Generic Name: lacosamide (la KOE sa mide)Brand Names: Vimpat
Lacosamide is an antiepileptic drug.
Lacosamide is used together with other medications to treat partial-onset seizures in people with epilepsy who are at least 17 years old.
Lacosamide may also be used for other purposes not listed in this medication guide.
Before you take lacosamide, tell your doctor if you have kidney or liver disease, or a serious heart condition such as "AV block," heart failure, or sick sinus syndrome (unless you have a pacemaker).
You may have thoughts about suicide while taking this medication. Your doctor will need to check you at regular visits. Do not miss any scheduled appointments.
Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, depression, anxiety, panic, or if you feel hyperactive, talkative, restless, agitated, aggressive, angry, impulsive, or have thoughts about suicide or hurting yourself.
If you have certain conditions, you may need a dose adjustment or special tests to safely use this medication. Before you take lacosamide, tell your doctor if you have:
liver disease; or
a serious heart condition such as "AV block," heart failure, or sick sinus syndrome (unless you have a pacemaker).
You may have thoughts about suicide while taking this medication. Tell your doctor if you have new or worsening depression or suicidal thoughts during the first several months of treatment, or whenever your dose is changed.
Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits. Do not miss any scheduled appointments.FDA pregnancy category C. It is not known whether lacosamide is harmful to an unborn baby. Before taking this medication, tell your doctor if you are pregnant or plan to become pregnant during treatment.
Your name may need to be listed on a antiepileptic drug pregnancy registry if you become pregnant while you are taking this medication. The purpose of this registry is to track the outcome of the pregnancy and delivery to evaluate whether lacosamide had any effect on the baby.It is not known whether lacosamide passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not give this medication to a child younger than 17 years old.
Take this medication exactly as prescribed by your doctor. Do not take it in larger amounts or for longer than recommended. Follow the directions on your prescription label.
Your doctor may occasionally change your dose to make sure you get the best results from this medication. You may also need to use an IV injection form of this medication for a short time.
Lacosamide can be taken with or without food.Do not stop using lacosamide without first talking to your doctor, even if you feel better. You may have increased seizures if you stop using lacosamide suddenly. You will need to use less and less before you stop the medication completely.
Contact your doctor if your seizures get worse or you have them more often while taking lacosamide.Carry an ID card or wear a medical alert bracelet stating that you have seizures, in case of emergency. Any doctor, dentist, or emergency medical care provider who treats you should know that you are taking a seizure medication.
It is important to use lacosamide regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.Store lacosamide at room temperature away from moisture and heat.
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.
Overdose can cause dizziness, blurred vision, confusion, fast heart rate, or fainting.
Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, depression, anxiety, panic, or if you feel hyperactive, talkative, restless, agitated, aggressive, angry, impulsive, or have thoughts about suicide or hurting yourself.Stop using lacosamide and call your doctor at once if you have a serious side effect such as:
confusion, thoughts of hurting yourself;
feeling like you might pass out;
fast or pounding heartbeats;
feeling short of breath;
fever, swollen glands, easy bruising or bleeding;
nausea, pain in your upper stomach, jaundice (yellowing of your skin or eyes);
skin rash, bruising, severe tingling, numbness, pain, muscle weakness; or
lower back pain, cloudy or bloody urine, swelling, rapid weight gain, urinating less than usual.
Less serious side effects may include:
headache, ringing in your ears;
tremors, muscle spasms, numbness or tingly feeling;
drowsiness, trouble concentrating;
dizziness, spinning sensation;
loss of balance or coordination;
constipation, diarrhea, upset stomach, vomiting; or
This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.
There may be other drugs that can interact with lacosamide. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.