Vimpat ® lacosamide tablets
Consumer Medicine Information
What is in this leaflet
This leaflet answers some common questions about Vimpat.
It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist.
All medicines have risks and benefits. Your doctor has weighed the risks of you taking Vimpat against the benefits they expect it will have for you.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Keep this leaflet with the medicine. You may need to read it again.
What Vimpat is used for
Vimpat tablets are used in combination with other medicines to control epilepsy. Epilepsy is a condition where you have repeated seizures (convulsions). There are many different types of seizures, ranging from mild to severe.
Vimpat belongs to a group of medicines called antiepileptics. These medicines are thought to work by controlling brain chemicals which send signals to nerves so that seizures do not happen.
Your doctor may have prescribed Vimpat for another reason.
Ask your doctor if you have any questions about why Vimpat has been prescribed for you.
There is no evidence that Vimpat is addictive.
This medicine is available only with a doctor’s prescription.
Vimpat is not recommended for use in children under the age of 16 years as its safety and effectiveness has not been established in this age group.
Before you take Vimpat
When you must not take it
Do not take Vimpat if you have an allergy to:
lacosamide, the active ingredient in Vimpat, or any of the ingredients listed at the end of this leaflet.
Symptoms of an allergic reaction to Vimpat may include:
shortness of breath, wheezing or difficulty breathing
swelling of the face, lips, tongue or other parts of the body
rash, itching or hives on the skin
Do not take Vimpat if you have, or have had, certain types of irregular heart beat (second or third degree AV block)
If you are unsure whether any of the above conditions apply to you, ask your doctor.
Do not take Vimpat after the expiry date printed on the pack.
Do not take Vimpat if the packaging is torn or shows signs of tampering.
If Vimpat has expired or is damaged, return to your pharmacist for disposal.
If you are not sure whether you should start taking Vimpat, talk to your doctor or pharmacist.
Before you start to take it
Tell your doctor or pharmacist if you have allergies to:
any other medicines, especially barbiturates (such as phenobarbitone) or any other anticonvulsant medicines (such as carbamazepine, lamotrigine or levetiracetam)
any other substances, such as foods, preservatives or dyes
Tell your doctor if you have or have had any medical conditions, especially the following:
heart problems (cardiac damage)
kidney problems (renal damage, renal insufficiency, impaired renal function)
Tell your doctor if you are pregnant or intend to become pregnant. Vimpat may affect your developing baby if you take it during pregnancy. If it is necessary for you to take Vimpat, your doctor can help you decide whether or not to take it during pregnancy. Your doctor will weigh up all the risks and benefits of taking Vimpat before prescribing it.
Tell your doctor if you are breast-feeding or plan to breast-feed. Your doctor will discuss the possible risks and benefits of using Vimpat during breastfeeding.
If you have not told your doctor or pharmacist about any of the above, tell them before you start taking Vimpat.
Taking other medicines
Tell your doctor or pharmacist if you are taking any other medicines, including any that you buy without a prescription from your pharmacy, supermarket or health food shop.
Some medicines and Vimpat may interfere with each other. These include:
medicines to treat heart problems
medicine which may have an effect on your heart beat such as carbamazepine, lamotrigine or pregabalin
Vimpat does not interact with the oral contraceptive pill.
However, you may be given Vimpat together with other antiepileptic drugs that do interact and they may affect the effectiveness of your contraceptive. Your doctor may advise you to use an additional method of contraception if you take Vimpat with other drugs.
How to take Vimpat
How much to take
Follow all directions given to you by your doctor carefully. They may differ from the information contained in this leaflet.
Your doctor will tell you how much Vimpat you will need to take each day. This may depend on your condition and whether or not you are taking any other medicines.
Your doctor may start you on a low dose of Vimpat first. Your doctor will slowly increase the amount of medicine until you are taking enough to control your epilepsy and you are not having any convulsions.
If you do not understand the instructions on the pack, ask your doctor or pharmacist for help.
How to take it
Swallow Vimpat tablets whole with a glass of water.
When to take it
Take Vimpat twice a day, once in the morning and once in the evening. Take it at about the same time each day. Taking Vimpat at the same time each day will have the best effect. It will also help you remember when to take it.
It does not matter if you take Vimpat before or after food.
If you forget to take it
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to.
Otherwise, take it as soon as you remember, and then go back to taking your medicine as you would normally.
Do not take a double dose to make up for the dose that you missed. This may increase the chance of you getting an unwanted side effect.
If you are not sure what to do, ask your doctor or pharmacist.
If you have trouble remembering to take your medicine, ask your pharmacist for some hints.
How long to take it
Most anticonvulsant medicines take time to work, so do not be discouraged if you do not feel better straight away.
Continue taking Vimpat for as long as your doctor tells you to. Vimpat helps control your condition, but does not cure it. Therefore you must take your medicine every day, even if you feel well.
Do not stop taking Vimpat, or change the dosage, without checking with your doctor. Do not let yourself run out of medicine over the weekend or on holidays.
Stopping Vimpat suddenly may cause unwanted effects or make your condition worse. Your doctor will slowly reduce your dose before you can stop taking it completely.
