Lacosam (Lacosamide)

Complete patient guide for uses, dosage, side effects, and safety information

Prescription Required

Quick Facts

Generic Name
lacosamide
Drug Class
antiepileptic
Used For
Control of epilepsy and seizures
How Taken
Oral tablets, taken twice daily

What Is Lacosam Used For?

Lacosam is used to manage epilepsy, which involves recurrent seizures. It can be prescribed alone or alongside other medications.

Primary Uses

Lacosam is primarily used to control various types of seizures in patients over 16 years old.

How It Works

Lacosam is believed to function by regulating brain chemicals that send signals to nerves, thus preventing seizures.

Good to know: Lacosam is not considered addictive.

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How to Take Lacosam

Follow your doctor's instructions carefully regarding Lacosam dosage.

Dosage Instructions

Your doctor may start you on a low dose of 50 mg twice daily, potentially increasing to a maximum of 300 mg twice daily based on your response.

What If You Miss a Dose?

If you miss a dose, contact your doctor for advice. Do not take a double dose to compensate.

Important: Never double your dose to make up for a missed one.

Available Tablet Strengths

50 mg
50 mg Tablet Pink, Oval • L 50
100 mg
100 mg Tablet Dark yellow, Oval • L 100
150 mg
150 mg Tablet Salmon, Oval • L 150
200 mg
200 mg Tablet Blue, Oval • L 200

Side Effects

Like all medications, this medicine can cause side effects. Most are mild and temporary, but some require medical attention.

Common Side Effects

These side effects occur relatively frequently and usually don’t require emergency care:

  • Dizziness
  • Balance or coordination issues
  • Headache
  • Nausea
  • Drowsiness
  • Forgetfulness
  • Tremors
  • Itching

Seek immediate medical attention if you experience:

  • Thoughts of self-harm
  • Increased frequency or severity of seizures
  • Fainting or lightheadedness
  • Heart palpitations
  • Shortness of breath
  • Swelling of the face, lips, or tongue
  • Rash or hives

Important Warnings

Be aware of specific conditions and allergies before taking Lacosam.

Who Should Not Take Lacosam

Do not use Lacosam if you are allergic to any of its ingredients or if you have a history of heart conditions causing irregular heartbeats.

Medical Conditions to Discuss

Inform your doctor if you have heart, kidney, or liver problems.

Pregnancy and Breastfeeding

Lacosam may affect a developing baby during pregnancy. Discuss with your doctor if you are pregnant or breastfeeding.

Drug Interactions

Certain medications may interact with Lacosam.

  • Barbiturates (e.g., phenobarbitone)
  • Other antiepileptic drugs (e.g., carbamazepine, lamotrigine, pregabalin)

Alcohol & Driving

Be cautious when consuming alcohol or driving while on Lacosam.

Alcohol

Avoid alcohol as it may increase side effects like dizziness.

Driving and Operating Machinery

Lacosam may cause drowsiness; do not drive or operate machinery until you know how it affects you.

Storage

Store Lacosam tablets in their original packaging in a cool, dry place below 25°C, away from moisture and out of reach of children.

Overdose Information

If you suspect an overdose, contact your doctor or the Poisons Information Centre at 13 11 26 immediately, even if there are no symptoms.

Frequently Asked Questions

Most antiepileptic medications take time to show effects, so it may take a while before you notice improvements.

It does not matter if you take Lacosam before or after food.

No, Lacosam is not considered addictive.

Do not stop taking Lacosam abruptly, as it may worsen your condition. Consult your doctor for a gradual reduction.

It is advised to avoid alcohol while taking Lacosam due to potential increased side effects.

Contact your doctor for advice if you miss a dose, but do not take a double dose.

Important Disclaimer

This information is intended for general educational purposes only and should not be considered medical advice. Always consult your healthcare provider or pharmacist before starting, stopping, or changing any medication.

If you think you may have a medical emergency, call your doctor or emergency services immediately.

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