Lamotrigine Normon 50 mg dispersible/chewable tablets EFG: detailed information

Patient Information Leaflet

Introduction

Patient Information Leaflet

Lamotrigina Normon 50 mg dispersible / chewable tablets EFG

Read the entire leaflet carefully before you start taking this medicine, as it contains important information for you.

Keep this leaflet as you may need to read it again.
If you have any questions, ask your doctor or pharmacist.
This medicine has been prescribed for you only, and you should not give it to others, even if they have the same symptoms as you, because it could harm them.
If you experience any adverse effects, consult your doctor or pharmacist, even if they are not listed in this leaflet. See section 4.

Leaflet Contents:

What Lamotrigina Normon is and what it is used for
What you need to know before taking Lamotrigina Normon
How to take Lamotrigina Normon
Possible adverse effects
How to store Lamotrigina Normon
Contents of the pack and other information

1. What Lamotrigina Normon is and what it is used for

Lamotrigina Normon belongs to a group of medicines called antiepileptics. It can be used to treat two conditions: epilepsy and bipolar disorder.

Lamotrigina Normon is used to treat epilepsy because it blocks signals in the brain that trigger epileptic seizures (fits).

In adults and children aged 13 years and older, lamotrigine may be used alone or in combination with other antiepileptic medicines. Lamotrigine may also be used together with other medicines to treat seizures associated with a condition called Lennox-Gastaut syndrome.
In children between 2 and 12 years of age, lamotrigine may be used in combination with other medicines to treat the same conditions. It may also be used as monotherapy (without other medicines) to treat a type of epilepsy called typical absence seizures.

Lamotrigina Normon is also used to treat bipolar disorder.

People with bipolar disorder (previously known as manic-depressive illness) experience extreme mood swings, with episodes of mania (excitement or euphoria) alternating with episodes of depression (deep sadness or despair). In adults aged 18 years and older, lamotrigine may be used to prevent depressive episodes associated with bipolar disorder, either alone or in combination with other medicines. The exact way in which lamotrigine acts in the brain to produce this effect is not known.

2. What you need to know before starting to take Lamotrigine Normon

Do not take Lamotrigine Normon:

if you are allergic (hypersensitive) to lamotrigine or to any of the other components of this medicine (listed in section 6).

If this applies to you:

? Tell your doctor, and do not take Lamotrigine Normon.

Warnings and precautions

Be especially careful with Lamotrigine Normon

Consult your doctor or pharmacist before starting to take Lamotrigine Normon:

if you have any kidney problems.
if you have ever developed a skin rash after taking lamotrigine or other medicines for bipolar disorder or epilepsy.
if you develop skin rashes or sunburn after taking lamotrigine and exposure to sunlight or artificial light (for example, in a tanning bed). Your doctor will review your treatment and may advise you to avoid sunlight or protect yourself from the sun (for example, by using sunscreen and/or protective clothing).
if you have ever had meningitis after taking lamotrigine (read the description of these symptoms in section 4 of this leaflet: Rare adverse effects)
if you are already taking medicines containing lamotrigine
if you have a condition called Brugada Syndrome or other heart problems. Brugada Syndrome is a genetic disease that causes abnormal electrical activity in the heart. Lamotrigine may lead to abnormalities in the electrocardiogram (ECG) that could cause arrhythmias (abnormal heart rhythm).

If this applies to you:

? Tell your doctor, who will decide whether to reduce your dose or determine that Lamotrigine Normon is not suitable for you.

Important information about reactions that could potentially be life-threatening

A small number of people taking lamotrigine may experience allergic or skin reactions that could potentially be life-threatening, which may lead to more serious problems if not treated. These reactions may include Stevens-Johnson Syndrome (SJS), Toxic Epidermal Necrolysis (TEN), and Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS). It is important that you are aware of the symptoms of these reactions and monitor for them while taking Lamotrigine Normon. This risk may be associated with a genetic variant in people of Asian origin (particularly Han Chinese and Thai). If you are of such origin and have been found to carry this genetic variant (HLA-B*1502), speak with your doctor before taking Lamotrigine Normon.

? Read the description of these symptoms in section 4 of this leaflet "Reactions that could potentially be life-threatening: consult your doctor immediately".

Hemophagocytic Lymphohistiocytosis (HLH)

Cases of a rare but very serious immune system reaction have been reported in patients taking lamotrigine.

