- |||||||||| Vimpat (lacosamide) / UCB, Daiichi Sankyo
On the Digital Psychopharmacology of Antiseizure Medications () - Dec 12, 2021 - Abstract #AES2021AES_1285; Our data demonstrate that experimenter-free instrumented home cage chambers can reveal unique psychopharmacological profiles for ASMs with distinct mechanisms of action, providing protocols for the screening of pipeline ASM candidates and models that may predict ASM side effects. In ongoing experiments, we extend this analysis to a third water soluble ASM (lacosamide), and explore the effects of ASM polytherapy and dose dependence.
- |||||||||| Vimpat (lacosamide) / UCB, Daiichi Sankyo, lamotrigine liquid oral suspension / OWP Pharma, Biktarvy (bictegravir/emtricitabine/tenofovir alafenamide) / Gilead
Transient Atrial Fibrillation Following Generalized Tonic-Clonic Seizure in Epileptic Patients with HIV () - Dec 12, 2021 - Abstract #AES2021AES_1253; Appropriate management for AF should be considered after weighing the risk and benefits. Further studies with larger sample size are needed to assess any possible association between the increased risk for postictal AF after GTCS in epileptic patients with HIV.
- |||||||||| gabapentin / Generic mfg., carbamazepine / Generic mfg.
Nonconvulsive Status Epilepticus in the Setting of Cannabidiol Adjunctive Therapy () - Dec 12, 2021 - Abstract #AES2021AES_1048; CBD may have also triggered NCSE in our patient because of its pharmacokinetic interactions with his other ASMs, specifically by increasing tiagabine levels. There is still a need to better understand CBD’s molecular targets to prevent this rare complication.
- |||||||||| Vimpat (lacosamide) / UCB, Daiichi Sankyo
Retrospective Study on Safety and Effectiveness of Lacosamide for Neonatal Seizures () - Dec 12, 2021 - Abstract #AES2021AES_921; The results from this study indicate LCM is being used to treat neonates with seizures, is not associated with safety events attributable to LCM, and may be effective, with half of the patients showing improvement in seizures. Further controlled studies are required to confirm the safety and effectiveness of LCM for neonatal seizures.
- |||||||||| Vimpat (lacosamide) / UCB, Daiichi Sankyo
Targeting the Gaps in the Management of Status Epilepticus Through Improved Medication Delivery Algorithms and Education () - Dec 12, 2021 - Abstract #AES2021AES_908; Implementation of several health care initiatives at our comprehensive epilepsy center has resulted in improved processing of emergent orders for rescue medications and allowed for more efficient delivery of medications to the bedside. Although the differences between current and previously recorded latencies did not reach statistical significance, these results are encouraging and suggest that the education of resident, nurses, and pharmacy staff can improve the care for patients with NCSE.
- |||||||||| Vimpat (lacosamide) / UCB, Daiichi Sankyo
Efficacy and Safety of Lacosamide in Infants () - Dec 12, 2021 - Abstract #AES2021AES_857; In addition, lacosamide was well-tolerated with no hepatic, renal, or cardiac side effects seen in any of the patients in this study. Cardiac and hematologic side effects, though reported in the literature, were not seen in our sample.This study is among the first and largest retrospective chart reviews investigating lacosamide in infants less than 2 years old and suggests that lacosamide is both efficacious and well-tolerated in this age group.
- |||||||||| lorazepam / Generic mfg., levetiracetam / Generic mfg.
Multifocal Myoclonus as a Presentation of Levetiracetam Toxicity () - Dec 12, 2021 - Abstract #AES2021AES_646; One may hypothesize a dose-dependent effect on myoclonus with more effective binding activation of SV2A receptors at low concentrations and possible quiescence at higher concentrations. Detailed review of additional cases of and risks of potential levetiracetam toxicity would be integral in further understanding its properties and mechanisms of action.References1) Abou-Khalil B. Levetiracetam in the treatment of epilepsy.
- |||||||||| Vimpat (lacosamide) / UCB, Daiichi Sankyo
Sphenoidal Encephalocele Causing Nocturnal Frontal Lobe Seizures () - Dec 12, 2021 - Abstract #AES2021AES_616; The bony defect is probably related to her remote TBI. The formation of this sphenoid encephalocele had been a chronic process, which did not cause neurological symptom until decades later, indicating that frontal lobe encephalocele may be asymptomatic when the size is small.
- |||||||||| Vimpat (lacosamide) / UCB, Daiichi Sankyo
Journal: CRMP2 Is Involved in Regulation of Mitochondrial Morphology and Motility in Neurons. (Pubmed Central) - Dec 2, 2021 The CRMP2-binding small molecule (S)-lacosamide ((S)-LCM) prevented an OA-induced increase in CRMP2 phosphorylation at Thr509/514 and Ser522 but not at Thr555, and also failed to alleviate Drp1 phosphorylation...Deletion of CRMP2 with a small interfering RNA (siRNA) resulted in increased mitochondrial fission and diminished mitochondrial traffic. Overall, our data suggest that the CRMP2 expression level and phosphorylation state are involved in regulating mitochondrial morphology and motility in neurons.
- |||||||||| midazolam hydrochloride / Generic mfg., carbamazepine / Generic mfg., voriconazole / Generic mfg.