If you take too much (overdose)
Immediately telephone your doctor or the Poisons Information Centre (telephone 13 11 26), or go to Accident and Emergency at your nearest hospital if you think that you or anyone else may have taken too much Vimpat. Do this even if there are no signs of discomfort or poisoning. If you take too much Vimpat you may feel drowsy.
While you are using Vimpat
Things you must do
Tell your doctor immediately if you notice an increase in seizures (convulsions).
Tell your doctor immediately if you have symptoms of depression or thoughts of self harm.
Do not stop taking Vimpat, or change the dosage, without checking with your doctor.
Tell any other doctors, dentists, and pharmacists who are treating you that you are taking Vimpat.
If you are about to be started on any new medicine, tell your doctor, dentist or pharmacist that you are taking Vimpat.
Before you have any surgery or emergency treatment, tell your doctor or dentist that you are taking Vimpat.
Tell your doctor if you feel Vimpat is not helping your condition. Your doctor may need to change your medicine.
Tell your doctor if, for any reason, you have not taken Vimpat exactly as prescribed. Otherwise, your doctor may change your treatment unnecessarily.
If you become pregnant while taking Vimpat, tell your doctor.
Be sure to keep all of your doctor’s appointments so that your progress can be checked. Your doctor will check your progress and may want to take some tests from time to time. This helps to prevent unwanted side effects.
Things you must not do
Do not give Vimpat to anyone else, even if their symptoms seem similar to yours or they have the same condition as you.
Do not take Vimpat to treat any other complaints unless your doctor tells you to.
Do not stop using it unless your doctor tells you to.
Things to be careful of
Be careful driving or operating machinery until you know how Vimpat affects you. As with other anticonvulsants Vimpat may cause dizziness. Make sure you know how you react to Vimpat before you drive a car, operate machinery, or do anything else that could be dangerous if you are dizzy.
Be careful when drinking alcohol while taking Vimpat. Combining Vimpat and alcohol can make you dizzier. Your doctor may suggest you avoid alcohol while you are being treated with Vimpat.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Vimpat. Vimpat helps most people with epilepsy but it may have unwanted side effects in a few people. All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects.
Ask your doctor or pharmacist to answer any questions you may have.
If you get any side effects, do not stop taking Vimpat without first talking to your doctor or pharmacist.
Tell your doctor or pharmacist if you notice any of the following and they worry you:
nausea (feeling sick)
These are the more common side effects of Vimpat. Mostly these are mild and short-lived.
Other side-effects reported include:
problems with balance or coordination
trouble thinking or finding words
rapid, uncontrolled eye movements
difficulties in walking or coordinating movements
unusual tiredness or weakness
If you experience any other side-effects, tell your doctor immediately. If you experience more frequent or more severe seizures (convulsions), tell your doctor immediately or go to Accident and Emergency at your nearest hospital.
Tell your doctor if you notice anything else that is making you feel unwell. Other side effects not listed above may happen in some people. Some of these side effects can only be found when your doctor does tests from time to time to check your progress.
Do not be alarmed by this list of side effects. You may not experience any of these side-effects.
After using Vimpat
Keep your tablets in the pack until it is time to take it. If you take the tablets out of the pack they will not keep well.
Keep your tablets in a cool dry place where the temperature stays below 25°C
Do not store Vimpat or any other medicine in the bathroom or near a sink.
Do not leave it on a window sill or in the car on hot days. Heat and dampness can destroy some medicines.
Keep it where children cannot reach it. A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
If your doctor or pharmacist tells you to stop taking Vimpat or they have passed their expiry date, ask your pharmacist what to do with any that is left over.
What it looks like
Vimpat tablets are available in four strengths:
50 mg - pinkish, oval tablets with 'SP' stamped on one side and '50' stamped on the other
100 mg - dark yellow, oval tablets with 'SP' stamped on one side and '100' stamped on the other
150 mg - salmon, oval tablets with 'SP' stamped on one side and '150' stamped on the other
200 mg - blue, oval tablets with 'SP' stamped on one side and '200' stamped on the other
Each Vimpat tablet contains either 50 mg, 100mg, 150 mg or 200 mg of lacosamide as the active ingredient.
Other ingredients in Vimpat tablets include:
colloidal anhydrous silica
The following strengths also contain:
50 mg - iron oxide red C177491, iron oxide black C177499, indigo carmine C173015
100 mg - iron oxide yellow C177492
150 mg -iron oxide yellow C177492, iron oxide red C177491, iron oxide black C177499
200 mg - indigo carmine C173015
Vimpat tablets do not contain lactose, sucrose, gluten, tartrazine or any other azo dyes.
A division of UCB Australia Pty Ltd
Level 1, 1155 Malvern Road
Malvern Vic 3144,
Vimpat 50 mg tablets - AUST R 151818
Vimpat 100 mg tablets - AUST R 151811
Vimpat 150 mg tablets - AUST R 151814
Vimpat 200 mg tablets - AUST R 151812
Date of preparation:
21st August 2009
Published by MIMS/myDr October 2010
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