শুধুমাত্র তথ্যমূলক — চিকিৎসা পরামর্শ নয়। সর্বদা লাইসেন্সপ্রাপ্ত স্বাস্থ্যসেবা প্রদানকারীর পরামর্শ নিন।

MedBD
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Community data Updated 2 মাস আগে

ইঙ্গিত

Lacomax is used to treat partial-onset seizures in patients 1 month of age and older. It is also used as an add-on treatment for primary generalized tonic-clonic seizures in patients 4 years of age and older.

⚠️ কোনো ওষুধ গ্রহণের আগে সর্বদা নিবন্ধিত চিকিৎসকের পরামর্শ নিন।

ফার্মাকোলজি

Lacosamide is thought to relieve pain mainly through its effect on sodium channels, and it appears to act more selectively on neurons that have become depolarized than on those with a normal resting potential. This matters because pain and heightened sensitivity in nociceptors (pain-sensing nerve endings) are linked to depolarization of the neural membrane. Separately, lacosamide binds to collapsin response mediator protein-2 (CRMP-2), a phosphoprotein found mainly in the nervous system that helps guide neuronal differentiation and axonal growth; however, what part this CRMP-2 binding plays in controlling seizures is not yet known.

More broadly, the exact way lacosamide produces its anti-epileptic effect in people has not been fully worked out. What is known from laboratory (in vitro) electrophysiological studies is that it selectively enhances the slow inactivation of voltage-gated sodium channels. This action helps stabilize neuronal membranes that have become hyperexcitable and reduces repetitive firing of neurons.

Pregnancy & Breastfeeding

Pregnancy: There are no adequate and well-controlled studies in pregnant women and 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.

⚠️ Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.

ডোজ নির্দেশিকা

⚠️ শুধুমাত্র সরকারি উৎস থেকে নির্দেশিকা পরিসীমা। ব্যক্তিগতকৃত ডোজের জন্য আপনার ডাক্তারের পরামর্শ নিন।

Adults: 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 mgtwice 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/kgtwice 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) Lacosamide tablets and oral solution may be taken with or without food.