The safety of add-on lamotrigine (LTG, to 500 mg/day) was evaluated in
446 patients with partial seizures (334 LTG, 112 placebo) in a 6-mont
h, multicenter, randomized, double-blind, parallel-group study. LTG ha
d no clinically important effect on vital signs, electrocardiogram, bo
dy weight, clinical laboratory results, or physical and neurologic exa
mination results. Dizziness, diplopia, ataxia, blurred vision, and som
nolence occurred significantly more often with LTG treatment than with
placebo. Most symptoms were mild or moderate and resolved with time.
Eight percent of patients in both the LTG and placebo groups withdrew
as a result of adverse events (AE). Three rashes in patients receiving
LTG were judged serious by the investigators, and one, diagnosed as S
tevens-Johnson syndrome, resulted in hospitalization; all resolved wit
h discontinuation of LTG. Significantly more patients treated with LTG
than with placebo improved as measured by the Investigators' Global E
valuations. LTG was well tolerated when administered as add-on treatme
nt of epilepsy.