Thursday, 18 February 2016

Use of Vaiproic acid and Lamotrigine


Concomitant use of vaiproic acid and lamotrigine increases the risk of: 

a. Chondrodysplasia punctata 
b. Paroxysmal Nocturnal hemoglobinuria 
c. Stevens-Johnson syndrome 
d. Floppy infant syndrome

Ans. (C) Stevens-Johnson syndrome
Concomitant use of valproic acid and lamotrigine increases the plasma level of lamotrigine and increases the risk of Stevens Johnson syndrome; hence, lamotrigine should be started as a low dose with gradual escalation.