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

Lacosamide Krka

Active Ingredient:
Lacosamide
Origin:
EU

Lacosamide Krka (Lacosamide)

Lacosamide, the active ingredient in Lacosamide Krka, is an anti‑epileptic drug presented as an oral tablet for oral use. It is indicated for the treatment of partial‑onset seizures and broader epilepsy management in patients requiring seizure control. The molecule works by modulating neuronal sodium channels, helping to stabilize hyper‑excitable brain tissue.

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

Manufacturer / TM Owner

Krka, D.D., Novo Mesto

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Indications & Clinical Uses

  • Lacosamide is an anti‑epileptic medication used in the management of seizure disorders.
  • Partial‑onset seizures: reduces frequency and severity of focal seizures when used alone or as add‑on therapy.
  • Generalized epilepsy: contributes to overall seizure control as part of a comprehensive regimen.
  • Adjunct therapy for refractory epilepsy: provides additional seizure reduction in patients not fully controlled by other antiepileptic drugs.

How It Works

  • Lacosamide enhances the slow inactivation of voltage‑gated sodium channels, which stabilizes hyper‑excitable neuronal membranes and reduces repetitive neuronal firing. By selectively targeting this channel state, the drug diminishes the propagation of epileptiform activity without significantly affecting normal neuronal conduction.

Side Effects

Lacosamide may cause a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Dizziness
  • Nausea
  • Fatigue

Serious or Rare Side Effects

  • Stevens‑Johnson syndrome or toxic epidermal necrolysis
  • Cardiac conduction abnormalities (e.g., PR‑interval prolongation)
  • Suicidal thoughts or behavior

Precautions & Warnings

  • When prescribing lacosamide, clinicians should consider several safety aspects.
  • Renal impairment: assess kidney function and consider dose adjustment.
  • Hepatic impairment: monitor liver enzymes and adjust dose if needed.
  • Cardiac conduction disorders: obtain baseline ECG and monitor PR interval.
  • Pregnancy: risk unknown; use only if benefits outweigh potential risks.
  • Concomitant CNS depressants: monitor for enhanced sedation.
  • Store at room temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Lacosamide can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., carbamazepine, phenytoin): may markedly reduce lacosamide plasma concentrations.
  • Other sodium‑channel blockers (e.g., phenytoin, lamotrigine): may increase risk of cardiac conduction effects.
  • CYP2C19 inhibitors (e.g., fluconazole): may increase lacosamide exposure and risk of adverse events.

Moderate Interactions (Monitor Closely)

  • Combination with other antiepileptic drugs: may require therapeutic drug monitoring and dose adjustments.
  • Alcohol consumption: can potentiate central nervous system depression, leading to increased drowsiness.
  • QT‑prolonging agents (e.g., macrolide antibiotics): monitor ECG for potential additive cardiac effects.

Frequently Asked Questions

Lacosamide Krka is used to treat partial‑onset (focal) seizures and to help control epilepsy in patients who need additional seizure management. It may be prescribed as monotherapy or as an add‑on to other antiepileptic drugs, depending on the individual's seizure pattern and response to treatment.

Lacosamide works by enhancing the slow inactivation of voltage‑gated sodium channels in neurons. This action stabilizes hyper‑excitable neuronal membranes, reduces repetitive firing, and limits the spread of epileptiform activity, thereby decreasing the likelihood of seizure occurrence.

The dosage of lacosamide is individualized by the prescribing clinician based on the patient’s age, renal and hepatic function, and seizure control needs. The prescriber determines the starting dose and any titration schedule, following approved labeling and clinical guidelines.

Safety data for lacosamide during pregnancy and lactation are limited. It should only be used if the potential benefit justifies the potential risk to the fetus. Breastfeeding mothers should discuss potential exposure with their healthcare provider, as the drug may be present in breast milk.

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

Lacosamide’s unique mechanism—enhancing slow sodium‑channel inactivation—differs from many traditional AEDs that target fast inactivation. Compared with drugs like carbamazepine or phenytoin, lacosamide often has a lower risk of drug‑induced hyponatremia and may be better tolerated, though individual response varies and selection should be based on clinical judgment.

Lacosamide Krka tablets should be stored at room temperature, below 25 °C, in the original packaging to protect from moisture and light. Keep the container tightly closed and out of reach of children. No special refrigeration is required.

Lacosamide Krka is taken orally as a tablet. Swallow the tablet whole with a glass of water; it may be taken with or without food. Follow the prescriber’s instructions regarding timing and whether the dose should be taken once or twice daily.

Serious risks include severe skin reactions such as Stevens‑Johnson syndrome, cardiac conduction abnormalities (e.g., PR‑interval prolongation), and emergence of suicidal thoughts or behavior. Patients should seek immediate medical attention if they notice rash, chest discomfort, irregular heartbeat, or mood changes.

Lacosamide should be avoided in individuals with known hypersensitivity to the drug or its excipients, and in patients with severe cardiac conduction disorders such as advanced atrioventricular block unless a pacemaker is in place. Caution is also advised for those with significant renal or hepatic impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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