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 anti‑epileptic presented as an intravenous solution for intravenous use. It treats partial‑onset seizures and can be used for acute seizure management in patients requiring hospital care.

GNH India supplies Lacosamide Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Accord Healthcare S.L.U.

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Indications & Clinical Uses

  • Lacosamide is an anti‑epileptic drug indicated for several seizure‑related conditions.
  • Partial‑onset seizures: adjunctive therapy to reduce seizure frequency in patients already on antiepileptic regimens.
  • Acute seizure treatment: rapid intravenous control of seizure activity in emergency or peri‑operative settings.
  • Status epilepticus (adjunct): may be considered as an additional option for refractory status epilepticus when standard therapies are insufficient.

How It Works

  • Lacosamide enhances the slow inactivation of voltage‑gated sodium channels, stabilizing neuronal membranes and reducing hyper‑excitability. It also binds to collapsin response mediator protein‑2 (CRMP‑2), modulating neuronal differentiation and axonal outgrowth, which contributes to its anticonvulsant effect without affecting normal neuronal firing.

Side Effects

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

Common Side Effects

  • Dizziness: sensation of light‑headedness or unsteadiness.
  • Fatigue: increased tiredness or lack of energy.
  • Nausea: feeling of stomach upset or urge to vomit.
  • Headache: mild to moderate cranial pain.
  • Blurred vision: temporary visual disturbances.
  • Diplopia: double vision in some patients.

Serious or Rare Side Effects

  • Cardiac arrhythmias: including atrial fibrillation or prolonged PR interval.
  • Severe skin reactions: such as Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Suicidal ideation: emergence of thoughts of self‑harm.
  • Respiratory depression: especially when combined with other CNS depressants.
  • Hepatic dysfunction: elevated liver enzymes or hepatitis.
  • Anaphylaxis: rare but potentially life‑threatening allergic response.

Precautions & Warnings

  • When using Lacosamide, clinicians should observe several safety measures.
  • Monitor cardiac function: obtain baseline ECG and watch for PR‑interval changes.
  • Assess renal function: adjust dosing in patients with impaired clearance.
  • Avoid abrupt discontinuation: taper to prevent seizure exacerbation.
  • Use caution in hepatic impairment: monitor liver enzymes regularly.
  • Pregnancy: risk unknown; weigh potential benefits against risks.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

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

Major Interactions (Avoid)

  • Concomitant sodium channel blockers (e.g., carbamazepine): may increase neurotoxicity.
  • Strong CYP3A4 inducers (e.g., rifampin): can markedly reduce lacosamide plasma levels.
  • Strong CYP3A4 inhibitors (e.g., ketoconazole): may raise lacosamide concentrations and risk toxicity.

Moderate Interactions (Monitor Closely)

  • Other antiepileptic drugs (e.g., valproate): may alter efficacy or side‑effect profile.
  • Warfarin: potential increase in INR, requiring closer coagulation monitoring.
  • Alcohol: may enhance central nervous system depression, increasing dizziness or sedation.

Frequently Asked Questions

Lacosamide Accord is an intravenous formulation of the anti‑epileptic drug lacosamide. It is prescribed as an adjunctive therapy for partial‑onset seizures and for the acute treatment of seizures, including use in emergency or peri‑operative settings where rapid seizure control is required.

Lacosamide enhances the slow inactivation of voltage‑gated sodium channels, stabilizing neuronal membranes and reducing abnormal firing. Additionally, it binds to CRMP‑2, influencing neuronal differentiation and axonal growth, which together contribute to its anticonvulsant activity without significantly affecting normal neuronal signaling.

The specific dose and infusion rate of Lacosamide Accord are determined by the prescribing clinician based on the patient’s clinical condition, age, weight, renal function, and concomitant therapies. Only a qualified healthcare professional should set the dosing regimen.

Safety data for lacosamide in pregnancy and lactation are limited, and the product’s pregnancy category is unknown. Clinicians should carefully weigh the potential benefits against possible risks and consider alternative treatments when appropriate. Breastfeeding mothers should consult their physician before use.

To request Lacosamide Accord, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain if needed) and the necessary import documentation.

Lacosamide’s unique mechanism—enhancing slow sodium‑channel inactivation and targeting CRMP‑2—differs from many IV antiepileptics that primarily block fast sodium channels or act on GABA receptors. This can provide complementary seizure control when used alongside other agents, and it may have a distinct side‑effect profile, such as lower risk of respiratory depression compared with some benzodiazepines.

Lacosamide Accord should be stored at 2‑8 °C (refrigerated). Keep the vials in their original packaging, protect them from light, and avoid freezing or shaking the solution. Maintaining the cold chain ensures product stability and efficacy.

Lacosamide Accord is given intravenously by slow infusion, typically over 15 minutes or as directed by the treating physician. Administration should occur in a clinical setting where vital signs and cardiac monitoring can be performed, especially during the initial dosing period.

Serious risks include cardiac arrhythmias such as atrial fibrillation or prolonged PR interval, severe skin reactions like Stevens‑Johnson syndrome, and rare cases of suicidal ideation. Patients should be monitored for cardiac changes, skin eruptions, and mood alterations, and any concerning symptoms should prompt immediate medical evaluation.

Lacosamide Accord is contraindicated in patients with known hypersensitivity to lacosamide or any of its excipients. Caution is advised for individuals with significant cardiac conduction abnormalities, uncontrolled arrhythmias, or severe hepatic impairment. Clinicians should assess each patient’s medical history before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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