Lacosamide Pharmacology


About Lacosamide
Functionalized amino acid, Anticonvulsant.
Mechanism of Action of Lacosamide
Precise mechanism of action is unknown; however, lacosamide selectively enhances slow inactivation of voltage-gated sodium channels, resulting in stabilization of hyperexcitable neuronal membranes and inhibition of repetitive neuronal firing.
Lacosamide does not affect AMPA, kainate, NMDA, GABAA, GABAB or a variety of dopaminergic, serotonergic, adrenergic, muscarinic or cannabinoid receptors and does not block potassium or calcium currents.
Pharmacokinets of Lacosamide
Absorption:Well absorbed orally.
Distribution:Vd is approximately 0.6 L/kg. Less than 15% is bound to plasma proteins.
Metabolism:Primarily cleared from the systemic circulation by renal excretion and biotransformation. Lacosamide is a CYP2C19 substrate.
Elimination:Approximately 95% is eliminated in the urine and less.
Onset of Action for Lacosamide
Duration of Action for Lacosamide
Half Life of Lacosamide
13 hours
Side Effects of Lacosamide
2.Ringing in ears
4.Muscle spasms
5.Numbness or tingly feeling
7.Trouble concentrating
9.Spinning sensation
10.Loss of balance or coordination
11.Constipation or diarrhea
12.Upset stomach
14.Blurred vision
Contra-indications of Lacosamide
Lacosamide is contraindicated with patients with known second- or third-degree atrioventricular block. Prolongations in the PR interval have been observed in clinical studies.
Special Precautions while taking Lacosamide
1.Patients should be monitored for signs of suicidal ideation and behaviour
2.Kidney disease
3.Liver disease
4.A history of depression, suicidal thoughts or actions, or drug or alcohol abuse
5.Nerve problems caused by diabetes
6.A serious heart condition such as "sick sinus syndrome" or "AV block" , heart failure, or other severe heart disorder
Pregnancy Related Information
Old Age Related Information
Use with caution
Breast Feeding Related Information
Not recommended
Children Related Information
Not recommended
Indications for Lacosamide
1.Lacosamide is indicated as adjunctive therapy in the treatment of partial-onset seizures with or without secondary generalisation in patients with epilepsy aged 16 years and older.
2.Diabetic neuropathic pain
Interactions for Lacosamide
Typical Dosage for Lacosamide
Oral lacosamide should be initiated at 50 mg twice daily, increasing to 100 mg twice daily after one
week. The dose may be incrementally increased up to 200 mg twice daily. Discontinuation should
be performed gradually.
Schedule of Lacosamide
Storage Requirements for Lacosamide
Store at room temperature away from moisture and heat. Do not freeze the liquid form of lacosamide.
Effects of Missed Dosage of Lacosamide
Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.

Effects of Overdose of Lacosamide
1.Seek emergency medical attention
2.Overdose can cause dizziness, blurred vision, confusion, fast heart rate, or fainting.

Home Delivery for Lacosamide in Your City

Medicine India is just a publishing medium for medicine related information and does not provide services or sales of medicines including lacosamide.

However, we do publish a comprehensive directory of Pharmacies, Chemists and Druggists in cities all over India. You can use this directory to find the medicine stores in your city (or area) that provide home delivery services for lacosamide and other medicines and health products. Home delivery services for lacosamide may be free or they may cost you depending on the pharmacy and the minimum order requirements. It would be best to get this clarified while placing the order.

Please be aware that you should take lacosamide only if a doctor has recommended or prescribed it. Some or all pharmacies who provide a home delivery service for medicines might insist on a prescription for lacosamide before they complete the sale. You can get this information while placing the order for lacosamide with the pharmacy.

Lacosamide is a generic medicine name and there are several brands available for it. Some of the brands for lacosamide might be better known than lacosamide itself. If the pharmacy that's willing to deliver medicines to your home doesn't have lacosamide in stock, you can ask for one of the branded alternatives for lacosamide.