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 318 193
Seizures (complex partial) 60 67
Seizures 18 8
Muscle tightness with stiffness 4 1
Nerve pain (neuralgia) 4 1
Seizures (grand mal or tonic-clonic) 3 1

Show all 24 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
Severe 46
Moderate 53
Mild 65
None 47

Commonly reported side effects and conditions associated with Lacosamide

Side effect Patients
Dizziness 14
Double vision (diplopia) 10
Blurry vision 7
Excessive daytime sleepiness (somnolence) 7
Nausea 6
Headaches 5

Show all 140 reported side effects

Dosages

Based on patients currently taking Lacosamide

Dosage Patients
50 mg daily 5
150 mg twice daily 3
400 mg daily 3
200 mg daily 2
300 mg daily 2
200 mg/20 mL twice daily 2
200 mg twice daily 2
2 x 200 mg/20 mL daily 2
250 mg twice daily 2
100 mg daily 1

See all 16 dosages

Why patients stopped taking Lacosamide

Multiple reasons could be selected

Reason Patients
Did not seem to work 48
Side effects too severe 39
Doctor's advice 28
Expense 10
Other 7
Change in health plan coverage 2
Course of treatment ended 2
See all 87 patients who’ve stopped taking Lacosamide

Duration

Currently taking Lacosamide

Duration Patients
1 - 6 months 1
6 months - 1 year 1
1 - 2 years 2
2 - 5 years 18
5 - 10 years 7
10 years or more 1

Stopped taking Lacosamide

Duration Patients
Less than 1 month 19
1 - 6 months 30
6 months - 1 year 14
1 - 2 years 9
2 - 5 years 14
5 - 10 years 1
Adherence
Adherence Evaluations
Always 192
Usually 13
Sometimes 2
Never taken as prescribed 4
Burden
Burden Evaluations
Very hard to take 9
Somewhat hard to take 21
A little hard to take 29
Not at all hard to take 152
Cost per month
Cost per month Evaluations
$200+ 13
$100-199 13
$50-99 10
$25-49 20
< $25 92
Not specified 63

What people switch to and from

Patients started taking Lacosamide after stopping:

Treatment Patients
Levetiracetam (Keppra) 5
Topiramate (Topamax) 4
Divalproex sodium (Depakote) 2
Lamotrigine (Lamictal) 2
Phenytoin (Dilantin) 1

Show all 6 treatments patients report switching from

Patients stopped taking Lacosamide and switched to:

Treatment Patients
Levetiracetam (Keppra) 3
Topiramate (Topamax) 2
Clonazepam (Klonopin) 1
Lamotrigine (Lamictal) 1
Phenytoin (Dilantin) 1
Last updated:

14 patient evaluations for Lacosamide

129 members have decided to share their profiles only with other members of PatientsLikeMe.

seizetheday
30116 thumb
seizetheday
Data Quality: 2 stars
  • Gender: F
  • Age: 58y
  • Duration: 45 yrs
Quality of life:
  • Mental: Unreported
  • Physical: Unreported
2 seizures
79 weeks ago
I am: g
I have:
Epilepsy

See seizetheday's full Lacosamide history

Jun 30, 2012 (Started Oct 07, 2009)

  • Effectiveness
    Can’t tell (for Epilepsy)
  • Side effects
    Moderate (Nausea)
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 400 mg Daily

  • 0 helpful marks
Angeleyes_99
42157 thumb
Angeleyes_99
Data Quality: 0 stars
  • Gender: F
  • Age: 33y
  • Duration: 12 yrs
Quality of life:
  • Mental: Mild
  • Physical: Mild
5 seizures
251 weeks ago
I am: n
I have:
Epilepsy

See Angeleyes_99's full Lacosamide history

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
mizzepileptica
41731 thumb
mizzepileptica
Data Quality: 0 stars
  • Gender: F
  • Age: 58y
  • Duration: 40 yrs
Quality of life:
  • Mental: Unreported
  • Physical: Unreported
0 seizures
249 weeks ago
I am: g
I have:
Epilepsy

See mizzepileptica's full Lacosamide history

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
Last updated:
Showing 3 of 14 patient evaluations for Lacosamide