? Contact your doctor or pharmacist immediately if you experience any of the following symptoms while taking lamotrigine: fever, rash, neurological symptoms (e.g., spasms or tremors, confusion, changes in brain function).

Thoughts of self-harm or suicide

Antiepileptic drugs are used to treat various conditions, including epilepsy and bipolar disorder. People with bipolar disorder may sometimes experience thoughts of self-harm or suicide. If you have bipolar disorder, you may be more likely to have these thoughts in the following situations:

when starting treatment,
if you have previously had thoughts of self-harm or suicide,
if you are under 25 years of age.

If you have troubling thoughts or experiences, or if you feel worse or develop new symptoms while being treated with Lamotrigina Normon,

? Contact your doctor as soon as possible or go to the nearest hospital.

It may be helpful for you to inform a family member, caregiver, or close friend that you may become depressed or experience significant mood changes, and ask them to read this leaflet. You may ask them to tell you if they are concerned about your depression or other changes in your behavior.

A small number of people treated with antiepileptic medicines such as lamotrigine have had thoughts of self-harm or suicide. If at any time you have such thoughts, contact your doctor immediately.

If you are taking Lamotrigina Normon for epilepsy

Seizures in some types of epilepsy may occasionally worsen or occur more frequently while taking Lamotrigina Normon. Some patients may experience severe seizures, which can cause serious health problems. If seizures occur more frequently or if you experience severe seizures while taking Lamotrigina Normon:

? Seek medical attention immediately.

Lamotrigina Normon must not be given to children under 18 years of age for the treatment of bipolar disorder. Medicines indicated for the treatment of depression and other mental health conditions increase the risk of suicidal thoughts and behaviors in children and adolescents under 18 years of age.

Other medicines and Lamotrigina Normon

Inform your doctor or pharmacist if you are taking, have recently taken, or might need to take any other medicine, including herbal medicines or other medicines obtained without a prescription.

Your doctor needs to know if you are taking other medicines for epilepsy or for mental health conditions. This is to ensure that you receive the correct dose of Lamotrigina Normon. These medicines include:

oxcarbazepine, felbamate, gabapentin, levetiracetam, pregabalin, topiramate, or zonisamide, used to treat epilepsy
lithium, olanzapine, or aripiprazole, used to treat mental health conditions
bupropion, used for the treatment of mental health conditions or for smoking cessation
paracetamol, used to treat pain and fever.

? Inform your doctor if you are taking any of these medicines.

Some medicines interact with Lamotrigina Normon or increase the likelihood of adverse effects. These include:

valproate, used to treat epilepsy and mental health conditions
carbamazepine, used to treat epilepsy and mental health conditions
phenytoin, primidone, or phenobarbital, used to treat epilepsy
risperidone, used to treat mental health conditions
rifampicin, which is an antibiotic
medicines used to treat Human Immunodeficiency Virus (HIV) infection (a combination of lopinavir and ritonavir or atazanavir and ritonavir)
hormonal contraceptives, such as the contraceptive pill (see below).

? Inform your doctor if you are taking any of these medicines, or if you start or stop taking any of them.

Hormonal contraceptives (such as the contraceptive pill) may affect how Lamotrigina Normon works.

Your doctor may recommend that you use a specific hormonal contraceptive or use another contraceptive method, such as condoms, diaphragm, or intrauterine device (IUD). If you are taking a hormonal contraceptive such as the contraceptive pill, your doctor may perform a blood test to check lamotrigine levels. If you are using a hormonal contraceptive or plan to start using one:

? Consult your doctor, who will advise you on the most appropriate contraceptive methods for you.

Lamotrigine may also affect how hormonal contraceptives work, although it is unlikely to reduce their effectiveness. If you are using a hormonal contraceptive and notice changes in your menstrual cycle, such as intermenstrual bleeding or spotting:

? Inform your doctor. These may be signs that lamotrigine is affecting how your contraceptive works.

Pregnancy and breastfeeding

? If you are pregnant, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medicine.

Do not stop your treatment without consulting your doctor. This is particularly important if you have epilepsy.
Pregnancy may alter the effectiveness of treatment with Lamotrigina Normon, so you may need a blood test and dose adjustment.
If Lamotrigina Normon is taken during the first 3 months of pregnancy, there may be a small increased risk of birth defects, including cleft lip and/or cleft palate.
Your doctor may advise you to take folic acid supplements if you are planning to become pregnant and also during pregnancy.

