The client with bipolar disorder has been on lamotrigine (Lamictal) for three years and has had a stable mood for one year and asks what the risks would be of just stopping all the lamotrigine at once

Which nursing response is the most important point? 1. Stopping this medication is usually not problematic.
2. Stopping this medication could trigger a panic attack.
3. Stopping this medication may trigger headaches.
4. Stopping this medication abruptly carries the risk of seizures.


4
Rationale: If the dose is not tapered slowly to discontinuation, the client may have a seizure. A headache would not be as risky as a seizure. A panic attack should not occur as lamotrigine is generally used as a mood stabilizer in psychiatry.

Nursing

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