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Department

Toxicology

Preferred Sample Type

Lamotrigine (Lamictal)

Suitable Specimen Types

  • Serum
  • EDTA Plasma
  • Li Hep Plasma
100 ul serum/plasma

Sample Processing in Laboratory

Centrifuge and place in toxicology box in cold room.

Sample Preparation

Usual

Turnaround Time

5 working days

Sample Stability

4 ºC

Lamotrigine (Lamictal)

General Information

Lamotrigine is indicated for the treatment of partial and generalised seizures in adults and increasingly, in children. It may also have a role in the treatment of conditions such as Parkinson's disease. Adverse reactions are relativel minor, for example: (nausea, headache and dizziness). A typical dosage for Lamotrigine is 200-400 mg. bd. The half-life of the drug is around 24hours; although this is affected by concomitant therapy. Lamotrigine is known to delay the metabolism of carbamzepine and may also interact with other drugs. 

Patient Preparation

Trough specimen taken pre-dose or minimum 6hrs post-dose

Notes

Measured by LC-MSMS

Please note this assay is not currently UKAS accredited

Reference Range

3-15mg/L  NOTE: change to therapeutic range from February 2026, single range for all treated patients 

Specifications

  • EQA Scheme?: Yes
  • EQA Status: NEQAS TDM