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Molecule

Lacosamide

Decreased Central Nervous System Disorganized Electrical Activity
Available on requestControlled substanceNeurology
Presentations
15
Brands
2
Manufacturers
2
Available from stock
0

Lacosamide is a prescription medicine indicated for treatment of partial-onset seizures in patients 1 month of age and older, among other approved uses. It is available as tablets, oral solution and injection for intravenous use. MedsAcross supplies Lacosamide for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Decreased Central Nervous System Disorganized Electrical Activity
ATC classification
N03AX18 Lacosamide · Anticonvulsant agent, subgroup N03AX
US FDA first approval
28 October 2008
EU status
Authorised
Orphan designation
No
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral, Intravenous
Dosage forms
Tablet, Oral solution, Injection, Extended-release capsule
Identifiers
UNII 563KS2PQY5RxCUI 623400CAS 175481-36-4DrugBank DB06218Q420077

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

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

Source: US FDA prescribing information

How it works

The precise mechanism by which VIMPAT exerts its antiepileptic 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.

Source: US FDA prescribing information

Dosing overview

Adults (17 years and older): Initial dosage for monotherapy for the treatment of partial-onset seizures is 100 mg twice daily. Initial dosage for adjunctive therapy for the treatment of partial-onset seizures or primary generalized tonic-clonic seizures is 50 mg twice daily. Maximum recommended dosage for monotherapy and adjunctive therapy is 200 mg twice daily. Pediatric Patients 1 month to less than 17 years: The recommended dosage is based on body weight and is administered orally twice daily. Increase dosage based on clinical response and tolerability, no more frequently than once per week. Injection: for intravenous use only when oral administration is temporarily not feasible, the recommended dosage is based on body weight and is administered two or three times daily over 15 to 60 minutes, obtaining ECG before initiation is recommended in certain patients.

Source: US FDA prescribing information

Warnings and precautions

Monitor patients for suicidal behavior and ideation. VIMPAT may cause dizziness and ataxia. Cardiac Rhythm and Conduction Abnormalities: Obtaining ECG before beginning and after titration to steady-state maintenance is recommended in patients with underlying proarrhythmic conditions or on concomitant medications that affect cardiac conduction, closely monitor these patients. VIMPAT may cause syncope. VIMPAT should be gradually withdrawn to minimize the potential of increased seizure frequency. Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS)/ Multi-Organ Hypersensitivity: Discontinue if no alternate etiology

Source: US FDA prescribing information

Side effects

The following serious adverse reactions are described below and elsewhere in the labeling: Suicidal Behavior and Ideation Dizziness and Ataxia Cardiac Rhythm and Conduction Abnormalities Syncope Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS)/Multiorgan Hypersensitivity Reactions Adjunctive therapy: Most common adverse reactions in adults (≥10% and greater than placebo) are diplopia, headache, dizziness, nausea, and somnolence. Monotherapy: Most common adverse reactions are similar to those seen in adjunctive therapy studies. Pediatric patients: Adverse reactions are similar to those seen in adult patients

Source: US FDA prescribing information

Interactions

Strong CYP3A4 or CYP2C9 Inhibitors Patients with renal or hepatic impairment who are taking strong inhibitors of CYP3A4 and CYP2C9 may have a significant increase in exposure to VIMPAT. Dose reduction may be necessary in these patients.

Source: US FDA prescribing information

Storage

Store at 20°C to 25°C (68°F to 77°F), excursions permitted between 15°C to 30°C (59°F to 86°F). Do not freeze VIMPAT injection or oral solution.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

15 presentations of Lacosamide, sorted by availability.

MedicineManufacturerRegisterAvailability
Lacosamide 50 mg tabletOralGeneric name—US FDAAvailable on request
Lacosamide 100 mg tabletOralGeneric name—US FDAAvailable on request
Lacosamide 200 mg tabletOralGeneric name—US FDAAvailable on request
Lacosamide 150 mg tabletOralGeneric name—US FDAAvailable on request
Lacosamide 10 mg/mL oral solutionOralGeneric name—US FDAAvailable on request
Lacosamide 200 mg/20 mL injectionIntravenousGeneric name—US FDAAvailable on request
Vimpat 100 mg tabletOralUCBUS FDAAvailable on request
Vimpat 150 mg tabletOralUCBUS FDAAvailable on request
Vimpat 200 mg tabletOralUCBUS FDAAvailable on request
Vimpat 50 mg tabletOralUCBUS FDAAvailable on request
Motpoly XR 100 mg extended-release capsuleOralAucta PharmaceuticalsUS FDAAvailable on request
Motpoly XR 150 mg extended-release capsuleOralAucta PharmaceuticalsUS FDAAvailable on request
Motpoly XR 200 mg extended-release capsuleOralAucta PharmaceuticalsUS FDAAvailable on request
Vimpat 10 mg/mL oral solutionOralUCBUS FDAAvailable on request
Vimpat 200 mg/20 mL injectionIntravenousUCBUS FDAAvailable on request

Brands by market

2 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 28 October 2008Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Lacosamide in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Lacosamide available for export from India?

Yes, on request. MedsAcross lists 15 presentations of Lacosamide and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Lacosamide have?

The catalogue lists 2 brand names for Lacosamide, including Motpoly XR, Vimpat.

Is Lacosamide approved by the US FDA?

Yes. The US FDA first approved Lacosamide on 28 October 2008, according to Drugs@FDA.

Is Lacosamide authorised in the European Union?

Yes. Lacosamide has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Lacosamide need cold chain shipping?

No listed presentation of Lacosamide is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Lacosamide in?

Lacosamide is classified under ATC code N03AX18 (Lacosamide).

References

  1. Vimpat prescribing information (UCB). U.S. National Library of Medicine, DailyMed. Retrieved 12 May 2026
  2. Lacosamide UCB: European public assessment report (EPAR). European Medicines Agency. Retrieved 20 August 2026
  3. Vimpat: European public assessment report (EPAR). European Medicines Agency. Retrieved 20 August 2026

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