Lamotrigine and Dofetilide Interaction

Drug interaction information between Lamotrigine and Dofetilide.

Lamotrigine and Dofetilide have a documented moderate interaction in FDA labeling.

FDA drug labeling documents a moderate-severity interaction between Lamotrigine and Dofetilide. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Lamotrigine

Anticonvulsant

Drug B

Dofetilide

Class III Antiarrhythmic

How They Interact

Lamotrigine can change how the body handles dofetilide, a drug that can be dangerous if levels are slightly off.

FDA Label Information

Coadministration of lamotrigine with OCT2 substrates with a narrow therapeutic index (e.g., dofetilide) is not recommended.

Frequently Asked Questions

What SPL severity band is on file for Lamotrigine + Dofetilide?

Compiled FDA labeling labels this pair moderate. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Lamotrigine has 24 labeled pairs on file vs Dofetilide's 8. In the moderate band specifically: Lamotrigine has 2 (also Desmopressin); Dofetilide has 3 (also Clarithromycin, Digoxin).

What mechanism field is on file for Lamotrigine and Dofetilide?

Lamotrigine can change how the body handles dofetilide, a drug that can be dangerous if levels are slightly off.

Dofetilide carries more major-labeled pairs than Lamotrigine

SPL source-record counts only. This page's band is moderate · classes on file: Lamotrigine (Anticonvulsant); Dofetilide (Class III Antiarrhythmic).

Dofetilide has 4 major-labeled pairs vs Lamotrigine's 0. This page itself is in the moderate band, not the major band.

Lamotrigine

0 major · 2 moderate · 22 minor · 24 total

Dofetilide

4 major · 3 moderate · 1 minor · 8 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.