? If you are breastfeeding or planning to breastfeed, consult your doctor or pharmacist before using this medicine. The active ingredient in Lamotrigina Normon passes into breast milk and may affect your baby. Your doctor will discuss the risks and benefits of breastfeeding while taking Lamotrigina Normon and will arrange periodic check-ups for your baby if you decide to breastfeed, as your baby may experience drowsiness, rash, or poor weight gain. Inform your doctor if you notice any of these symptoms in your baby.

Driving and use of machines

Lamotrigina Normon may cause dizziness and double vision.

? Do not drive or operate machinery unless you are certain you are not affected by these effects.

If you have epilepsy, consult your doctor about the possibility of driving or using machines.

Important information about some of the components of Lamotrigina Normon

Lamotrigina Normon contains benzyl alcohol and sodium

This medicine contains 0.0008 mg of benzyl alcohol in each tablet.

Benzyl alcohol may cause allergic reactions.

Consult your doctor or pharmacist if you are pregnant or breastfeeding. This is because large amounts of benzyl alcohol may accumulate in your body and cause adverse effects (metabolic acidosis).

Consult your doctor or pharmacist if you have liver or kidney disease. This is because large amounts of benzyl alcohol may accumulate in the body and cause adverse effects (metabolic acidosis).

Benzyl alcohol has been associated with the risk of serious adverse effects, including breathing problems ("gasping syndrome") in children.

Do not administer this medicine to your newborn (up to 4 weeks of age) unless recommended by your doctor.

This medicine must not be used for more than one week in children under 3 years of age unless directed by your doctor or pharmacist.

This medicine contains less than 23 mg of sodium (1 mmol) per tablet; hence, it is essentially “sodium-free”.

3. How to take Lamotrigina Normon

Follow exactly the dosing instructions for this medicine as given by your doctor or pharmacist. If in doubt, consult your doctor or pharmacist again.

What dose of Lamotrigina Normon to take

It may take some time for your doctor to find the most appropriate dose of this medicine for you. The dose you should take depends on:

your age
whether you are taking lamotrigine together with other medicines
whether you have any liver or kidney problems

Your doctor will initially prescribe a low dose and gradually increase it over several weeks until reaching the most appropriate dose for you (called the effective dose). Never take more of this medicine than your doctor has prescribed.

Normally, the effective dose of lamotrigine for adults and children aged 13 years and older is between 100 mg and 400 mg per day.

For children between 2 and 12 years of age, the effective dose depends on body weight, usually between 1 mg and 15 mg per kilogram of body weight, up to a maximum maintenance dose of 200 mg per day.

The use of this medicine is not recommended in children under 2 years of age.

How to take your dose of Lamotrigina Normon

Take your dose of lamotrigine once or twice a day, as advised by your doctor. It may be taken with or without food.

Always take the full dose prescribed by your doctor. Never take only part of a tablet.

Your doctor may advise you to start or stop taking other medicines, depending on the condition being treated and your response to treatment.

The dispersible/masticable tablets of Lamotrigina Normon may be swallowed whole with a little water, chewed, or dissolved in water. Never take only part of the liquid.

Chewing the tablet:

When chewing the tablet, you may need to drink a little water to help dissolve the tablet in your mouth. After swallowing, drink a little more water to ensure that you have taken all of the medicine.

To dissolve the medicine:

place the tablet in a glass containing enough water to cover the entire tablet,
shake to dissolve or wait until the tablet is completely dissolved,
drink all the liquid,
add a little more water to the glass and drink it, to ensure that no medicine remains in the glass.

If you take more Lamotrigina Normon than you should

??In case of overdose or accidental ingestion, contact your doctor, pharmacist, or call the Toxicology Information Service at telephone: 91 562 04 20, indicating the medicine and the amount ingested.

If you take more lamotrigine than you should, you may be more likely to experience serious adverse effects that could be fatal.

Someone who has taken too much lamotrigine may experience one or more of the following symptoms:

rapid, uncontrolled eye movements (nystagmus)
clumsiness and loss of coordination, affecting balance (ataxia)
changes in heart rhythm (usually detected by ECG)
loss of consciousness, seizures, or coma.

