Lamepil 20mg Tablet can be used on its own or in conjunction with other medications It can be taken with or without food The appropriate dosage will be determined by your doctor and may be increased gradually until your condition stabilizes It is important to take this medicine regularly to obtain the maximum benefit even if you feel well Do not discontinue use unless advised by your doctor as doing so may result in more seizures or worsening of bipolar disorder The most common side effects of this medication include skin rashes headaches nausea and vomiting difficulty sleeping dizziness and drowsiness These side effects are usually temporary but if they persist or cause significant discomfort it is important to inform your doctor Contact your doctor immediately if you experience a rash or skin peeling There may be ways to prevent or alleviate these effects Prolonged use of this medication can increase the risk of osteoporosis and bone fractures Before taking this medication inform your doctor if you have kidney or liver problems depression or thoughts of suicide Additionally disclose all other medications you are taking as some may interact with or be affected by this medication including contraceptive pills If you are pregnant or breastfeeding consult your doctor as the dosage may need to be adjusted If this medication causes drowsiness or dizziness it is advised to avoid activities such as driving that require concentration Regular blood tests may be necessary to monitor your response to this medication