Lamotrigine
Sold as Lamictin p5, Lamictin p25, Lamictin, Lamictin p50, Lametec, Lamictin p2, Lamitor, Trinity lamotrigine, Girotec, AURO lamotrigine, Girotec-d, Zesiton, Lamidus odt, Lamotrigine kiara, Serinem, Rigadel, Lamotrigine accord, Epitec, Aspen lamotrigine, Lamotrigine unimed, Merck-lamotrigine, Lamotrigine MSQ, Toclon, Lamilepsy, Adco-mictrin, Lamotrigine austell, Lamidus, Zydus lamotrigine, Zydus-lamotrigine
6-(2,3-Dichlorophenyl)-1,2,4-triazine-3,5-diamine
Drag to rotate. Structure from PubChem CID 3878.
Background
Registration
- Applicants
- 18
- Registrations
- 101
- Schedule source
- Consolidated Schedules 06 July 2026
Applicants and registrations
| Applicant | Brands | Dosages | Registrations | Schedule | Leaflets |
|---|---|---|---|---|---|
| Glaxosmithkline South Africa (Pty) Limited2 of 8 cancelled | Lamictin p5, Lamictin p25, Lamictin, Lamictin p50, Lamictin p2 | 25, 50, 100, 200 | 290303, 290304, 290472, 320459, 360407, Z0280, Z0281, Z0282 | S3 | None |
| Cipla Medpro (Pty) Ltd1 of 5 cancelled | Lametec, Epitec | 25, 50, 100, 200 | 350143, A380571, A380572, A380573, A380574 | S3 | None |
| Dr Reddyæs Laboratories (Pty) LtdCertificate held by Dr. Reddy’s Laboratories (Pty) Ltd. | Lamitor | 25, 50, 100, 200 | 370051, 370052, 370053, 410375 | S3 | PI |
| Trinity Pharma (Pty) Ltd | Trinity lamotrigine | 25, 50, 100, 200 | 410705, 410706, 410707, 410708 | S3 | None |
| Aurogen South Africa (Pty) Ltd | Girotec, AURO lamotrigine, Girotec-d, Zesiton, Lamidus odt | 5 mg, 25 mg, 50 mg, 100 mg, 200 mg | 430047, 430048, 430049, 430050, 430051, 430053, 430054, 450627, 450628, 450629, 450630, 450631, 450632, 450633, 450634, 450635, 450636, 450637, 450638, 450639, 450640, 450641 | S3 | None |
| Unichem SA (Pty) Ltd | Lamotrigine kiara | 25 mg, 50 mg, 100 mg, 200 mg | 460408, 460409, 460410, 460411 | S3 | None |
| Unicorn Pharmaceuticals (Pty) Ltd | Serinem | 25, 50, 100, 200 | 460412, 460413, 460414, 460415 | S3 | None |
| Dezzo Trading 392 (Pty) Ltd | Rigadel | 25, 50, 100, 200 | 570029, 570030, 570031, 570032 | S3 | PIPIL |
| Accord Healthcare (Pty) Ltd | Lamotrigine accord | 5 mg, 25 mg, 100 mg | 570710, 570711, 570712 | S3 | None |
| Pharmacare limited û woodmead | Aspen lamotrigine | 25 mg, 50 mg, 100 mg, 200 mg | A380585, A380586, A380587, A380588 | S3 | None |
| Unimed Healthcare (Pty) Ltd | Lamotrigine unimed | 25, 50, 100, 200 | A390473, A390474, A390475, A390476 | S3 | None |
| Merck Generics Rsa (Pty) Ltd | Merck-lamotrigine | 2 mg, 5 mg, 25 mg, 50 mg, 100 mg, 200 mg | A390492, A390493, A390494, A390495, A400010, A400011, A400012, A400013, A400014, A400015 | S3 | None |
| LHC Pharmaceuticals (Pty) Ltd | Lamotrigine MSQ | 25, 50, 100, 200 | A400036, A400037, A400038, A400039 | S3 | None |
| Ranbaxy (SA) (Pty) LtdCancelled | Toclon | 25, 50, 100, 200 | A400040, A400041, A400042, A400043 | S3 | None |
| Pharma Dynamics (Pty) Ltd | Lamilepsy | 25 mg, 50 mg, 100 mg, 200 mg | A400166, A400167, A400169, A400173 | S3 | None |
