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A 35-yeаr-оld wоmаn with histоry of bipolаr II disorder presents to her outpatient psychiatrist’s office for follow-up. She reports that her mood has improved since starting lurasidone, but she has found that it does not prevent her from becoming depressed, but instead makes her depressive episodes less intense. You discuss starting lamotrigine as a mood stabilizer, and the patient agrees with this plan. What serious side effect should this patient be counseled about?