Uses / Indications:
Partial-onset seizures in adults and children ≥4 years.
Can be used as:
Monotherapy (alone) in newly diagnosed epilepsy.
Adjunct therapy with other antiepileptics when seizures are not controlled.
Pregnancy interaction:
Pregnancy:
Limited human data; animal studies show fetal harm.
Seizures themselves are dangerous in pregnancy (risk of injury, miscarriage, hypoxia), so treatment may still be necessary.
Should be prescribed only if benefits outweigh risks.
Folic acid supplementation is usually recommended before and during pregnancy for women on antiepileptics.
Breastfeeding:
Small amounts enter breast milk.
Use with caution; monitor the baby for excess sleepiness, irritability, or poor feeding.
Expert advice:
Take at the same time each day for consistent effect.
Swallow the tablet whole; do not crush or chew.
Inform your doctor if you have heart disease, arrhythmias, liver, or kidney problems.
Do not drive or operate machinery until you know how the medicine affects you.
Regular follow-up with ECG, kidney and liver function tests is advised.
Report any mood changes, suicidal thoughts, or palpitations immediately.
Side Effects:
Common:
Dizziness, headache
Nausea, vomiting
Fatigue, drowsiness
Double/blurred vision
Balance or coordination problems
Less Common:
Tremors, anxiety, insomnia
Weight changes
Mild liver enzyme elevation
Serious (rare):
Heart rhythm disturbances (PR interval prolongation, AV block)
Suicidal thoughts or severe mood changes
Severe allergic reaction (rash, swelling, breathing difficulty)
How to use:
Dosage: Usually started lower and increased gradually.
Typical adult maintenance dose: 100–200mg twice daily (total 200–400mg/day).
Administration:
Take with or without food.
Swallow whole with water.
Missed dose:
Take as soon as you remember unless it’s nearly time for the next dose.
Do not double doses.
Continue taking regularly; do not stop suddenly.
How it works:
Lacoxa 200mg Tablet stabilizes overactive brain cells by:
Enhancing slow inactivation of voltage-gated sodium channels.
This reduces repetitive electrical firing in neurons.
Result: Lower seizure frequency and severity.
Faq for medicine:
Q1. What is Lacoxa 200mg Tablet used for?
To control partial-onset seizures (focal seizures) in adults and children ≥4 years.
Q2. How long does it take to show effect?
Works within a few days, but seizure control may take weeks of dose adjustment.
Q3. Can I stop taking it suddenly?
No. Stopping abruptly can trigger seizures. Must be tapered gradually.
Q4. Can I drink alcohol with Lacoxa 200mg Tablet?
Avoid alcohol → increases dizziness, drowsiness, and seizure risk.
Q5. Will it cure epilepsy?
No. It controls seizures but does not cure epilepsy. Long-term therapy is usually needed.
Q6. Is it safe for elderly people?
Yes, but higher risk of dizziness and falls. Monitoring is important.
Medicine interaction:
With other antiepileptics: May interact with phenytoin, carbamazepine, or valproate (dose adjustments needed).
With heart medicines: Caution with beta-blockers, calcium channel blockers, antiarrhythmics (risk of heart conduction issues).
With sedatives / alcohol: Increases drowsiness and dizziness.
Generally fewer drug interactions than older seizure medicines.