| Adcock ingram limitedCancelled | Adco-mictrin | 50, 100, 200 | A400183, A400185, A400186 | S3 | None |
| Austell Pharmaceuticals (Pty) Ltd | Lamotrigine austell | 25 mg, 50 mg, 100 mg, 200 mg | A400273, A400274, A400275, A400276 | S3 | None |
| Zydus Healthcare (Pty) LtdCancelled | Lamidus, Zydus lamotrigine, Zydus-lamotrigine | 50 mg, 100 mg, 200 mg | A400763, A400764, A400765, A400768, A400769, A400770 | S3 | None |
Variants
| Product | Strength and form | Registration | Status | Schedule | Leaflets |
|---|---|---|---|---|---|
| Lamictin p5 EACH TABLET CONTAINS LAMOTRIGINE 5 mg | Not listed | 29030329/2.5/0303 | Registered | S3 | None |
| Lamictin p25 EACH TABLET CONTAINS LAMOTRIGINE 25 mg | Not listed | 29030429/2.5/0304 | Registered | S3 | None |
| Lamictin 200 EACH TABLET CONTAINS LAMOTRIGINE 200 mg | 200 | 29047229/2.5/0472 | Registered | S3 | None |
| Lamictin p50 EACH TABLET CONTAINS LAMOTRIGINE 50,0 mg | Not listed | 32045932/2.5/0459 | Cancelled | S3 | None |
| Lametec EACH TABLET CONTAINS LAMOTRIGINE 25,0 mg | Not listed | 35014335/2.5/0143 | Cancelled | S3 | None |
| Lamictin p2 EACH TABLET CONTAINS LAMOTRIGINE 2,0 mg | Not listed | 36040736/2.5/0407 | Cancelled | S3 | None |
| Lamitor-25 EACH TABLET CONTAINS LAMOTRIGINE 25,0 mg | 25Tablets | 37005137/2.5/0051Approved 31 December 2008 | Registered | S3 | PI |
| Lamitor-50 EACH TABLET CONTAINS LAMOTRIGINE 50,0 mg | 50Tablets | 37005237/2.5/0052Approved 31 December 2008 | Registered | S3 | PI |
| Lamitor-100 EACH TABLET CONTAINS LAMOTRIGINE 100,0 mg | 100Tablets | 37005337/2.5/0053Approved 31 December 2008 | Registered | S3 | PI |
| Lamitor-200 EACH TABLET CONTAINS LAMOTRIGINE 200,0 mg | 200Tablets | 41037541/2.5/0375Approved 31 December 2008 | Registered | S3 | PI |
| Trinity lamotrigine 25 EACH TABLET CONTAINS LAMOTRIGINE 25,0 mg | 25 | 41070541/2.5/0705 | Registered | S3 | None |
| Trinity lamotrigine 50 EACH TABLET CONTAINS LAMOTRIGINE 50,0 mg | 50 | 41070641/2.5/0706 | Registered | S3 | None |
| Trinity lamotrigine 100 EACH TABLET CONTAINS LAMOTRIGINE 100,0 mg | 100 | 41070741/2.5/0707 | Registered | S3 | None |
| Trinity lamotrigine 200 EACH TABLET CONTAINS LAMOTRIGINE 200,0 mg | 200 | 41070841/2.5/0708 | Registered | S3 | None |
| Girotec 25 MG EACH TABLET CONTAINS LAMOTRIGINE 25,0 mg | 25 mg | 43004743/2.5/0047 | Registered | S3 | None |
| Girotec 50 MG EACH TABLET CONTAINS LAMOTRIGINE 50,0 mg | 50 mg | 43004843/2.5/0048 | Registered | S3 | None |
| Girotec 100 MG EACH TABLET CONTAINS LAMOTRIGINE 100,0 mg | 100 mg | 43004943/2.5/0049 | Registered | S3 | None |
| Girotec 200 MG EACH TABLET CONTAINS LAMOTRIGINE 200,0 mg | 200 mg | 43005043/2.5/0050 | Registered | S3 | None |
| AURO lamotrigine tablets 25 MG EACH TABLET CONTAINS LAMOTRIGINE 25,0 mg | 25 mgTablets | 43005143/2.5/0051 | Registered | S3 | None |
