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Lamotrigine Substance Concentration in Serum

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of lamotrigine, a medication used to treat certain types of seizures and mood disorders, in your blood serum. It helps doctors monitor your drug levels to ensure they are within the safe and effective range.

Quick summary

["This test helps your doctor adjust your lamotrigine dose for better control of seizures or mood symptoms."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
60312-6
Short code
lamoTRIgine Spec-sCnc
Synonyms
lamoTRIgine Spec-sCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your healthcare provider may order this test if you’re taking lamotrigine to manage epilepsy, bipolar disorder, or other conditions. Regular monitoring helps prevent side effects, such as rash or dizziness, and ensures the medication works properly.

What to Expect Before the Test

No special preparation is needed. You’ll have a small needle inserted into your arm or vein to draw a blood sample. The process usually takes a few minutes, and you may feel a brief pinch. If you’re nervous, let your provider know.

What the Results Mean

Results show the concentration of lamotrigine in your blood. While reference ranges vary by lab, lower-than-expected levels may mean your dose isn’t working, and higher levels could signal toxicity. Your doctor will interpret these results in the context of your symptoms and medical history.

Possible Side Effects or Considerations

Lamotrigine is generally well-tolerated, but very high levels can cause serious side effects like dizziness, nausea, or rare but serious reactions like Stevens-Johnson syndrome (a severe rash). If you experience unusual symptoms, contact your doctor immediately.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Monitoring lamotrigine levels is critical because the drug’s effectiveness and safety depend on maintaining specific blood concentrations. Too little may reduce seizure control or mood stabilization, while too much can lead to adverse reactions. This test helps optimize your treatment plan.

Short name

Lamotrigine Level

Frequently asked questions

When should I get this test?
Your doctor may schedule this test during routine check-ups, especially if you’re on a new dose, have missed doses, or are experiencing unusual symptoms like rash, confusion, or increased seizures.
What if my results are out of range?
If your levels are too low, your doctor may increase your dose. If they’re too high, they may adjust your medication or switch to a different form of lamotrigine. Never change your dose without consulting your provider.
Does diet or other medications affect this test?
Some medications (like valproate) can change lamotrigine levels, so always tell your doctor about all medications, supplements, or herbal products you’re taking. Dietary factors like grapefruit juice may also interact with certain medications, but they don’t directly affect lamotrigine levels.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy