What is Lacosamide?

Category: Prescription Drugs

Most popular types: Vimpat

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Lacosamide is an anticonvulsant agent used for adjunctive therapy in the treatment of partial-onset seizures. Lacosamide was previously known as harkoseride and then SPM 927.

Reported purpose & perceived effectiveness
Purpose Patients Evaluations Perceived Effectiveness
Epilepsy 1119 210
Seizures (complex partial) 64 74
Seizures 24 9
Muscle tightness with stiffness 4 1
Nerve pain (neuralgia) 4 1
Seizures (grand mal or tonic-clonic) 3 0

Show all 27 reasons taken


  • Major
  • Moderate
  • Slight
  • None
  • Can't tell

Side effects

Side effects as an overall problem

Side effects as an overall problem
Severity Evaluations Percentage
Severe 48
Moderate 58
Mild 73
None 50

Commonly reported side effects and conditions associated with Lacosamide

Side effect Patients Percentage
Dizziness 17
Double vision (diplopia) 12
Blurry vision 8
Drowsiness 6
Excessive daytime sleepiness (somnolence) 6
Headaches 6

Show all 110 reported side effects

Dosages

Based on patients currently taking Lacosamide

Dosage Patients Percentage
200 mg twice daily 3
50 mg twice daily 2
150 mg twice daily 2
400 mg daily 2
2 other twice daily 1
50 mg daily 1
100 mg daily 1
100 mg twice daily 1
100 mg three times daily 1
2 x 200 mg/20 mL daily 1

See all 12 dosages

Why patients stopped taking Lacosamide

Multiple reasons could be selected

Reason Patients Percentage
Did not seem to work 49
Side effects too severe 41
Doctor's advice 27
Expense 11
Other 7
Change in health plan coverage 2
Course of treatment ended 2
See all 89 patients who've stopped taking Lacosamide

Duration

Currently taking Lacosamide

Duration Patients Percentage
2 - 5 years 5
5 - 10 years 8
10 years or more 3

Stopped taking Lacosamide

Duration Patients Percentage
Less than 1 month 19
1 - 6 months 32
6 months - 1 year 15
1 - 2 years 8
2 - 5 years 13
5 - 10 years 1
Adherence
Adherence Evaluations Percentage
Always 212
Usually 13
Sometimes 2
Never taken as prescribed 2
Burden
Burden Evaluations Percentage
Very hard to take 9
Somewhat hard to take 21
A little hard to take 31
Not at all hard to take 168
Cost per month
Cost per month Evaluations Percentage
$200+ 16
$100-199 13
$50-99 9
$25-49 28
< $25 94
Not specified 69

What people switch to and from

Patients started taking Lacosamide after stopping:

Treatment Patients Percentage
Levetiracetam (Keppra) 10
Topiramate (Topamax) 7
Lamotrigine (Lamictal) 3
Divalproex sodium (Depakote) 2
Carbamazepine (Tegretol) 1

Show all 12 treatments patients report switching from

Patients stopped taking Lacosamide and switched to:

Treatment Patients Percentage
Levetiracetam (Keppra) 5
Topiramate (Topamax) 3
Divalproex sodium (Depakote) 2
Brivaracetam (Briviact) 1
Clobazam (Onfi) 1

Show all 7 treatments patients report switching to

Last updated:

12 patient evaluations for Lacosamide

Feb 11, 2012 (Started Jul 01, 2009)

  • Effectiveness
    Moderate (for epilepsy)
  • Side effects
    Moderate (anxious mood, tiredness)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 600 mg Daily
Cost: < $25 monthly

  • 0 helpful marks

Feb 1, 2012 (Started Dec 13, 2009)

  • Effectiveness
    Major (for epilepsy)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 100 mg Daily
Advice & Tips: Just try it, you may have to get used to it at first. It improved my overall motor skills.

  • 0 helpful marks

Jul 7, 2011 (Started Jul 05, 2009)

  • Effectiveness
    Slight (for epilepsy)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 400 mg Daily
Cost: $100-199 monthly
Side effects: vision loss in left side of visual field for both eyes

  • 0 helpful marks
Last updated:
Showing 3 of 12 patient evaluations for Lacosamide