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In these 3 trials, patients had a mean duration of epilepsy of 24 years and a median baseline seizure frequency ranging from 10 to 17 per 28 days. When discontinuing Lacosamide, a gradual withdrawal over at least 1 week is recommended [No dose adjustment is necessary in patients with mild to moderate renal impairment. fatigue, jaundice, dark urine).Advise patients to notify their healthcare provider if they become pregnant or intend to become pregnant during Lacosamide tablets therapy. They work by reducing irregular impulses in the brain that cause seizures and pain. Information on the registry can also be found at the website http://www.aedpregnancyregistry.org/.The effects of Lacosamide on labor and delivery in pregnant women are unknown. In the short-term controlled trials of Lacosamide in patients with diabetic neuropathy, 1.2% of patients who were treated with Lacosamide reported an adverse reaction of syncope or loss of consciousness, compared to 0% of placebo-treated patients with diabetic neuropathy. Elevations of ALT to ≥3× ULN occurred in 0.7% (7/935) of Lacosamide patients and 0% (0/356) of placebo patients. The recommended maintenance dose is 100 mg twice daily to 200 mg twice daily (200 mg to 400 mg per day). The case is consistent with a delayed multiorgan hypersensitivity reaction. They are supplied as follows:Lacosamide tablets 150 mg are tan, oval, film-coated tablets debossed with "113" on one side and plain on the other side.

This can be done by calling the toll free number 1-888-233-2334, and must be done by patients themselves. They are supplied as follows:Lacosamide tablets 200 mg are blue, oval, film-coated tablets debossed with "114" on one side and plain on the other side. This registry is collecting information about the safety of AEDs during pregnancy.

Patients treated with any AED for any indication should be monitored for the emergence or worsening of depression, suicidal thoughts or behavior, and/or any unusual changes in mood or behavior.Pooled analyses of 199 placebo-controlled clinical trials (mono- and adjunctive therapy) of 11 different AEDs showed that patients randomized to one of the AEDs had approximately twice the risk (adjusted Relative Risk 1.8, 95% CI: 1.2, 2.7) of suicidal thinking or behavior compared to patients randomized to placebo.

The cause of syncope was not determined in most cases. A pharmacokinetic-pharmacodynamic (efficacy) analysis was performed based on the pooled data from the 3 efficacy trials for partial-onset seizures. The early postnatal period in rats is generally thought to correspond to late pregnancy in humans in terms of brain development.

Additional potential cases included 2 with rash and elevated liver enzymes and 1 with myocarditis and hepatitis of uncertain etiology.Multiorgan hypersensitivity reactions (also known as The following serious adverse reactions are described below and elsewhere in the labeling:Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice.In the premarketing development of adjunctive therapy for partial-onset seizures, 1327 patients received Lacosamide in controlled and uncontrolled trials, of whom 1000 were treated for longer than 6 months, and 852 for longer than 12 months.In adjunctive therapy controlled clinical trials, the rate of discontinuation as a result of an adverse reaction was 8% and 17% in patients randomized to receive Lacosamide tablets at the recommended doses of 200 and 400 mg/day, respectively, 29% at 600 mg/day, and 5% in patients randomized to receive placebo.

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