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Finding improvement
After delivery, lamotrigine oral clearance declined exponentially back to pre-pregnancy baseline values with a half-life of 0.55 weeks, meaning doses should be tapered to preconception levels within 3 weeks to avoid toxicity.
Effect sizeCL/F return half-life 0.55 weeks (rate constant k=1.27/week)
Follow-up3 weeks
ComparatorPeak pregnancy lamotrigine oral clearance
Effect summaryimprovement; CL/F return half-life 0.55 weeks (rate constant k=1.27/week)

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Source

PMC4038031
MODEL-BASED LAMOTRIGINE CLEARANCE CHANGES DURING PREGNANCY: CLINICAL IMPLICATION
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