safety profiles differed among treatments.