Clinical, PK/PD data, Review, Journal: A review of pharmacokinetic drug interactions between antimicrobial and antiseizure medications in children. (Pubmed Central) - Dec 1, 2021 Voriconazole might also be predicted to increase levels of cannabidiol, CBZ, lacosamide, midazolam, and zonisamide. DDIs between ASMs and some antiviral agents are potentially even more frequent and clinically relevant.
- |||||||||| Vimpat (lacosamide) / UCB, Daiichi Sankyo
Clinical, Review, Journal: Efficacy of lacosamide and phenytoin in status epilepticus: A systematic review. (Pubmed Central) - Nov 29, 2021 DDIs between ASMs and some antiviral agents are potentially even more frequent and clinically relevant. LCM has comparable efficacy with fewer SAEs as compared to PHT for achieving seizure control in patients with SE.
- |||||||||| carbamazepine / Generic mfg.
Journal: Cardiac Sodium Channel Blockade Due to Antiepileptic Drug Combination. (Pubmed Central) - Nov 21, 2021 We describe the effect of two sodium channel blockers on the heart of a patient with epilepsy. Approximately 30% of patients with epilepsy require combination therapy with antiepileptic drugs for seizure reduction.Lacosamide and carbamazepine are both sodium channel blockers but exert their effects through different mechanisms.Electrocardiogram monitoring is necessary when lacosamide and carbamazepine are used together as this combination may predispose to seizures, conduction abnormalities and dysrhythmia.
- |||||||||| carbamazepine / Generic mfg.
Retrospective data, Journal: Sodium channel blockers are effective for benign infantile epilepsy. (Pubmed Central) - Nov 18, 2021 Our vEEG results suggest that LCM may be a worthwhile AED adjunct in refractory GE patients without a risk of worsening absence seizures. Low-dose LCM was effective and well tolerated in patients with BIE, whereas LEV was insufficiently effective.
- |||||||||| pregabalin / Generic mfg., gabapentin / Generic mfg., duloxetine / Generic mfg.
Retrospective data, Review: Different Drugs for the Treatment of Painful Diabetic Peripheral Neuropathy: A Meta-Analysis. (Pubmed Central) - Nov 17, 2021 In addition, the efficacy of buprenorphine, tanezumab, fulranumab and others could not be concluded due to insufficient studies...For the results of our meta-analysis, long-term studies are still needed to verify their efficacy and safety in the future. Systematic Review Registration: PROSPERO, identifier: CRD42020197397.
- |||||||||| Vimpat (lacosamide) / UCB, Daiichi Sankyo
Review, Journal: Pharmacotherapy for Nonconvulsive Seizures and Nonconvulsive Status Epilepticus. (Pubmed Central) - Nov 17, 2021 There are several enteral ASMs that could be used when IV ASM options have been exhausted. Refractory NCSE is not uncommon, and its treatment requires a very judicious selection of ASMs aiming at reducing seizure burden along with management of the underlying condition.
- |||||||||| bumetanide / Generic mfg., carbamazepine / Generic mfg.
Preclinical, Journal: Pathology-selective antiepileptic effects in the focal freeze-lesion rat model of malformation of cortical development. (Pubmed Central) - Nov 11, 2021 Our work adds evidence for the functional relevance of chloride homeostasis in the pathophysiology of microgyrus formation as represented in the focal freeze-lesion model. Further studies in different MCD models and human tissue will be required to validate the effects across different MCD subtypes and species and to assess the translational value of our findings.
- |||||||||| lamotrigine liquid oral suspension / OWP Pharma
Review, Journal: Feasibility of Using Oral Fluid for Therapeutic Drug Monitoring of Antiepileptic Drugs. (Pubmed Central) - Nov 4, 2021 Using OF may improve the acceptability and accessibility and reduce the cost of AED TDM. Clinical implementation requires standardized collection protocols, more rigorously defined OF reference ranges, and further studies to determine the relevance to clinically important outcomes.
- |||||||||| Vimpat (lacosamide) / UCB, Daiichi Sankyo
Clinical, Journal: Lacosamide-Induced Dyskinesia in Children With Intractable Epilepsy. (Pubmed Central) - Oct 27, 2021 These cases suggest that pediatric patients with dysfunction of the opercular cortex are at increased risk for developing drug-induced dyskinesias on high-dose lacosamide therapy. Practitioners should be aware of this potential side effect and consider weaning lacosamide or video electroencephalography (EEG) for differential diagnosis, particularly in pediatric patients with underlying opercular dysfunction.
- |||||||||| Vimpat (lacosamide) / UCB, Daiichi Sankyo
Clinical, Journal: Intravenous Lacosamide in Seizure Clusters: Dose and Efficacy. (Pubmed Central) - Oct 27, 2021 In adults with SC, a loading dose of IV LCM of 200 mg or more achieved 89% response rate in this cohort. Loading doses of less than 300 mg caused mild side effects only.
- |||||||||| Vimpat (lacosamide) / UCB, Daiichi Sankyo
Journal: Lacosamide serum concentrations during pregnancy. (Pubmed Central) - Oct 27, 2021 There were no significant changes in seizure frequency and none of the neonates had teratogenic findings at time of birth. We are the first to report a case series on the changes in LCM levels during pregnancy with significant decreased LCM DNC levels during the second and third trimesters in comparison to pre-pregnancy values.
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