This drug is used to treat partial seizures (focal seizures) and tonic-clonic seizures.

IUPAC name: 2-acetamido-N-benzyl-3-methoxypropanamide

Drug class: Anticonvulsant/ Antiepileptic drug

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Route of administration: Oral

Is it a drug that needs a prescription? YES

Is it an OTC drug? NO

Mechanism of action

This antiepileptic medicine works by slowly inactivating voltage-gated sodium ion channels and helps to stabilize abnormal nerve impulse activity in the brain that causes seizures.

 Side effects

It may cause dizziness, nausea, vomiting, drowsiness, headache, weakness, lack of coordination, tiredness, vision problems, tremors, chest pain, abnormal heart rate, unusual thoughts, rash or itching.


Before using this medication, take the following precautions and notify your doctor:

If you are allergic to it, or to other anticonvulsant drugs, or if you have other allergies,

If you are taking any other medication (prescribed, non-prescribed, or herbal products),

When you have a history of vision problems, liver disease, cardiac disease, renal issues, depression, psychosis, alcohol abuse,

If you’ve had any type of surgery,

Limit your alcohol usage while taking lacosamide since it increases your chances of developing vision problems, dizziness, or drowsiness. It may also cause a loss of alertness.

This drug’s adverse effects are more severe in older adults.

Use of this medication may affect your mental health.

If you have phenylketonuria, consult your doctor before taking the liquid dosage form of this medication as it contains aspartame that forms phenylalanine.

Consult your doctor if you are pregnant or breastfeeding.

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