| AURO lamotrigine tablets 100 MG EACH TABLET CONTAINS LAMOTRIGINE 100,0 mg | 100 mgTablets | 43005343/2.5/0053 | Registered | S3 | None |
| AURO lamotrigine tablets 200 MG EACH TABLET CONTAINS LAMOTRIGINE 200,0 mg | 200 mgTablets | 43005443/2.5/0054 | Registered | S3 | None |
| Girotec-d 5 MG EACH TABLET CONTAINS LAMOTRIGINE 5,0 mg | 5 mg | 45062745/2.5/0627 | Registered | S3 | None |
| Girotec-d 25 MG EACH TABLET CONTAINS LAMOTRIGINE 25,0 mg | 25 mg | 45062845/2.5/0628 | Registered | S3 | None |
| Girotec-d 50 MG EACH TABLET CONTAINS LAMOTRIGINE 50,0 mg | 50 mg | 45062945/2.5/0629 | Registered | S3 | None |
| Girotec-d 100 MG tablet EACH TABLET CONTAINS LAMOTRIGINE 100,0 mg | 100 mgTablet | 45063045/2.5/0630 | Registered | S3 | None |
| Girotec-d 200 MG tablet EACH TABLET CONTAINS LAMOTRIGINE 200,0 mg | 200 mgTablet | 45063145/2.5/0631 | Registered | S3 | None |
| Zesiton 5 MG tablet EACH TABLET CONTAINS LAMOTRIGINE 5,0 mg | 5 mgTablet | 45063245/2.5/0632 | Registered | S3 | None |
| Zesiton 25 MG tablet EACH TABLET CONTAINS LAMOTRIGINE 25,0 mg | 25 mgTablet | 45063345/2.5/0633 | Registered | S3 | None |
| Zesiton 50 MG tablet EACH TABLET CONTAINS LAMOTRIGINE 50,0 mg | 50 mgTablet | 45063445/2.5/0634 | Registered | S3 | None |
| Zesiton 100 MG tablet EACH TABLET CONTAINS LAMOTRIGINE 100,0 mg | 100 mgTablet | 45063545/2.5/0635 | Registered | S3 | None |
| Zesiton 200 MG tablet EACH TABLET CONTAINS LAMOTRIGINE 200,0 mg | 200 mgTablet | 45063645/2.5/0636 | Registered | S3 | None |
| Lamidus 5 MG odt EACH TABLET CONTAINS LAMOTRIGINE 5,0 mg | 5 mg | 45063745/2.5/0637 | Registered | S3 | None |
| Lamidus 25 MG odt EACH TABLET CONTAINS LAMOTRIGINE 25,0 mg | 25 mg | 45063845/2.5/0638 | Registered | S3 | None |
| Lamidus 50 MG odt EACH TABLET CONTAINS LAMOTRIGINE 50,0 mg | 50 mg | 45063945/2.5/0639 | Registered | S3 | None |
| Lamidus 100 MG odt EACH TABLET CONTAINS LAMOTRIGINE 100,0 mg | 100 mg | 45064045/2.5/0640 | Registered | S3 | None |
| Lamidus 200 MG odt EACH TABLET CONTAINS LAMOTRIGINE 200,0 mg | 200 mg | 45064145/2.5/0641 | Registered | S3 | None |
| Lamotrigine 25 MG kiara EACH TABLET CONTAINS :LAMOTRIGINE 25,0 mg | 25 mg | 46040846/2.5/0408 | Registered | S3 | None |
| Lamotrigine 50 MG kiara EACH TABLET CONTAINS :LAMOTRIGINE 50,0 mg | 50 mg | 46040946/2.5/0409 | Registered | S3 | None |
| Lamotrigine 100 MG kiara EACH TABLET CONTAINS :LAMOTRIGINE 100,0 mg | 100 mg | 46041046/2.5/0410 | Registered | S3 | None |
| Lamotrigine 200 MG kiara EACH TABLET CONTAINS :LAMOTRIGINE 200,0 mg | 200 mg | 46041146/2.5/0411 | Registered | S3 | None |
| Serinem 25 EACH TABLET CONTAINS :LAMOTRIGINE 25,0 mg | 25 | 46041246/2.5/0412 | Registered | S3 | None |
| Serinem 50 EACH TABLET CONTAINS :LAMOTRIGINE 50,0 mg | 50 | 46041346/2.5/0413 | Registered | S3 | None |
| Serinem 100 EACH TABLET CONTAINS :LAMOTRIGINE 100,0 mg | 100 | 46041446/2.5/0414 | Registered | S3 | None |
| Serinem 200 EACH TABLET CONTAINS :LAMOTRIGINE 200,0 mg | 200 | 46041546/2.5/0415 | Registered | S3 | None |
