Lamez OD 150 Tablet SR can be used alone or in combination with other medications It can be taken with or without food Your doctor will determine the appropriate dosage for you which may be gradually increased until your condition stabilizes It may take several weeks for this medication to take effect so it is important to take it regularly in order to receive the maximum benefit Do not discontinue use even if you feel well unless advised by your doctor Stopping the medication abruptly could result in increased seizures or worsening of your bipolar disorder The most common side effects of this medication include skin rashes headaches nausea and vomiting difficulty sleeping dizziness and drowsiness Most side effects diminish over time but if they persist or become bothersome inform your doctor Seek immediate medical attention if you notice a rash or skin peeling There may be measures to prevent or reduce these side effects Prolonged use of this medication can weaken your bones leading to osteoporosis and an increased risk of fractures Before taking this medication inform your doctor if you have kidney or liver problems depression or suicidal thoughts Additionally disclose all other medications you are currently 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 avoid activities that require focus or concentration You may need frequent blood tests to monitor your response to the medication