If you forget to take a dose of Lamotrigina Normon

? Do not take a double dose to make up for missed doses. Take the next dose at your usual time.

If you forget to take multiple doses of lamotrigine:

? Ask your doctor for advice on how to restart treatment. It is important that you do this.

Do not stop taking lamotrigine without your doctor's advice

You should take lamotrigine for as long as your doctor recommends. Do not stop taking it unless your doctor advises you to do so.

If you are taking Lamotrigina Normon for the treatment of epilepsy

To stop taking this medicine, it is important that the dose is gradually reduced over approximately 2 weeks. If you stop taking lamotrigine suddenly, your epilepsy symptoms may return or your condition may worsen.

If you are taking Lamotrigina Normon for bipolar disorder

Lamotrigine may take some time to work, so you are unlikely to feel better immediately. When stopping this medicine, you do not need to gradually reduce the dose. However, you should still consult your doctor before stopping treatment.

4. Possible adverse effects

Like all medicines, this medicine can cause adverse effects, although not everyone will experience them.

Reactions that may potentially be life-threatening: consult your doctor immediately.

A small number of people taking lamotrigine experience allergic reactions or skin reactions that may potentially be life-threatening, which could lead to more serious problems if not treated.

These symptoms are more likely to occur during the first few months of treatment with Lamotrigina Normon, especially if the initial dose is too high, if the dose is increased too quickly, or if you are taking Lamotrigina Normon together with another medicine called valproate. Some of these symptoms are more common in children, so parents should pay special attention.

Symptoms of these reactions include:

skin rash or redness, which may lead to skin reactions that can be serious or, in some cases, potentially fatal, including a rash with target-like lesions (erythema multiforme), widespread rash with blisters and peeling of the skin, particularly around the mouth, nose, eyes, and genitals (Stevens-Johnson syndrome), extensive peeling of the skin (more than 30% of body surface area – toxic epidermal necrolysis), or widespread rash affecting the liver, blood, and other organs (drug reaction with eosinophilia and systemic symptoms, also known as hypersensitivity syndrome (DRESS)),
ulcers in the mouth, throat, nose, or genitals,
mouth pain or red or swollen eyes (conjunctivitis),
high temperature (fever), flu-like symptoms, or drowsiness (sopor),
swelling around the face or swollen glands in the neck, armpits, or groin,
unexplained bleeding or bruising, or fingers turning blue,
sore throat or experiencing more infections than usual (such as colds),
increased levels of liver enzymes in blood tests,
increase in a type of white blood cells (eosinophils),
enlarged lymph nodes,
involvement of body organs including the liver and kidneys.

In many cases, these symptoms may be signs of less serious adverse effects. However, you should be aware that they may potentially be life-threatening and could lead to more serious problems, such as organ failure, if left untreated. If you notice any of these symptoms:

? Contact a doctor immediately. Your doctor will decide whether you need tests to assess liver, kidney, or blood function and may advise you to stop treatment with Lamotrigina Normon. If you have developed Stevens-Johnson syndrome or toxic epidermal necrolysis, your doctor will advise you never to take lamotrigine again.

Hemophagocytic lymphohistiocytosis (HLH) (see section 2. What you need to know before taking Lamotrigina Normon).

Very common adverse effects

These affect more than 1 in 10 people:

headache
skin rash

Common adverse effects

These affect up to 1 in 10 people:

aggression or irritability
feeling sleepy or drowsy
dizziness
spasms or tremors
difficulty sleeping (insomnia)
feeling restless
diarrhea
dry mouth
nausea or vomiting
feeling tired
back, joint, or other pain.

Uncommon adverse effects

May affect up to 1 in 100 people:

clumsiness and loss of coordination (ataxia)
double or blurred vision
reduced hair mass or unusual hair loss (alopecia)
skin rash or sunburn after exposure to sunlight or artificial light (photosensitivity).

