Lacomax IV 50 mg/5 ml is a Product of the Generic Lacosamide

What Is Lacomax IV 50 mg/5 ml Indications and Uses?

Lacomax is indicated for the treatment of partial-onset seizures in patients 1 month of age and older. Lacomax is indicated for adjunctive therapy in the treatment of primary generalized tonic-clonic seizures in patients 4 years of age and older.

Pharmacology (Source, Chemical and Physical Composition) Of Lacomax IV 50 mg/5 ml

It is proposed that Lacomax IV 50 mg/5 ml (Lacosamide)'s inhibition of sodium channels is responsible for analgesia. Lacosamide may be selective for inhibiting depolarized neurons rather than neurons with normal resting potentials. Pain and nociceptor hyperexcitability are associated with neural membrane depolarization. Lacosamide binds to collapsin response mediator protein-2 (CRMP-2), a phosphoprotein which is expressed primarily in the nervous system and is involved in neuronal differentiation and control of axonal outgrowth. The role CRMP-2 of binding in seizure control is hasn't been elucidated. The precise mechanism by which Lacosamide exerts its anti-epileptic effects in humans remains to be fully elucidated. In vitro electrophysiological studies have shown that Lacosamide selectively enhances slow inactivation of voltage-gated sodium channels, resulting in stabilization of hyperexcitable neuronal membranes and inhibition of repetitive neuronal firing.

Dosage And Administration of Lacomax IV 50 mg/5 ml

Recommended Dosages for Partial-Onset Seizures (Monotherapy or Adjunctive Therapy) in Patients 1 Month and Older, and for Primary Generalized Tonic-Clonic Seizures (Adjunctive Therapy) in Patients 4 Years of Age and Older. Age and Body Weight Initial Dosage Titration (Incremental Steps) Maintenance Dosage Adults (≥17 years) Monotherapy: 100 mg twice daily (200 mg per day) Adjunctive therapy: 50 mg twice daily (100 mg per day) Increase by 50 mg twice daily (100 mg per day) every week Monotherapy: 150-200 mg twice daily (300-400 mg per day) Adjunctive therapy: 100-200 mg twice daily (200-400 mg per day) Pediatric patients (≥50 kg) 50 mg twice daily (100 mg per day) Pediatric patients (30-50 kg) 1 mg/kg twice daily (2 mg/kg per day) Increase by 1 mg/kg twice daily (2 mg/kg/day) every week 2-4 mg/kg twice daily (4-8 mg/kg/day) Pediatric patients (6-30 kg) 3-6 mg/kg twice daily (6-12 mg/kg/day) Pediatric patients <6 kg) 3.75-7.5 mg/kg twice daily (7.5-15 mg/kg/day) Lacomax IV 50 mg/5 ml (Lacosamide) tablets and oral solution may be taken with or without food.

Drug Interactions of Lacomax IV 50 mg/5 ml

Dose reduction of Lacomax may be necessary in patients with renal or hepatic impairment who are taking strong inhibitors of CYP3A4 & CYP2C9. Lacomax should be used with caution in patients who are on concomitant medications that affect cardiac conduction (sodium channel blockers, beta-blockers, calcium channel blockers, potassium channel blockers) including those that prolong PR interval (sodium channel blocking AEDs)

Side Effects of Lacomax IV 50 mg/5 ml

The most common adverse reactions of Lacomax are dizziness, headache, somnolence, ataxia, tremor, nausea, vomiting, fatigue, diplopia, blurred vision etc.

Precautions And Warnings for Lacomax IV 50 mg/5 ml

Monitor patients for Suicidal behavior, Dizziness, Ataxia, PR interval prolongation, Atrioventricular block, Ventricular tachyarrhythmia, Atrial fibrillation, Atrial flutter, Syncope, Phenylketonuria, Multi-organ hypersensitivity etc. when Lacomax is prescribed.

Use During Pregnancy and Lactation

Pregnancy : There are no adequate and well-controlled studies in pregnant women and Lacomax IV 50 mg/5 ml (Lacosamide) should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Lactation : Lacosamide is excreted in human breast milk. The known benefits of breastfeeding should be weighed against the unknown risks of infant exposure to Lacosamide.

Therapeutic Class

Atypical anti-depressant drugs

Storage Conditions of It

Do not store above 30°C. Keep away from light and out of the reach of children. Pack Image: Lacomax 50 mg/5 ml Injection Thanks for using MedEx! How would you rate your experience so far?