| Rigadel 25 EACH TABLET LAMOTRIGINE 25,0 mg | 25Tablet | 57002957/2.5/0029Approved 27 September 2022 | Registered | S3 | PIPIL |
| Rigadel 50 EACH TABLET CONTAINS LAMOTRIGINE 50,0 mg | 50Tablet | 57003057/2.5/0030Approved 27 September 2022 | Registered | S3 | PIPIL |
| Rigadel 100 EACH TABLET CONTAINS LAMOTRIGINE 100,0 mg | 100Tablet | 57003157/2.5/0031Approved 27 September 2022 | Registered | S3 | PIPIL |
| Rigadel 200 EACH TABLET CONTAINS LAMOTRIGINE 200,0 mg | 200Tablet | 57003257/2.5/0032Approved 27 September 2022 | Registered | S3 | PIPIL |
| Lamotrigine 5 MG accord EACH TABLET CONTAINS: LAMOTRIGINE 5,0 mg | 5 mg | 57071057/2.5/0710 | Registered | S3 | None |
| Lamotrigine 25 MG accord EACH TABLET CONTAINS: LAMOTRIGINE 25,0 mg | 25 mg | 57071157/2.5/0711 | Registered | S3 | None |
| Lamotrigine 100 MG accord EACH TABLET CONTAINS: LAMOTRIGINE 100,0 mg | 100 mg | 57071257/2.5/0712 | Registered | S3 | None |
| Epitec 25 EACH TABLET CONTAINS LAMOTRIGINE 25,0 mg | 25 | A380571A38/2.5/0571 | Registered | S3 | None |
| Epitec 50 EACH TABLET CONTAINS LAMOTRIGINE 50,0 mg | 50 | A380572A38/2.5/0572 | Registered | S3 | None |
| Epitec 100 EACH TABLET CONTAINS LAMOTRIGINE 100,0 mg | 100 | A380573A38/2.5/0573 | Registered | S3 | None |
| Epitec 200 EACH TABLET CONTAINS LAMOTRIGINE 200,0 mg | 200 | A380574A38/2.5/0574 | Registered | S3 | None |
| Aspen lamotrigine 25 MG EACH TABLET CONTAINS LAMOTRIGINE 25,0 mg | 25 mg | A380585A38/2.5/0585 | Registered | S3 | None |
| Aspen lamotrigine 50 MG EACH TABLET CONTAINS LAMOTRIGINE 50,0 mg | 50 mg | A380586A38/2.5/0586 | Registered | S3 | None |
| Aspen lamotrigine 100 MG EACH TABLET CONTAINS LAMOTRIGINE 100,0 mg | 100 mg | A380587A38/2.5/0587 | Registered | S3 | None |
| Aspen lamotrigine 200 MG EACH TABLET CONTAINS LAMOTRIGINE 200,0 mg | 200 mg | A380588A38/2.5/0588 | Registered | S3 | None |
| Lamotrigine 25 unimed EACH TABLET CONTAINS LAMOTRIGINE 25,0 mg | 25 | A390473A39/2.5/0473 | Registered | S3 | None |
| Lamotrigine 50 unimed EACH TABLET CONTAINS LAMOTRIGINE 50,0 mg | 50 | A390474A39/2.5/0474 | Registered | S3 | None |
| Lamotrigine 100 unimed EACH TABLET CONTAINS LAMOTRIGINE 100,0 mg | 100 | A390475A39/2.5/0475 | Registered | S3 | None |
| Lamotrigine 200 unimed EACH TABLET CONTAINS LAMOTRIGINE 200,0 mg | 200 | A390476A39/2.5/0476 | Registered | S3 | None |
| Merck-lamotrigine 25 MG EACH TABLET CONTAINS :LAMOTRIGINE 25,0 mg | 25 mg | A390492A39/2.5/0492 | Registered | S3 | None |
| Merck-lamotrigine 50 MG EACH TABLET CONTAINS: LAMOTRIGINE 50,0 mg | 50 mg | A390493A39/2.5/0493 | Registered | S3 | None |
| Merck-lamotrigine 100 MG EACH TABLET CONTAINS: LAMOTRIGINE 100,0 mg | 100 mg | A390494A39/2.5/0494 | Registered | S3 | None |
| Merck-lamotrigine 200 MG EACH TABLET CONTAINS :LAMOTRIGINE 200,0 mg | 200 mg | A390495A39/2.5/0495 | Registered | S3 | None |
