Lacosamide for epilepsy
Vimpat
مراجعة من قبل Sid Dajaniآخر تحديث بواسطة Michael Stewart, MRPharmSLast updated 17 أكتوبر 2022
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Lacosamide is prescribed alongside other anti-epilepsy medicines.
Take it twice a day. Try not to miss any doses.
The most common side-effects are feeling dizzy, feeling sick (nausea), headache and blurred vision.
At a glance
Lacosamide is a medicine used to treat focal seizures in epilepsy.
It is prescribed alongside other anti-epilepsy medicines.
Take lacosamide twice a day, every day, exactly as your doctor tells you.
Do not stop taking lacosamide suddenly, as this can cause problems.
Side effects can include dizziness, sleepiness, headache, and nausea.
If you have suicidal thoughts or mood changes, tell your doctor straightaway.
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تابع القراءة أدناه
About lacosamide
نوع الدواء | An anti-epileptic medicine |
يستخدم لـ | Epilepsy with focal seizures, in adults and in children aged over 2 years |
يُعرف أيضًا باسم | Vimpat® |
متوفر كـ | أقراص، دواء سائل فموي وحقن |
Lacosamide is used alongside other medicines in the treatment of focal seizures, which are a type of epilepsy. A seizure is a short episode of symptoms which is caused by a burst of abnormal electrical activity in the brain. With a focal seizure, the burst of electrical activity stays in one part of the brain and therefore you tend to have localised or 'focal' symptoms. Because different parts of the brain control different functions, your symptoms will depend on which part of your brain is affected. Focal seizures can sometimes develop into seizures which affect all of your brain. These are called secondary generalised seizures.
Lacosamide is prescribed for people who have focal seizures, which may or may not be followed by secondary generalised seizures. It is prescribed alongside other anti-epilepsy medicines. It works by stabilising the electrical activity in your brain.
Before taking lacosamide
العودة إلى المحتوياتSome medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking lacosamide it is important that your doctor knows:
إذا كنتِ حاملاً، تحاولين الإنجاب أو تقومين بالرضاعة الطبيعية.
If you have a heart rhythm disorder.
إذا كان لديك أي مشاكل في طريقة عمل الكبد لديك، أو إذا كان لديك أي مشاكل في طريقة عمل الكلى لديك.
إذا كنت تتناول أو تستخدم أي أدوية أخرى. يشمل ذلك أي أدوية تتناولها والتي يمكن شراؤها بدون وصفة طبية، بالإضافة إلى الأدوية العشبية والمكملات الغذائية.
إذا كنت قد تعرضت في أي وقت مضى لرد فعل تحسسي تجاه دواء.
تابع القراءة أدناه
How to take lacosamide
العودة إلى المحتوياتBefore you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about lacosamide, and will also provide you with a full list of the side-effects which you could experience from taking it.
Take lacosamide exactly as your doctor tells you to. You will be asked to take two doses daily, one dose in the morning and one in the evening. It is likely that you will be prescribed a low dose when you first start taking it, and then your dose will be increased as your body gets used to it. Your doctor or pharmacist will explain this to you, and directions will also be printed on the label of the pack to remind you about what the doctor said to you.
You can take lacosamide either with or without meals. Swallow the tablet with a drink of water.
If you forget to take a dose at your usual time, take it as soon as you remember unless it is within six hours of your next dose, in which case leave out the missed dose. Make sure you take the next dose when it is due. Do not take two doses together to make up for a forgotten dose.
تحقيق أقصى استفادة من علاجك
العودة إلى المحتوياتحاول الحفاظ على مواعيدك المنتظمة مع طبيبك. هذا لكي يتمكن طبيبك من متابعة تقدمك.
عند البدء في علاج جديد للصرع، قد يحدث تغيير في عدد أو نوع النوبات التي تعاني منها. سيقوم طبيبك بإرشادك حول هذا الأمر.
Lacosamide can make you feel dizzy, especially when you first start treatment. Take care that you do not fall or trip when moving around.
Drinking alcohol while you are on lacosamide can increase feelings of dizziness and may not be recommended for you. Ask for your doctor's advice.
أثناء تلقيك العلاج من الصرع، هناك خطر صغير بأن تتطور لديك تغييرات في المزاج، أفكار مزعجة ومشاعر حول الانتحار. إذا حدث ذلك، يجب عليك إبلاغ طبيبك على الفور.
People with epilepsy must stop driving at first. Your doctor will advise you about if and when it may be possible for you to resume driving again.
Many anti-epileptic medicines can harm an unborn child. If you are a woman, make sure you have discussed with your doctor which types of contraception are suitable for you and your partner. If you want to have a family, discuss this with your doctor so that you can be given advice from a specialist قبل you become pregnant.
You need to take lacosamide regularly every day. Do not stop taking it unless your doctor tells you to stop. Stopping treatment suddenly can cause problems and your doctor will want you to reduce your dose gradually if this becomes necessary.
تابع القراءة أدناه
Can lacosamide cause problems?
العودة إلى المحتوياتAlong with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the more common ones associated with lacosamide. The best place to find a full list of the side-effects which can be associated with your medicine, is from the manufacturer's printed information leaflet supplied with the medicine. Alternatively, you can find an example of a manufacturer's information leaflet in the reference section below. Speak with your doctor or pharmacist if any of the following continue or become troublesome.
