Lamictal or Lamotrigine is another great medication that's used to control epilepsy. It's been out for a number of years. In fact it is now available in a generic formalization but it's also available in a extended release and in a o d t, which is a oral disintegrating tablet. So it's a pill you can place on your tongue. It's great for little kids and it just dissolves. It's another sodium channel drug which is interesting. It's good for both partial complex seizures as well as generalized seizures. It also has a FDA approval for bipolar disorder as well. And it's really well tolerated. Very few side effects. The big side effect and the big black box warning with Lamotrigine is that you can develop a bad rash from it. It's called a Stevens Johnson reaction. So what happens is if you start the dose abruptly or you try to treat it too quickly and raise the dose to quickly, or if you use in combination with other medications. You can develop this rash that's sort of a red raised rash. Usually on the trunk and the chest. It gets worse, it can spread to the mouth. If that happens it's something that needs to get treated in the hospital with steroids, but usually you can avoid that happening at by slowly increasing the dose, by telling the patients about the possibility of this rash developing. And if the rash develops you hold the medication and give them benadryl. But the rash shouldn't stop you from thinking about using this medication. Very few people get the rash. The rash is usually easily manageable, because it's such a great medication with few cognitive side effects. No weight gain. Only rarely have people complained about insomnia with lymictal. But in overall it's a great medication. It works well and it's used for a bunch of different seizure types. Works on sodium channels. Well tolerated and it's also another one that can be used in pregnancy at lower doses not at higher doses.