Product image of Lacosamide Fresenius Kabi (Lacosamide) supplied by GNH India

Lacosamide Fresenius Kabi

Active Ingredient:
Lacosamide
Origin:
EU

Lacosamide Fresenius Kabi (Lacosamide)

Lacosamide, the active ingredient in Lacosamide Fresenius Kabi, is an anti‑epileptic (sodium channel modifier) presented as an injectable solution for intravenous use. It is indicated as adjunctive therapy for partial‑onset seizures in patients with epilepsy, helping to reduce seizure frequency when added to existing treatment regimens.

GNH India supplies Lacosamide Fresenius Kabi as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Fresenius Kabi Deutschland Gmbh

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Indications & Clinical Uses

  • Lacosamide is an anti‑epileptic drug indicated for the treatment of epilepsy, specifically partial‑onset seizures.
  • Partial‑onset seizures: adjunctive therapy to reduce seizure frequency.
  • Focal epilepsy: used alongside other antiepileptics to improve seizure control.
  • Refractory focal seizures: added when monotherapy is insufficient to achieve adequate control.

How It Works

  • Lacosamide enhances the slow inactivation of voltage‑gated sodium channels, stabilizing hyperexcitable neuronal membranes. It also binds to collapsin response mediator protein‑2 (CRMP‑2), which may modulate neuronal differentiation and axonal outgrowth, contributing to its antiepileptic effect without affecting fast channel kinetics.

Side Effects

Lacosamide may cause a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Dizziness: sensation of light‑headedness or unsteadiness.
  • Nausea: mild to moderate gastrointestinal upset.
  • Headache: transient pain often relieved with rest.
  • Somnolence: increased sleepiness or fatigue.
  • Blurred vision: temporary visual disturbances.
  • Fatigue: reduced energy levels.

Serious or Rare Side Effects

  • Cardiac conduction abnormalities: PR‑interval prolongation or arrhythmia.
  • Suicidal ideation: emergence of depressive thoughts.
  • Severe skin reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Respiratory depression: reduced breathing effort, especially with CNS depressants.
  • Anaphylaxis: acute allergic reaction with hives, swelling, or airway compromise.
  • Hepatic dysfunction: elevated liver enzymes or hepatitis.

Precautions & Warnings

  • When prescribing Lacosamide, clinicians should consider several safety aspects.
  • Renal impairment: monitor renal function and adjust therapy as needed.
  • Hepatic impairment: use with caution and observe liver enzymes.
  • Cardiac conduction disorders: obtain baseline ECG and monitor PR interval.
  • Concomitant CNS depressants: observe for additive sedation or respiratory effects.
  • Pregnancy: risk category unknown; weigh maternal benefits against potential fetal risks.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Lacosamide can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Class I antiarrhythmics (e.g., quinidine): may exacerbate PR‑interval prolongation.
  • Carbamazepine: can lower lacosamide plasma concentrations, reducing efficacy.
  • Strong CYP2C19 inhibitors (e.g., fluconazole): may increase lacosamide exposure and toxicity.

Moderate Interactions (Monitor Closely)

  • Other sodium‑channel blockers (e.g., phenytoin, lamotrigine): additive CNS effects may occur.
  • Opioids: heightened risk of respiratory depression and sedation.

Frequently Asked Questions

Lacosamide Fresenius Kabi is an injectable anti‑epileptic medication used as adjunctive therapy for partial‑onset (focal) seizures in patients with epilepsy. It is administered intravenously when additional seizure control is needed alongside existing antiepileptic regimens.

Lacosamide enhances the slow inactivation of voltage‑gated sodium channels, which stabilizes neuronal membranes and reduces hyper‑excitability. It also binds to CRMP‑2, a protein involved in neuronal development, contributing to its antiepileptic activity without affecting the fast inactivation phase of sodium channels.

The specific dose of Lacosamide Fresenius Kabi is determined by the prescribing clinician based on the patient’s clinical condition, age, renal and hepatic function, and concomitant therapies. Healthcare professionals tailor the regimen to achieve optimal seizure control while minimizing adverse effects.

The safety of lacosamide in pregnancy and lactation has not been definitively established. It is classified as having an unknown pregnancy category, so clinicians must weigh potential benefits against possible risks and discuss options with the patient. Breastfeeding decisions should also consider drug excretion in milk.

To request Lacosamide Fresenius Kabi, 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 verify trade or institutional credentials before providing pricing, availability, shipping details (including cold‑chain if needed), and import documentation.

Lacosamide differs from many traditional antiepileptics by selectively enhancing slow sodium‑channel inactivation, offering a distinct mechanism that may be beneficial for patients who have not responded to drugs acting on fast inactivation. It is often compared with agents like carbamazepine or phenytoin, which have broader sodium‑channel effects and different interaction profiles.

Lacosamide Fresenius Kabi must be stored at 2‑8 °C in a refrigerator, protected from light. The solution should not be frozen or shaken vigorously. Keep the vial in its original packaging until use to maintain stability and sterility.

The medication is supplied as an injectable solution for intravenous infusion. Healthcare professionals administer it under controlled conditions, typically as a slow infusion over several minutes, following the dosing instructions provided by the prescriber and adhering to aseptic technique.

Serious risks include cardiac conduction abnormalities such as PR‑interval prolongation, which can lead to arrhythmias, as well as rare but severe skin reactions (e.g., Stevens‑Johnson syndrome), respiratory depression when combined with other CNS depressants, and potential suicidal thoughts. Prompt medical evaluation is required if these occur.

Patients with known hypersensitivity to lacosamide or any component of the formulation should avoid its use. Individuals with significant cardiac conduction disorders (e.g., second‑degree AV block) or uncontrolled severe hepatic impairment should not receive the drug without specialist assessment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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