| Merck-lamotrigine dispersible 2 MG EACH TABLET CONTAINS LAMOTRIGINE 2,0 mg | 2 mgDispersible | A400010A40/2.5/0010 | Registered | S3 | None |
| Merck-lamotrigine dispersible 5 MG EACH TABLET CONTAINS LAMOTRIGINE 5,0 mg | 5 mgDispersible | A400011A40/2.5/0011 | Registered | S3 | None |
| Merck-lamotrigine dispersible 25 MG EACH TABLET CONTAINS LAMOTRIGINE 25,0 mg | 25 mgDispersible | A400012A40/2.5/0012 | Registered | S3 | None |
| Merck-lamotrigine dispersible 50 MG EACH TABLET CONTAINS LAMOTRIGINE 50,0 mg | 50 mgDispersible | A400013A40/2.5/0013 | Registered | S3 | None |
| Merck-lamotrigine dispersible 100 MG EACH TABLET CONTAINS LAMOTRIGINE 100,0 mg | 100 mgDispersible | A400014A40/2.5/0014 | Registered | S3 | None |
| Merck-lamotrigine dispersible 200 MG EACH TABLET CONTAINS LAMOTRIGINE 200,0 mg | 200 mgDispersible | A400015A40/2.5/0015 | Registered | S3 | None |
| Lamotrigine 25 MSQ EACH TABLET CONTAINS LAMOTRIGINE 25,0 mg | 25 | A400036A40/2.5/0036 | Registered | S3 | None |
| Lamotrigine 50 MSQ EACH TABLET CONTAINS LAMOTRIGINE 50,0 mg | 50 | A400037A40/2.5/0037 | Registered | S3 | None |
| Lamotrigine 100 MSQ EACH TABLET CONTAINS: LAMOTRIGINE 100,0 mg | 100 | A400038A40/2.5/0038 | Registered | S3 | None |
| Lamotrigine 200 MSQ EACH TABLET CONTAINS:LAMOTRIGINE 200,0 mg | 200 | A400039A40/2.5/0039 | Registered | S3 | None |
| Toclon 25 EACH TABLET CONTAINS LAMOTRIGINE 25,0 mg | 25 | A400040A40/2.5/0040 | Cancelled | S3 | None |
| Toclon 50 EACH TABLET CONTAINS LAMOTRIGINE 50,0 mg | 50 | A400041A40/2.5/0041 | Cancelled | S3 | None |
| Toclon 100 EACH TABLET CONTAINS LAMOTRIGINE 100,0 mg | 100 | A400042A40/2.5/0042 | Cancelled | S3 | None |
| Toclon 200 EACH TABLET CONTAINS LAMOTRIGINE 200,0 mg | 200 | A400043A40/2.5/0043 | Cancelled | S3 | None |
| Lamilepsy 100 MG EACH TABLET CONTAINS LAMOTRIGINE 100,0 mg | 100 mg | A400166A40/2.5/0166 | Registered | S3 | None |
| Lamilepsy 200 MG EACH TABLET CONTAINS LAMOTRIGINE 200,0 mg | 200 mg | A400167A40/2.5/0167 | Registered | S3 | None |
| Lamilepsy 50 MG EACH TABLET CONTAINS LAMOTRIGINE 50,0 mg | 50 mg | A400169A40/2.5/0169 | Registered | S3 | None |
| Lamilepsy 25 MG EACH TABLET CONTAINS LAMOTRIGINE 25,0 mg | 25 mg | A400173A40/2.5/0173 | Registered | S3 | None |
| Adco-mictrin 200 EACH TABLET CONTAINS LAMOTRIGINE 200,0 mg | 200 | A400183A40/2.5/0183 | Cancelled | S3 | None |
| Adco-mictrin 50 EACH TABLET CONTAINS LAMOTRIGINE 50,0 mg | 50 | A400185A40/2.5/0185 | Cancelled | S3 | None |
| Adco-mictrin 100 EACH TABLET CONTAINS LAMOTRIGINE 100,0 mg | 100 | A400186A40/2.5/0186 | Cancelled | S3 | None |
| Lamotrigine 25 MG austell EACH TABLET CONTAINS LAMOTRIGINE 25,0 mg | 25 mg | A400273A40/2.5/0273 | Registered | S3 | None |
| Lamotrigine 50 MG austell EACH TABLET CONTAINS LAMOTRIGINE 50,0 mg | 50 mg | A400274A40/2.5/0274 | Registered | S3 | None |
| Lamotrigine 100 MG austell EACH TABLET CONTAINS LAMOTRIGINE 100,0 mg | 100 mg | A400275A40/2.5/0275 | Registered | S3 | None |
