Product image of Lacosamide Accord (Lacosamide) supplied by GNH India

Lacosamide Accord

Active Ingredient:
Lacosamide
Origin:
EU

Lacosamide Accord (Lacosamide)

Lacosamide, the active ingredient in Lacosamide Accord, is an anticonvulsant presented as an injectable solution for intravenous use. It is employed as adjunctive therapy to control partial‑onset seizures in patients with epilepsy, offering a rapid onset of action in acute settings.

GNH India supplies Lacosamide Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, adhering to EU quality standards and providing reliable global distribution.

Manufacturer / TM Owner

Accord Healthcare S.L.U.

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Indications & Clinical Uses

  • Lacosamide is an anticonvulsant that acts on neuronal sodium channels to manage seizure disorders.
  • Partial‑onset seizures: reduces seizure frequency as adjunctive therapy in epilepsy patients.
  • Focal epilepsy: provides additional seizure control when other antiepileptics are insufficient.
  • Refractory epilepsy: offers an alternative option for patients not responding to standard treatments.

How It Works

  • Lacosamide enhances the slow inactivation of voltage‑gated sodium channels in neuronal membranes, stabilizing hyperexcitable neuronal membranes and reducing repetitive firing. By selectively targeting the slow inactivation phase, it diminishes neuronal hyperexcitability without affecting the fast inactivation responsible for normal conduction, thereby decreasing seizure activity and limiting the propagation of abnormal electrical impulses across the brain.

Side Effects

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

Common Side Effects

  • Dizziness
  • Headache
  • Nausea
  • Fatigue

Serious or Rare Side Effects

  • PR‑interval prolongation leading to cardiac arrhythmia
  • Severe skin reactions such as Stevens‑Johnson syndrome
  • Suicidal ideation or behavior

Precautions & Warnings

  • When using Lacosamide, several precautions should be observed to ensure safe administration.
  • Cardiac monitoring: assess baseline ECG and monitor for PR interval prolongation.
  • Renal impairment: adjust dose in patients with severe renal dysfunction.
  • Pregnancy: use only if benefit outweighs risk; classified as Category B.
  • Abrupt discontinuation: taper dose to avoid seizure worsening.
  • Drug interactions: review concomitant medications that affect sodium channels or CYP3A4.
  • Store at room temperature: keep in original packaging, protect from moisture.

Avoid Interactions

Lacosamide can interact with other medicines, altering its efficacy or safety.

Major Interactions (Avoid)

  • Concurrent use with other sodium‑channel blockers (e.g., carbamazepine, phenytoin) may increase risk of cardiac conduction abnormalities.
  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin) can raise lacosamide plasma concentrations.
  • Strong CYP3A4 inducers (e.g., rifampicin, carbamazepine) may reduce lacosamide levels, diminishing effectiveness.

Moderate Interactions (Monitor Closely)

  • Alcohol or other CNS depressants: may enhance sedation and dizziness.
  • Diuretics that cause electrolyte imbalance: monitor for hyponatremia.
  • Selective serotonin reuptake inhibitors (SSRIs): may increase risk of dizziness.

Frequently Asked Questions

Lacosamide Accord is an injectable formulation of the anticonvulsant lacosamide, indicated as adjunctive therapy for partial‑onset seizures in patients with epilepsy. It is administered intravenously to provide rapid seizure control when oral therapy is insufficient or not feasible.

Lacosamide enhances the slow inactivation of voltage‑gated sodium channels in neuronal membranes, stabilizing hyperexcitable neurons and reducing repetitive firing. This selective modulation decreases the propagation of abnormal electrical activity, thereby lowering the likelihood of seizure occurrence.

The dosing regimen for Lacosamide Accord is determined by the prescribing clinician based on the patient’s clinical condition, age, renal function, and concomitant therapies. The healthcare professional selects the appropriate infusion rate and total daily amount, and adjustments are made according to therapeutic response and tolerability.

Lacosamide is classified as Pregnancy Category B, indicating that animal studies have not shown risk to the fetus, but adequate human data are lacking. Use during pregnancy should only occur when the potential benefit justifies the potential risk. Limited data are available for breastfeeding; a decision should be made in consultation with a healthcare provider.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity of Lacosamide Accord. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details—including cold‑chain handling if required—and the necessary import documentation.

The primary alternative to lacosamide in the treatment of partial‑onset seizures is carbamazepine, which also blocks sodium channels but primarily affects fast inactivation. Lacosamide’s selective enhancement of slow inactivation may offer a different side‑effect profile, such as lower risk of certain dermatologic reactions, while both agents require monitoring for cardiac effects.

Lacosamide Accord should be stored at controlled room temperature, below 25 °C, in its original packaging to protect it from moisture and light. Do not freeze the solution. Before use, inspect the vial for particulate matter and ensure the solution is clear; discard if discoloration or particles are observed.

Lacosamide Accord is supplied as an injectable solution for intravenous administration. It is typically infused over a period of 15 minutes to 1 hour, depending on the prescribed dose and clinical setting. Administration should be performed by qualified healthcare personnel, with appropriate monitoring of vital signs and cardiac rhythm.

The most serious adverse events associated with lacosamide include cardiac conduction abnormalities such as PR‑interval prolongation, which can lead to arrhythmias, and rare but severe skin reactions like Stevens‑Johnson syndrome. Additionally, patients may experience suicidal thoughts; therefore, clinicians should monitor mood changes and advise patients to report any new psychiatric symptoms promptly.

Lacosamide Accord is contraindicated in patients with known hypersensitivity to lacosamide or any component of the formulation. It should also be avoided in individuals with significant cardiac conduction disorders, such as second‑ or third‑degree AV block, unless a pacemaker is in place, and in patients with severe renal impairment without appropriate dose adjustment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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