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doi: 10.2460/javma.253.11.1425

Avoid the use of Lamictal in patients who have cardiac conduction disorders (i.e., second- or third-degree heart block), ventricular arrhythmias, or cardiac disease or abnormality (i.e., myocardial ischemia, heart failure, structural heart disease, Brugada syndrome, or other sodium channelopathies)

Not because the compound does not work, it does, but because they are treating a systemic repair problem with a localised tool and expecting that to be enough

(PubMed) Johnston CS, Luo B

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Other studies have further highlighted that it may improve sleep structure and decrease sleep latency in chronic insomnia