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Lacosamid för epilepsi

Vimpat

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.

Överblick

  • Lacosamide is an anti-epileptic medicine for focal seizures.

  • It is taken alongside other anti-epilepsy medicines.

  • Take lacosamide exactly as your doctor tells you, usually twice daily.

  • It can cause dizziness; take care when moving around.

  • Do not stop taking it without your doctor's advice.

  • Berätta för din läkare om du upplever humörförändringar eller tankar på självmord.

About lacosamide

Typ av medicin

An anti-epileptic medicine

Används för

Epilepsy with focal seizures, in adults and in children aged over 2 years

Även kallad

Vimpat®

Tillgänglig som

Tabletter, flytande medicin och injektion

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

Some 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:

  • Om du är gravid, försöker bli gravid eller ammar.

  • If you have a heart rhythm disorder.

  • Om du har några problem med hur din lever fungerar, eller om du har några problem med hur dina njurar fungerar.

  • Om du tar eller använder några andra läkemedel. Detta inkluderar alla läkemedel du tar som finns att köpa utan recept, samt växtbaserade och komplementära läkemedel.

  • Om du någonsin har haft en allergisk reaktion mot en medicin.

How to take lacosamide

  • Before 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.

Få ut det mesta av din behandling

  • Försök att hålla dina regelbundna möten med din läkare. Detta är så att din läkare kan följa upp din utveckling.

  • When you first start a new treatment for epilepsy there may be a change in the number or type of seizures you experience. Your doctor will advise you about this.

  • 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.

  • While you are being treated for epilepsy there is a small risk that you may develop mood changes, distressing thoughts and feelings about suicide. If this happens, you must tell your doctor about it straightaway.

  • 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 before 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.

Can lacosamide cause problems?

Along 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

Vad kan jag göra om jag upplever detta?

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

Huvudvärk

Drink plenty of water and ask a pharmacist to recommend a suitable painkiller. If the headaches continue, let your doctor know

Feeling sick (nausea), constipation, wind

Stick to simple foods - avoid fatty or spicy meals

Changes in mood, difficulties thinking, poor co-ordination, feeling shaky, unusual eye movements

If any of these become troublesome, discuss them with your doctor

Om du upplever några andra symtom som du tror kan bero på medicinen, tala med din läkare eller apotekare för vidare råd.

How to store lacosamide

  • Förvara alla läkemedel utom räckhåll och synhåll för barn.

  • Förvara på en sval, torr plats, borta från direkt värme och ljus.

  • 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.

Viktig information om alla läkemedel

Viktig information om alla läkemedel

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.

Denna medicin är för dig. Ge den aldrig till andra människor även om deras tillstånd verkar vara detsamma som ditt.

If you are due to have an operation or any dental treatment, please tell the person carrying out the treatment which medicines you are taking.

Om du köper några läkemedel, kontrollera med en apotekare att de är säkra att ta tillsammans med dina förskrivna läkemedel.

Behåll inte föråldrade eller oönskade mediciner. Ta dem till ditt lokala apotek som kommer att ta hand om dem åt dig.

Om du har några frågor om denna medicin, fråga din apotekare.

Rapportera biverkningar av ett läkemedel eller vaccin

Om du upplever biverkningar kan du rapportera dem online via Yellow Card webbplats.

symptomkontroll

Osäker på att blanda mediciner?

Kontrollera möjliga interaktioner mellan läkemedel, kosttillskott och livsmedel innan du tar dem tillsammans.

Vanliga frågor

What is the purpose of taking lacosamide with other anti-epilepsy medicines?

Lacosamide is specifically prescribed to be taken alongside other anti-epilepsy medications. It helps to stabilise the electrical activity in your brain, working in conjunction with your existing treatment to manage focal seizures.

How soon after starting lacosamide might I notice changes in my seizure activity?

When you first begin a new epilepsy treatment like lacosamide, you might experience a change in the number or type of seizures you have. Your doctor will provide you with specific guidance regarding what to expect during this initial period.

If I am feeling dizzy from lacosamide, can I still drive or operate machinery?

No, if you are feeling dizzy, sleepy, tired, or unsteady, or if you have double vision, you should not drive or use tools or machines. It's important to take care to avoid falls or trips.

What should I do if I experience mood changes or distressing thoughts while taking lacosamide?

If you experience mood changes, distressing thoughts, or feelings about suicide, it is crucial to tell your doctor straightaway. This is an important side effect that needs immediate attention.

How long can I use Vimpat® Syrup after opening the bottle?

Once a bottle of Vimpat® Syrup has been opened, it will remain effective for four weeks. After this period, you should ensure you have a fresh supply.

Vidare läsning och referenser

Om författarenVisa fullständig biografi

Författarbild

Michael Stewart, MRPharmS

Ansvarig för granskning av medicinbroschyrer – Konsult, Apotekare

BPharm (Hons), MRPharmS

Michael är en apotekare som arbetar i Midlands och South Yorkshire med mer än 20 års erfarenhet av att ge råd om läkemedel och medicinska tillstånd. Han har en stark bakgrund inom vårdutbildning och har producerat och levererat utbildningskurser för apoteksteam och personal inom vårdboenden, inklusive sjuksköterskor. Han har också bidragit till apoteksrådgivande styrelser för hantering av mindre allvarliga tillstånd i samhället.

Om recensenten

Författarbild

Sid Dajani

Sultan Dajani tog examen vid London School of Pharmacy 1994 och blev den yngsta valda medlemmen i Royal Pharmaceutical Society-rådet sedan dess grundande 1842.

Artikelhistorik

Informationen på denna sida är skriven och granskad av kvalificerade kliniker.

  • Next review due: 15 Mar 2027
  • 17 Oct 2022 | Senaste versionen

    Senast uppdaterad av

    Michael Stewart, MRPharmS

    Granskad av

    Sid Dajani
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