Rare adverse effects

These affect up to 1 in 1,000 people:

skin reaction characterized by concentric red spots on the skin, which may look like a "target"; that is, a dark red center surrounded by paler red rings (erythema multiforme)
skin reaction that may be life-threatening (Stevens-Johnson syndrome) (see also information at the beginning of section 4)
a set of symptoms including: fever, nausea, vomiting, headache, neck stiffness, and extreme sensitivity to bright light

This may be caused by inflammation of the membranes covering the brain and spinal cord (meningitis). These symptoms usually resolve when treatment is stopped. However, if symptoms persist or worsen, contact your doctor

rapid, uncontrolled eye movements (nystagmus)
itchy eyes, with discharge and crusts on the eyelids (conjunctivitis).

Very rare adverse effects

These affect up to 1 in 10,000 people:

skin reaction that may be life-threatening (toxic epidermal necrolysis) (see also information at the beginning of section 4)
drug reaction with eosinophilia and systemic symptoms (DRESS) (see also information at the beginning of section 4)
high temperature (fever) (see also information at the beginning of section 4)
swelling around the face (edema) or swollen glands in the neck, groin, or armpits (lymphadenopathy) (see also information at the beginning of section 4)
changes in liver function, which may be seen in blood tests, or liver failure (see also information at the beginning of section 4)
serious blood clotting disorder, which may cause bleeding or unexpected bruising (disseminated intravascular coagulation) (see also information at the beginning of section 4)
hemophagocytic lymphohistiocytosis (HLH) (see section 2. What you need to know before taking Lamotrigina Normon)
changes that may be seen in blood tests including reduced number of red blood cells (anemia), reduced number of white blood cells (leukopenia, neutropenia, agranulocytosis), reduced number of platelets (thrombocytopenia), reduced number of all types of blood cells (pancytopenia), and a bone marrow disorder called aplastic anemia
hallucinations (hearing or seeing things that are not really there)
confusion
feeling unsteady or unstable when moving
repeated body movements and/or uncontrollable sounds or words (tics), uncontrolled muscle spasms affecting the eyes, head, and torso (choreoathetosis), or other unusual movements such as jerking, spasms, or stiffness
in people with epilepsy, more frequent seizures
in people with Parkinson's disease, worsening of symptoms
lupus-like reaction (symptoms may include back or joint pain, sometimes accompanied by fever and/or general illness)

Other adverse effects

Other adverse effects have occurred in a small number of people, but their exact frequency is unknown:

bone abnormalities have been reported, including osteopenia and osteoporosis (reduced bone thickness) and fractures. Consult your doctor or pharmacist if you have taken antiepileptic medicines for a long time, if you have a history of osteoporosis, or if you are taking steroids
kidney inflammation (tubulointerstitial nephritis) or inflammation of the kidney and eye (acute tubulointerstitial nephritis and uveitis syndrome)
nightmares
decreased immunity due to reduced levels of antibodies called immunoglobulins in the blood, which help protect against infection
red nodules or spots on the skin (pseudolymphoma).

Reporting of adverse effects

If you experience any adverse effect, consult your doctor or pharmacist, even if it is a possible adverse effect not listed in this leaflet. You may also report them directly via the Spanish Pharmacovigilance System for Human Medicines: https://www.notificaRAM.es. By reporting adverse effects, you can help provide more information on the safety of this medicine.

5. Storage of Lamotrigine Normon

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date stated on the packaging, after EXP. The expiration date refers to the last day of the month indicated.

Store below 30°C. Keep in the original packaging to protect from light and moisture.

Medicines must not be disposed of via wastewater drains or household waste. Dispose of unused containers and medicines at the SIGRE Point located at the pharmacy. If you have any doubts, ask your pharmacist how to properly dispose of unused containers and medicines. This will help protect the environment.

6. Contents of the pack and other information

Composition of Lamotrigina Normon dispersible / chewable tablets

The active substance is lamotrigine. Each dispersible / chewable tablet contains 50 mg of lamotrigine.

The other components are: crospovidone, sodium saccharin (E-954), orange flavour (contains benzyl alcohol and sodium), magnesium stearate and colloidal silicon dioxide.

Appearance of the product and contents of the pack

Lamotrigina Normon 50 mg dispersible / chewable tablets are round, white or almost white tablets.

Each pack contains blisters of 42 and 56 tablets.

Marketing Authorisation Holder and Manufacturer

LABORATORIOS NORMON, S.A.

Ronda de Valdecarrizo, 6 – 28760 Tres Cantos – Madrid (SPAIN)

Date of the most recent review of this leaflet: April 2026.

Detailed information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) (http://www.aemps.gob.es).