MEDICATION GUIDE
Lacosamide (la-KOE-sa-mide) Oral Solution, USP CV

 What is the most important information I should know about lacosamide?

Do not stop taking lacosamide without first talking to your healthcare provider. Stopping Lacosamide suddenly can cause serious problems. Stopping seizure medicine suddenly in a patient who has epilepsy can cause seizures that will not stop (status epilepticus).

Lacosamide can cause serious side effects, including:

1. Like other antiepileptic drugs, Lacosamide may cause suicidal thoughts or actions in a very small number of people, about 1 in 500. Call a healthcare provider right away if you have any of these symptoms, especially if they are new, worse, or worry you:

• thoughts about suicide or dying                                     • trouble sleeping (insomnia)
• attempt to commit suicide                                              • new or worse irritability
• new or worse depression                                               • acting aggressive, being angry, or violent                                          
• feeling agitated or restless                                             • an extreme increase in activity and talking (mania)
• panic attacks                                                                  • other unusual changes in behavior or mood

How can I watch for early symptoms of suicidal thoughts and actions?

• Pay attention to any changes, especially sudden changes, in mood, behaviors, thoughts, or feelings.
• Keep all follow-up visits with your healthcare provider as scheduled.
• Call your healthcare provider between visits as needed, especially if you are worried about symptoms.
• Suicidal thoughts or actions can be caused by things other than medicines. If you have suicidal thoughts or actions, your healthcare provider may check for other causes.

2. Lacosamide may cause you to feel dizzy, have double vision, feel sleepy, or have problems with coordination and walking. Do not drive, operate heavy machinery, or do other dangerous activities until you know how lacosamide affects you.

3. Lacosamide may cause you to have an irregular heartbeat or may cause you to faint. In rare cases, cardiac arrest has been reported. Call your healthcare provider right away if you:

• have a fast, slow, or pounding heartbeat or feel your heart skip a beat           • feel lightheaded
• fainted or if you feel like you are going to faint                                                 • have shortness of breath
• have chest pain

If you have fainted or feel like you are going to faint you should lay down with your legs raised.

4. Lacosamide is a federally controlled substance (CV) because it can be abused or lead to drug dependence. Keep your lacosamide in a safe place, to protect it from theft. Never give your lacosamide to anyone else, because it may harm them. Selling or giving away this medicine is against the law.

What is lacosamide?
Lacosamide is a prescription medicine used:
• to treat partial-onset seizures in people 4 years of age and older.

It is not known if lacosamide is safe and effective for partial-onset seizures in children under 1 month of age.

What should I tell my healthcare provider before taking Lacosamide?
Before you take lacosamide, tell your healthcare provider about all of your medical conditions, including if you:
• have or have had depression, mood problems or suicidal thoughts or behavior.
• have heart problems.
• have kidney problems.
• have liver problems.
• have abused prescription medicines, street drugs or alcohol in the past.
• are pregnant or plan to become pregnant. It is not known if lacosamide can harm your unborn baby. Tell your healthcare provider right away if you become pregnant while taking lacosamide. You and your healthcare provider will decide if you should take lacosamide while you are pregnant.
• If you become pregnant while taking lacosamide, talk to your healthcare provider about registering with the North American Antiepileptic Drug Pregnancy Registry. You can enroll in this registry by calling 1-888-233-2334. The purpose of this registry is to collect information about the safety of antiepileptic medicine during pregnancy.
• are breastfeeding or plan to breastfeed. It is not known if lacosamide passes into your breast milk or if it can harm your baby. Talk to your healthcare provider about the best way to feed your baby if you take lacosamide.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Taking lacosamide with certain other medicines may cause side effects or affect how well they work. Do not start or stop other medicines without talking to your healthcare provider. Know the medicines you take. Keep a list of them and show it to your healthcare provider and pharmacist each time you get a new medicine.

 What are the possible side effects of lacosamide?
• See '' What is the most important information I should know about lacosamide?''
Lacosamide may cause other serious side effects including:
• A serious allergic reaction that may affect your skin or other parts of your body such as your liver or blood cells. Call your healthcare provider right away if you have:

•    a skin rash, hives                                                         •  swelling of the legs

•    fever or swollen glands that do not go away                •  yellowing of the skin or whites of the eyes

•    shortness of breath                                                       • dark urine

•    tiredness (fatigue)

• double vision       • nausea
• headache            • sleepiness
• dizziness

These are not all of the possible side effects of lacosamide. For more information ask your healthcare provider or pharmacist.
Tell your healthcare provider about any side effect that bothers you or that does not go away. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

How should I store lacosamide oral solution?
•   Store lacosamide between 68º F to 77ºF (20ºC to 25ºC).

•   Do not freeze lacosamide oral solution.

•   Throw away any lacosamide oral solution 6 months after you first open the bottle.

Keep lacosamide oral solution and all medicines out of the reach of children.

 General Information about the safe and effective use of lacosamide.
Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use lacosamide for a condition for which it was not prescribed. Do not give lacosamide to other people, even if they have the same symptoms that you have. It may harm them.

This Medication Guide summarizes the most important information about lacosamide. If you would like more information, talk with your healthcare provider. You can ask your pharmacist or healthcare provider for information about lacosamide that is written for health professionals