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Lamictal rash starting on my hands?
jazir5 posted:
I have raised red blotchs on the inside of my palms. It has been about 2 weeks since my last dosage increase(to 200 mgs a day) is what it looks like. Ive been getting rashs that are unrelated to lamictal, but only right after i started taking it. Can someone please lay my fear to rest so i don't lose it. It is on both hands btw
Joseph F Goldberg, MD responded:
Dear Jazir5,

Lamictal rashes most often occur on the neck or face, along soft tissue areas (eg, inside cheeks, nares, eyes/eyelids) or the palms of the hands and soles of the feet. Typically Lamictal rashes occur between the 2nd and 8th weeks of treatment. Risk is higher is dosing occurs faster than the manufacturer's recommended schedule (25 mg/day for 2 weeks, then 50 mg/day for 2 weeks, then 100 mg/day for a week, then 200 mg/day for a week). I couldn't see the photo you posted but red blotches on your palms could be Lamictal-related, assuming there isn't another cause (e.g., contact dermatitis). Often I have my own patients text me a photo of the rash if I can't see them in person that day; you might ask your doctor if you can do this, or if he or she would advise you to stop the medicine now. Also be sure there are no lesions in the other areas that I've mentioned above, particularly blistering lesion.

Dr. G.

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