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 antiepileptic presented as an oral tablet for oral use. It is employed as adjunctive therapy for partial‑onset (focal) seizures in patients with epilepsy. The medication is formulated according to European Union pharmaceutical standards and is supplied in a tablet dosage that facilitates consistent daily administration. Its pharmacokinetic profile allows once‑ or twice‑daily dosing, and it is well‑absorbed from the gastrointestinal tract. The product does not contain any controlled substances and is classified as prescription‑only.

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 antiepileptic drug that acts on neuronal sodium channels to control seizure activity.
  • Partial‑onset seizures (adjunctive therapy): Reduces seizure frequency when added to existing antiepileptic regimens.
  • Focal seizures (adjunctive therapy): Provides additional seizure control for patients not fully controlled by other medications.

How It Works

  • Lacosamide enhances the slow inactivation of voltage‑gated sodium channels in neuronal membranes. By stabilizing the inactive state of these channels, it reduces repetitive neuronal firing and dampens hyper‑excitable networks that generate seizures. The drug does not significantly affect fast inactivation or other ion channels, resulting in a selective anticonvulsant effect with minimal impact on normal neuronal transmission. This mechanism contributes to its efficacy as an adjunctive treatment in focal epilepsy.

Side Effects

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

Common Side Effects

  • Nausea: mild gastrointestinal upset often occurring early in treatment.
  • Dizziness: transient feeling of light‑headedness, especially after dose escalation.
  • Headache: mild to moderate tension‑type headaches.
  • Fatigue: general tiredness that may improve with continued use.

Serious or Rare Side Effects

  • Cardiac conduction abnormalities: PR‑interval prolongation or atrioventricular block, requiring ECG monitoring in susceptible patients.
  • Severe skin reactions: rare cases of Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Suicidal thoughts: rare emergence of mood changes or suicidal ideation, necessitating psychiatric assessment.

Precautions & Warnings

When prescribing Lacosamide, clinicians should consider several precautionary measures to ensure safe use.

  • Cardiac monitoring: obtain baseline ECG and monitor PR interval in patients with cardiac disease.
  • Renal impairment: adjust dose or monitor levels in patients with severe renal dysfunction.
  • Concomitant CNS depressants: use caution as additive dizziness or somnolence may occur.
  • Pregnancy: limited data; avoid use unless potential benefit justifies potential risk.
  • Store below 25°C: keep in the original packaging, protect from moisture and light.

Avoid Interactions

Lacosamide can interact with other medicines, affecting its concentration or cardiac effects.

Major Interactions (Avoid)

  • Class III antiarrhythmics (e.g., amiodarone, sotalol): may exacerbate PR‑interval prolongation.
  • Strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole): increase lacosamide plasma levels, raising toxicity risk.

Moderate Interactions (Monitor Closely)

  • Carbamazepine or phenytoin: enzyme inducers that may lower lacosamide concentrations.
  • Opioids (e.g., tramadol, oxycodone): additive CNS depression.
  • Alcohol: may enhance dizziness and sedation.

Frequently Asked Questions

Lacosamide Accord is used as an adjunctive therapy for partial‑onset (focal) seizures in patients with epilepsy. It is added to existing antiepileptic regimens to help reduce the frequency of breakthrough seizures when monotherapy does not provide adequate control.

Lacosamide enhances the slow inactivation of voltage‑gated sodium channels in neuronal membranes. This stabilises the inactive state of the channels, limiting repetitive firing of hyper‑excitable neurons and thereby reducing the likelihood of seizure generation.

The specific dose of lacosamide is determined by the prescribing clinician based on the individual’s clinical condition, response, and any concomitant therapies. Dosage adjustments are made according to therapeutic response and tolerability, and the prescriber provides the exact regimen.

Safety data for lacosamide during pregnancy and lactation are limited. It is generally advised to avoid use unless the potential benefit to the mother outweighs any possible risk to the fetus or infant. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternatives with their healthcare provider.

To order 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, and will request verification of trade or institutional credentials before providing pricing, availability, shipping details and any necessary import documentation.

Compared with older sodium‑channel blockers such as carbamazepine, lacosamide selectively enhances slow inactivation rather than fast inactivation, which may result in a different side‑effect profile and fewer drug‑interaction concerns. Unlike broad‑spectrum agents like levetiracetam, lacosamide’s mechanism is more targeted, offering an alternative for patients who do not respond to or tolerate other antiepileptics.

Lacosamide Accord tablets should be stored at temperatures below 25 °C. Keep the product in its original packaging, protect it from moisture and direct light, and store it in a dry place away from excessive heat to maintain potency throughout its shelf life.

Lacosamide Accord is taken orally as a tablet with a glass of water. It may be taken with or without food, according to the prescriber’s instructions. Patients should follow the dosing schedule provided by their healthcare professional and not alter the regimen without medical advice.

Serious risks include cardiac conduction abnormalities such as PR‑interval prolongation or atrioventricular block, which may require ECG monitoring, and rare severe skin reactions like Stevens‑Johnson syndrome. Additionally, any new or worsening mood changes, including suicidal thoughts, should be reported promptly to a healthcare professional.

Lacosamide should be avoided in patients with known hypersensitivity to the drug or any of its excipients. Caution is also advised for individuals with significant cardiac conduction disorders, severe renal impairment, or those taking medications that strongly affect its metabolism without appropriate monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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