Product image of Lacosamida Hikma (Lacosamide) supplied by GNH India

Lacosamida Hikma

Active Ingredient:
Lacosamide
Origin:
EU

Lacosamida Hikma (Lacosamide)

Lacosamide, the active ingredient in Lacosamida Hikma, is an anticonvulsant presented as an intravenous solution for intravenous use. It is indicated as adjunctive therapy for partial‑onset seizures in patients with epilepsy, helping to reduce seizure frequency by stabilizing neuronal excitability.

GNH India supplies Lacosamida Hikma as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, providing reliable access to this EU‑approved medication for acute seizure management through regulated distribution channels and quality‑assured packaging, ensuring product integrity from manufacture to bedside.

Manufacturer / TM Owner

Hikma Farmacêutica (Portugal), S.A.

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Indications & Clinical Uses

  • Lacosamide is used as an adjunctive antiepileptic agent for focal seizure disorders.
  • Partial‑onset seizures in adults: adjunctive reduction of seizure frequency when added to existing therapy.
  • Partial‑onset seizures in pediatric patients: adjunctive control of seizures in children with epilepsy.
  • Focal seizures with secondary generalization: adjunctive therapy to limit progression of seizure activity.

How It Works

  • Lacosamide selectively enhances the slow inactivation phase of voltage‑gated sodium channels in neuronal membranes. By stabilizing the inactive state of these channels, it diminishes repetitive neuronal firing and reduces hyperexcitability, thereby decreasing the likelihood of seizure propagation in the central nervous system.

Side Effects

Lacosamide may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Dizziness: transient sensation of light‑headedness.
  • Nausea: mild gastrointestinal upset.
  • Headache: occasional mild to moderate pain.
  • Fatigue: feeling of tiredness or reduced energy.
  • Blurred vision: temporary visual disturbance.
  • Diplopia: double vision in some patients.

Serious or Rare Side Effects

  • Cardiac conduction abnormalities: PR‑interval prolongation or atrial fibrillation.
  • Severe skin reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Suicidal ideation: emergence of depressive thoughts.
  • Respiratory depression: especially when combined with other CNS depressants.
  • Hypotension: notable drop in blood pressure during infusion.

Precautions & Warnings

  • When prescribing Lacosamida Hikma, clinicians should consider several safety aspects.
  • Renal impairment: monitor renal function and adjust therapy as needed.
  • Hepatic impairment: use caution and assess liver enzymes regularly.
  • Cardiac conduction disorders: obtain baseline ECG and monitor for PR‑interval changes.
  • Pregnancy: category B; discuss potential risks versus benefits with the patient.
  • Concomitant CNS depressants: observe for enhanced sedation or respiratory effects.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake the vial.

Avoid Interactions

Lacosamide can interact with other medicines, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Class I antiarrhythmics: additive effects on cardiac conduction.
  • Strong CYP3A4 inducers (e.g., carbamazepine): may reduce lacosamide plasma concentrations.
  • Strong CYP3A4 inhibitors (e.g., ketoconazole): may increase lacosamide levels and risk of toxicity.

Moderate Interactions (Monitor Closely)

  • Other antiepileptics (e.g., phenytoin): possible pharmacodynamic synergy.
  • Opioids or CNS depressants: enhanced sedation or respiratory depression.
  • Alcohol: increased central nervous system depression.

Frequently Asked Questions

Lacosamida Hikma is the intravenous formulation of lacosamide, an anticonvulsant used as adjunctive therapy for partial‑onset (focal) seizures in patients with epilepsy. It is administered in hospital or clinical settings to help reduce seizure frequency when added to existing antiepileptic regimens.

Lacosamide enhances the slow inactivation of voltage‑gated sodium channels in neuronal membranes. This stabilizes the inactive state of the channels, limiting repetitive neuronal firing and decreasing neuronal hyperexcitability, which helps prevent the initiation and spread of seizure activity.

The dose of Lacosamida Hikma is individualized by the prescribing clinician based on the patient’s age, weight, renal and hepatic function, and response to therapy. The healthcare professional determines the appropriate infusion rate and total daily amount according to established clinical guidelines.

Lacosamide is classified as Pregnancy Category B, indicating that animal studies have not shown fetal risk, but there are limited human data. It may be used during pregnancy only if the potential benefit justifies the potential risk. Limited data are available for breastfeeding; caution is advised and a risk‑benefit assessment should be performed.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams across international markets. After submission, the sales team will verify trade or institutional credentials, then respond with pricing, availability, shipping details (including cold‑chain handling if required) and any necessary import documentation.

Lacosamide’s mechanism—enhancing slow sodium‑channel inactivation—differs from agents such as carbamazepine, which target fast inactivation, and levetiracetam, which binds SV2A. Clinically, lacosamide is often well‑tolerated with a lower incidence of cognitive side effects, but it requires intravenous administration and careful cardiac monitoring, whereas many oral alternatives do not.

Lacosamida Hikma should be stored refrigerated at 2‑8 °C. Keep the vial in its original packaging, protect it from light, and avoid freezing or shaking. If the product must be transported, maintain the cold‑chain using validated insulated containers and temperature monitors.

The medication is given as an intravenous infusion. The vial is typically diluted with compatible IV fluid and infused over 15 minutes, although the exact rate is determined by the prescriber. Administration should occur under clinical supervision with monitoring of vital signs and cardiac rhythm.

Serious risks include cardiac conduction abnormalities such as PR‑interval prolongation or atrial fibrillation, severe skin reactions like Stevens‑Johnson syndrome, and the potential for suicidal thoughts. Patients should be monitored for ECG changes, skin eruptions, and mood alterations throughout therapy.

Lacosamida Hikma is contraindicated in individuals with known hypersensitivity to lacosamide or any excipients in the formulation. It should also be avoided in patients with severe cardiac conduction disorders (e.g., second‑ or third‑degree AV block) unless under strict cardiac monitoring, and in those taking medications that present major interaction risks without appropriate supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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