Why is this medication prescribed?

Lacosamide is a medication primarily prescribed as an adjunctive (additional) treatment for partial-onset seizures in adults and children who are at least 4 years old. Partial-onset seizures are a type of epilepsy where the abnormal electrical activity in the brain is localized to a specific area.

Lacosamide works by stabilizing electrical activity in the brain, which helps to reduce the occurrence of seizures. It is typically used in combination with other antiepileptic medications to better control seizures when the current treatment regimen is not sufficient.

How should this medicine be used?

The dosage and administration of lacosamide can vary depending on individual patient factors, the presence of other medications, and the specific nature of the seizures being treated. It’s crucial to follow the prescribing doctor’s instructions carefully. The medication is usually taken orally in the form of tablets or oral solution.

Here are some general guidelines for using lacosamide:

• Dosage: The dosage will be determined by the prescribing healthcare provider based on factors such as age, weight, and overall health.
• Administration: Lacosamide is usually taken orally with or without food. The tablets should be swallowed whole with a glass of water.
• Regular Schedule: It’s important to take lacosamide at the same times each day to maintain a consistent level of the medication in the body.
• Missed Dose: If a dose is missed, it should be taken as soon as remembered. However, if it’s almost time for the next dose, the missed dose should be skipped, and the regular dosing schedule resumed.
• Follow-up: Regular follow-up appointments with the healthcare provider are essential to monitor the effectiveness of the medication, adjust the dosage if necessary, and address any side effects or concerns.

It’s crucial to inform the healthcare provider about any other medications, supplements, or medical conditions before starting lacosamide, as it may interact with other drugs or have contraindications in certain situations. As with any medication, patients should not stop taking lacosamide without consulting their healthcare provider, as abrupt discontinuation can lead to increased seizure activity.

Other uses for this medicine

Lacosamide is primarily used for the treatment of partial-onset seizures associated with epilepsy. However, research and clinical uses of medications can evolve over time, so it’s important to consult with a healthcare professional or check more recent sources for any updates on the approved uses of lacosamide.

What special precautions should I follow?

Regarding special precautions for lacosamide, here are some key considerations:

• Allergies: Inform your healthcare provider if you are allergic to lacosamide or any other medications.
• Medical History: Provide a detailed medical history, especially if you have a history of heart problems, certain types of abnormal heart rhythms, or kidney disease. These conditions may require special monitoring or adjustments to the dosage.
• Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss the potential risks and benefits of lacosamide with your healthcare provider. It’s important to weigh the benefits of seizure control against the potential risks to the fetus or infant.
• Driving and Operating Machinery: Lacosamide may cause dizziness, drowsiness, or blurred vision. Use caution when driving, operating machinery, or engaging in activities that require alertness until you know how the medication affects you.
• Alcohol and Drug Interactions: Inform your healthcare provider about all medications, including over-the-counter drugs, herbal supplements, and vitamins, that you are taking. Some medications or substances may interact with lacosamide, potentially affecting its effectiveness or increasing the risk of side effects.
• Liver Function: Lacosamide is primarily metabolized by the liver. If you have liver problems, your healthcare provider may need to adjust the dosage accordingly.
• Psychiatric Effects: Some patients may experience changes in mood or behavior while taking lacosamide. If you notice any unusual changes, such as mood swings, depression, or suicidal thoughts, seek medical attention promptly.

Always follow your healthcare provider’s instructions and communicate openly about any concerns or side effects you may be experiencing. It’s important not to adjust the dosage or stop taking lacosamide without consulting your healthcare professional, as sudden discontinuation can lead to an increase in seizure activity.

What special dietary instructions should I follow?

Regarding special dietary instructions, lacosamide does not typically require specific dietary restrictions. However, it’s essential to maintain a healthy and balanced diet to support overall well-being.

What should I do if I forget a dose?

If you forget a dose of lacosamide, follow these general guidelines:

• Missed Dose: Take the missed dose as soon as you remember.
• Timing of Next Dose: If it’s almost time for your next scheduled dose, skip the missed dose and resume your regular dosing schedule.
• Do Not Double Dose: Do not take a double dose to make up for a missed one.