| Lamotrigine 200 MG austell EACH TABLET CONTAINS LAMOTRIGINE 200,0 mg | 200 mg | A400276A40/2.5/0276 | Registered | S3 | None |
| Lamidus 50 EACH TABLET CONTAINS LAMOTRIGINE 50,0 mg | 50 | A400763A40/2.5/0763 | Cancelled | S3 | None |
| Lamidus 100 EACH TABLET CONTAINS LAMOTRIGINE 100,0 mg | 100 | A400764A40/2.5/0764 | Cancelled | S3 | None |
| Lamidus 200 EACH TABLET CONTAINS LAMOTRIGINE 200,0 mg | 200 | A400765A40/2.5/0765 | Cancelled | S3 | None |
| Zydus lamotrigine 50 MG tablets EACH TABLET CONTAINS LAMOTRIGINE 50,0 mg | 50 mgTablets | A400768A40/2.5/0768 | Cancelled | S3 | None |
| Zydus-lamotrigine 100 MG tablets EACH TABLET CONTAINS LAMOTRIGINE 100,0 mg | 100 mgTablets | A400769A40/2.5/0769 | Cancelled | S3 | None |
| Zydus-lamotrigine 200 MG tablets EACH TABLET CONTAINS LAMOTRIGINE 200,0 mg | 200 mgTablets | A400770A40/2.5/0770 | Cancelled | S3 | None |
| Lamictin 25 EACH TABLET CONTAINS LAMOTRIGINE 25 mg | 25 | Z0280Z/2.5/280 | Registered | S3 | None |
| Lamictin 50 EACH TABLET CONTAINS LAMOTRIGINE 50 mg | 50 | Z0281Z/2.5/281 | Registered | S3 | None |
| Lamictin 100 EACH TABLET CONTAINS LAMOTRIGINE 100 mg | 100 | Z0282Z/2.5/282 | Registered | S3 | None |
Regulatory status
Where S3 sits on the scale
Needs a doctor's prescription, dispensed by a pharmacist.
Schedule 3 medicines can only be sold on a prescription from an authorised prescriber, such as a doctor or dentist. A pharmacist dispenses the medicine once they have the written prescription, or a verbal instruction from a prescriber they know. Its price, name, pack size and strength can still be told to the public, as long as nothing links it to what it treats.
Schedule S3, matched to the Consolidated Schedules by ingredient, confidence high.
Who may supply: A pharmacist dispensing against a written or verbal prescription from an authorised prescriber; a veterinarian, who may also prescribe, compound or dispense it directly; a medical practitioner or dentist, who may prescribe it and may compound or dispense it directly only if licensed under section 22C(1)(a); manufacturers and wholesalers may supply people who may lawfully possess it; and, for animal treatment, a person practising a para-veterinary profession, on a veterinarian's written or verbal instruction.
Consolidated Schedules listings for Lamotrigine
S3: Lamotrigine
Consolidated Schedules 06 July 2026, line 3874
Pharmacological class: Anticonvulsants, including anti-epileptics. (class 2.5)
This is an informational summary of the Medicines and Related Substances Act 101 of 1965 and its 2017 General Regulations. It is not medical advice and not legal advice. Always check the medicine's label, which carries the schedule number inside a square border, or ask a pharmacist if you are unsure.
SAHPRA documents
These documents are provided by SAHPRA for informational purposes. Always consult with a healthcare professional for medical advice.