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

Lacosamide Hikma

Active Ingredient:
Lacosamide
Origin:
EU

Lacosamide Hikma (Lacosamide)

Lacosamide, the active ingredient in Lacosamide Hikma, is a sodium channel blocker presented as an injection solution for intravenous use. It treats partial‑onset seizures in patients with epilepsy.
GNH India supplies Lacosamide Hikma as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Hikma Farmacêutica (Portugal), S.A.

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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: reduces the frequency of focal seizures in epilepsy patients.
  • Secondary generalized seizures: helps control seizures that spread from a focal origin.
  • Adjunct therapy in epilepsy: used together with other antiepileptic drugs to improve overall seizure control.

How It Works

  • Lacosamide enhances the slow inactivation of voltage‑gated sodium channels, stabilizing neuronal membranes and decreasing hyper‑excitability. By selectively targeting the persistent sodium current, it limits repetitive neuronal firing without affecting normal conduction, thereby reducing the likelihood of seizure propagation.

Side Effects

Common Side Effects

  • Dizziness
  • Nausea
  • Headache
  • Fatigue

Serious or Rare Side Effects

  • Cardiac arrhythmia (including atrioventricular block)
  • Severe skin reactions such as Stevens‑Johnson syndrome
  • Respiratory depression

Precautions & Warnings

Before initiating therapy, consider the following precautions:

  • Renal impairment: monitor renal function and adjust therapy as needed.
  • Cardiac conduction disorders: obtain baseline ECG and observe for arrhythmias.
  • Concomitant CNS depressants: watch for enhanced sedation.
  • Pregnancy: risk category unknown; weigh benefits against potential risks.
  • Known hypersensitivity: avoid use in patients with documented allergy to lacosamide.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Lacosamide may interact with several medicines.

Major Interactions (Avoid)

  • Other sodium‑channel blockers (e.g., carbamazepine, phenytoin): increased risk of cardiac effects.
  • Strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole): may raise lacosamide plasma levels.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampin, carbamazepine): may reduce lacosamide exposure.
  • Central nervous system depressants (e.g., benzodiazepines, opioids): may enhance sedation.
  • Anticoagulants (e.g., warfarin): may require INR monitoring.

Frequently Asked Questions

Lacosamide Hikma is an intravenous antiepileptic medication indicated for the treatment of partial‑onset seizures, with or without secondary generalisation, in patients diagnosed with epilepsy. It is used as monotherapy or as an adjunct to other antiepileptic drugs to improve seizure control.

Lacosamide enhances the slow inactivation of voltage‑gated sodium channels in neuronal membranes. This action stabilises hyper‑excitable neurons, reduces repetitive firing, and limits the spread of epileptic activity without markedly affecting normal neuronal conduction.

The specific dose and infusion rate are determined by the prescribing clinician based on the patient’s clinical condition, age, renal function and concomitant therapies. Dosing recommendations are provided in the product’s prescribing information and should be followed exactly as directed by a qualified health professional.

Lacosamide’s pregnancy category is listed as unknown, meaning that potential risks to the fetus have not been fully established. Use during pregnancy or lactation should only occur when the expected benefit justifies the potential risk, and it should be discussed with a healthcare provider.

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 worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain where required) and any necessary import documentation.

Compared with older sodium‑channel blockers such as carbamazepine, lacosamide selectively enhances slow inactivation rather than fast inactivation, offering a different safety profile and fewer drug‑interaction concerns. It is often chosen when patients need an alternative mechanism or have intolerance to other agents.

The product must be stored refrigerated at 2 °C to 8 °C, protected from light, and must not be frozen or shaken. Prior to administration, allow the solution to reach room temperature if required, and inspect for particulate matter or discoloration before use.

Lacosamide Hikma is given by intravenous injection or infusion. The preparation is administered slowly over several minutes under clinical supervision, using aseptic technique. The exact infusion rate and duration are determined by the prescribing physician and documented in the treatment protocol.

The most serious adverse events include cardiac arrhythmias such as atrioventricular block, severe skin reactions like Stevens‑Johnson syndrome, and respiratory depression. Patients should be monitored for ECG changes, skin eruptions and breathing difficulties, especially during the initial dosing period.

Lacosamide should be avoided in individuals with known hypersensitivity to the drug or its excipients, and in patients with severe cardiac conduction disorders (e.g., advanced AV block) unless close cardiac monitoring is possible. Caution is also advised for those with significant renal impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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