Hi,
Yes, it can trigger factor seen in patients [in few reports], so you have to completely stop any
nicotine product like hookah [even don't go near them]. Continue your
Lamotrigine as prescribed by your physician. They might have asked you some lab work like [EEG,
prolactin levels, or sometimes video-EEG] these can be ordered to find prognosis.
Few generalized modalities can help you like:
a] Take precaution when you are near water bodies, fire, driving]
b] To calm and stress free[ it will reduce your chance of getting seizure] join online art of living breath
meditation workshop. In my patient I have seen combining this with above eliminate seizures]
c]
Ketogenic diet is also option, if your treating physician finds it good in your case.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Sunny Madar, General & Family Physician