What side effects can this medication cause?

Lacosamide, like any medication, can cause side effects. It’s important to note that not everyone will experience these side effects, and the severity can vary from person to person. Common side effects of lacosamide include:

• Dizziness: Lacosamide can cause dizziness, and in some cases, it may be severe. This can affect your ability to perform tasks that require alertness, such as driving or operating machinery.
• Headache: Headache is a common side effect of lacosamide.
• Nausea: Some individuals may experience nausea while taking this medication.
• Blurred or Double Vision: Lacosamide may cause problems with vision, such as blurred or double vision.
• Drowsiness: Feeling excessively sleepy or fatigued can occur with lacosamide.
• Irritability or Agitation: Some people may experience changes in mood, including irritability or agitation.
• Difficulty Sleeping (Insomnia): Lacosamide may disrupt sleep patterns and lead to difficulty falling asleep or staying asleep.
• Coordination Problems: Some individuals may experience difficulties with coordination.
• Balance Issues: Lacosamide can affect balance in some people.
• Abdominal Pain: Abdominal discomfort or pain may occur as a side effect.

It’s important to contact your healthcare provider if you experience any side effects, especially if they are persistent or severe. Additionally, inform your healthcare provider if you notice any changes in mood or behavior, as lacosamide may rarely cause psychiatric side effects.

Serious side effects that require immediate medical attention include:

• Severe Allergic Reactions: Symptoms may include rash, itching/swelling, severe dizziness, or difficulty breathing.
• Changes in Mood or Behavior: This can include new or worsening depression, anxiety, or thoughts of suicide.
• Severe Skin Reactions: These can include rash, blisters, or peeling skin.

This is not an exhaustive list of side effects, and other side effects may occur. Always consult your healthcare provider for comprehensive information about the potential side effects of lacosamide and to discuss any concerns you may have. If you experience a medical emergency or serious side effects, seek immediate medical attention.

What should I know about storage and disposal of this medication?

Here are important guidelines regarding the storage and disposal related to lacosamide:

Storage:

• Temperature: Store lacosamide at room temperature, away from excessive heat and moisture.
• Protect from Light: Keep the medication in its original packaging, protecting it from light.
• Childproof Container: Store lacosamide in a childproof container, out of reach of children.
• Avoid Pill Splitting: Do not split or break lacosamide tablets unless your healthcare provider advises you to do so.

Disposal:

• Proper Disposal: Dispose of unused or expired lacosamide in accordance with local guidelines and regulations. Do not flush medications down the toilet or pour them down the drain unless specifically instructed.
• Take-Back Programs: Check if there are any medication take-back programs or collection sites in your community where you can safely dispose of unused medications.
• Consult Pharmacist: If you are unsure about the proper disposal method, consult your pharmacist or healthcare provider.

In case of emergency/overdose

• Seek Medical Attention: If you suspect an overdose or experience severe side effects, seek immediate medical attention or call your local poison control center.
• Symptoms of Overdose: Symptoms of a lacosamide overdose may include severe dizziness, fainting, or loss of coordination.

What other information should I know?

• Follow Healthcare Provider’s Instructions: Take lacosamide exactly as prescribed by your healthcare provider. Do not adjust the dosage without consulting them.
• Regular Follow-up: Attend regular follow-up appointments with your healthcare provider to monitor the effectiveness of the medication and address any concerns.
• Inform Healthcare Provider: Keep your healthcare provider informed about all medications, supplements, and health conditions, as they can affect the use of lacosamide.
• Medical Alert Bracelet: If you have epilepsy, consider wearing a medical alert bracelet or necklace to inform emergency medical personnel about your condition.
• Travel Considerations: If you plan to travel, ensure you have an adequate supply of lacosamide, and carry it in its original packaging with your prescription.

Always consult with your healthcare provider or pharmacist if you have specific questions about the storage, disposal, or usage of lacosamide. Additionally, if you experience any unexpected or severe side effects, contact your healthcare provider promptly.