Common lacosamide side-effects | ماذا يمكنني أن أفعل إذا واجهت هذا؟ |
Feeling dizzy, sleepy, tired or unsteady; double vision | Take care that you do not fall or trip when moving around. Do not drive and do not use tools or machines |
صداع | اشرب الكثير من الماء واطلب من الصيدلي أن يوصي بمسكن مناسب للألم. إذا استمرت الصداع، أخبر طبيبك |
Feeling sick (nausea), constipation, wind | التزم بالأطعمة البسيطة - تجنب الوجبات الدهنية أو الحارة |
Changes in mood, difficulties thinking, poor co-ordination, feeling shaky, unusual eye movements | إذا أصبحت أي من هذه الأمور مزعجة، ناقشها مع طبيبك |
إذا شعرت بأي أعراض أخرى تعتقد أنها قد تكون بسبب الدواء، تحدث مع طبيبك أو الصيدلي للحصول على مزيد من النصائح.
How to store lacosamide
العودة إلى المحتوياتاحفظ جميع الأدوية بعيدًا عن متناول ورؤية الأطفال.
احفظه في مكان بارد وجاف، بعيدًا عن الحرارة المباشرة والضوء.
Once a bottle of Vimpat® Syrup has been opened, it will keep for four weeks. After this time, make sure you have a fresh supply.
معلومات هامة عن جميع الأدوية
العودة إلى المحتوياتمعلومات هامة عن جميع الأدوية
Never take more than the prescribed dose. If you suspect that you or someone else might have taken an overdose of this medicine, go to the accident and emergency department of your local hospital at once. Take the container with you, even if it is empty, so the doctor knows what has been taken.
هذا الدواء لك. لا تعطه لأشخاص آخرين حتى لو بدت حالتهم مشابهة لحالتك.
إذا كنت على وشك إجراء عملية جراحية أو أي علاج للأسنان، يرجى إخبار الشخص الذي يقوم بالعلاج بالأدوية التي تتناولها.
إذا اشتريت أي أدوية، تحقق مع الصيدلي من أنها آمنة لتناولها مع الأدوية الموصوفة لك.
لا تحتفظ بالأدوية منتهية الصلاحية أو غير المرغوب فيها. خذها إلى صيدليتك المحلية التي ستتولى التخلص منها نيابة عنك.
إذا كان لديك أي أسئلة حول هذا الدواء، اسأل الصيدلي الخاص بك.
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غير متأكد من خلط الأدوية؟
تحقق من التفاعلات المحتملة بين الأدوية والمكملات الغذائية والأطعمة قبل تناولها معًا.
الأسئلة الشائعة
What is a focal seizure and how does lacosamide help?
A focal seizure is a short episode caused by abnormal electrical activity in one specific part of the brain. The symptoms you experience depend on which part of the brain is affected. Lacosamide works by stabilising this electrical activity in the brain to help manage these seizures.
Can lacosamide be taken on its own for focal seizures?
No, lacosamide is prescribed to be used alongside other anti-epilepsy medicines. It is not intended to be a standalone treatment for focal seizures.
What should I do if I forget to take a dose of lacosamide?
If you miss a dose, take it as soon as you remember. However, if it's within six hours of your next scheduled dose, you should skip the missed dose and just take your next dose at the correct time. Do not take two doses at once to compensate for a forgotten one.
Will I be able to drive while taking lacosamide?
Initially, people being treated for epilepsy must stop driving. Your doctor will provide advice on if and when it might be possible for you to resume driving, as this is a decision made on an individual basis with your doctor.
What should I do if I feel dizzy or unsteady after starting lacosamide?
Dizziness is a common side-effect, especially when you first start treatment. You should be careful to avoid falls or trips when moving around. Also, you should not drive or operate machinery if you are experiencing dizziness, sleepiness, unsteadiness, or double vision.
How long can I use Vimpat® Syrup after opening the bottle?
Once a bottle of Vimpat® Syrup has been opened, it remains effective for four weeks. After this period, you should get a fresh supply.
Is it safe to stop taking lacosamide if my seizures improve?
No, you should not stop taking lacosamide suddenly, even if your seizures seem to be under control. Stopping treatment abruptly can cause problems. If it becomes necessary to stop, your doctor will advise you on how to gradually reduce your dose.
قراءة إضافية ومراجع
- Manufacturer's PIL, Vimpat® 50 mg, 100 mg, 150 mg and 200 mg film-coated tablets; UCB Pharma Limited, The electronic Medicines Compendium. Dated June 2022.
- Manufacturer's PIL, Vimpat® 10 mg/ml syrup; UCB Pharma Limited, The electronic Medicines Compendium. Dated June 2022.
- الأدوية كاملة BNF الطبعة 89; الجمعية الطبية البريطانية والجمعية الملكية الصيدلانية لبريطانيا العظمى، لندن.
تابع القراءة أدناه
About the authorView full bio

مايكل ستيوارت، MRPharmS
Medicine Leaflet Review Manager – Contractor, Pharmacist
BPharm (Hons), MRPharmS
Michael is a community pharmacist practicing in the Midlands and South Yorkshire with more than 20 years’ experience advising on medicines and medical conditions. He has a strong background in healthcare training, having produced and delivered training courses for pharmacy teams and staff of residential care settings, including nurses. He has also contributed to pharmacy advisory boards for the management of low acuity conditions in the community.
About the reviewer

سيد داجاني
Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.
تاريخ المقال
تمت كتابة المعلومات على هذه الصفحة ومراجعتها من قبل أطباء مؤهلين.
المراجعة التالية مستحقة: 15 مارس 2027
17 أكتوبر 2022 | أحدث إصدار

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