Drug Class: Anti-Epileptic (Sodium Channel Stabiliser) | Form: Film-Coated Tablet | Prescription Status: Prescription Only (Rx) — DRAP Registered
What is Lalap 150mg Tablets?
Lalap 150mg is a prescription anti-epileptic tablet containing Lacosamide 150mg — used to control and manage seizures (fits) in patients diagnosed with epilepsy (مرگی کے دوروں کا علاج). Lacosamide belongs to a class of medicines called sodium channel stabilisers — it works by calming overactive electrical activity in brain nerve cells that causes seizures.
Lalap 150mg is an intermediate-strength dose in the Lacosamide range, typically reached after gradual dose titration from lower strengths — your doctor will have stepped your dose up to 150mg to achieve the best balance between seizure control and tolerability for you.
It can be used alone (monotherapy) or alongside other anti-epileptic medicines (adjunctive therapy) as directed by your neurologist or specialist. This is a prescription-only medicine — never stop, reduce, or change your dose without first consulting your doctor, as sudden changes can trigger a dangerous worsening of seizures.
What is Lalap 150mg Used For?
Lalap 150mg Tablets are prescribed for the treatment and management of the following conditions:
- Partial-Onset Seizures (Focal Seizures) — Monotherapy — used as the sole anti-epileptic medicine to control partial-onset seizures in adults and adolescents aged 17 years and above (مرگی کے جزوی دورے)
- Partial-Onset Seizures — Adjunctive Therapy — used alongside other anti-epileptic medicines in patients aged 4 years and above whose partial-onset seizures are not fully controlled by a single medicine alone
- Primary Generalised Tonic-Clonic Seizures (Grand Mal Fits) — used in combination with other anti-epileptic medicines to manage generalised tonic-clonic seizures in patients with idiopathic generalised epilepsy (مرگی کے عمومی دورے)
- Neuropathic Pain — Lacosamide is sometimes used by specialists for the management of pain related to nerve damage (neuropathy) — including diabetic neuropathic pain — as directed by a doctor. This is an off-label use and must only be initiated and supervised by a qualified specialist.
How Does Lalap 150mg Work?
Lacosamide — Sodium Channel Stabiliser: In epilepsy, seizures happen when nerve cells in the brain fire abnormal, rapid, and repetitive electrical signals that spread in an uncontrolled way. Lacosamide works by selectively binding to and stabilising voltage-gated sodium channels on nerve cell membranes — it slows the transition of these channels into their active state, which reduces the ability of hyperexcitable neurons to fire repeatedly. This targeted action suppresses the source of abnormal electrical activity, making it significantly harder for a seizure to start or spread through the brain.
In neuropathic pain, the same overactive nerve firing that causes pain signals is also reduced by Lacosamide's stabilising effect on sodium channels — which is why it may be used by specialists for certain nerve pain conditions.
The unique mechanism of Lacosamide differs from most older anti-epileptic medicines — making it effective in patients who have not responded to other treatments, and allowing it to be combined with existing regimens without causing major interactions in most cases.
Active Ingredients
| Ingredient | Strength | Role |
|---|---|---|
| Lacosamide | 150mg per tablet | Anti-epileptic — stabilises overactive sodium channels in nerve cells to reduce and control seizures and nerve-related pain signals |
Dosage and Administration
Always take Lalap 150mg exactly as prescribed by your doctor. Your doctor will have increased your dose gradually to reach 150mg — this step-by-step titration minimises side effects. Never change your dose or stop this medicine without consulting your doctor first.
| Treatment Phase | Dose | Frequency |
|---|---|---|
| Maintenance dose (after titration to 150mg) | 150mg | Twice daily (every 12 hours) |
| Standard maintenance range | 100mg to 200mg | Twice daily — as directed by doctor |
| Maximum recommended dose | 400mg per day (200mg twice daily) | As directed by specialist |
| Patients with severe kidney problems | Maximum 250mg per day | Dose adjustment required — as directed by doctor |
| Patients with moderate to severe liver problems | Maximum 250mg per day — use with caution | As directed by doctor |
| Children aged 4–16 years (adjunctive therapy only) | Weight-based dosing — specialist paediatric assessment required | As prescribed by paediatric neurologist |
| Children under 4 years | Not recommended | — |
Lalap 150mg tablets can be taken with or without food. Swallow the tablet whole with a glass of water — do not crush or chew. Take your doses at the same times each day to maintain steady medicine levels in your blood. If you miss a dose, take it as soon as you remember — but if it is almost time for your next dose, skip the missed dose and continue as normal. Never take two doses at the same time to make up for a missed one.
Who Should NOT Take Lalap 150mg?
Do not take Lalap 150mg if you:
- Are allergic to Lacosamide or any other ingredient in the tablet — always tell your doctor about any known medicine allergies before starting or continuing treatment
- Have a heart condition called second or third degree atrioventricular (AV) block — Lacosamide affects the heart's electrical conduction and is contraindicated in these conditions
- Are under 17 years of age for monotherapy use — a paediatric specialist must assess dosing for younger patients receiving adjunctive therapy
Tell your doctor before use if you:
- Have any heart rhythm problems, a slow heartbeat, or a history of heart disease — an ECG (heart tracing) may be required before and during treatment at this dose
- Have severe kidney disease or are on dialysis — dose reduction is required
- Have liver disease — moderate or severe impairment requires dose adjustment and monitoring
- Are pregnant, planning to become pregnant, or breastfeeding — your neurologist must carefully assess the risks and benefits of continuing Lacosamide during pregnancy
- Have a history of depression, anxiety, or suicidal thoughts — anti-epileptic medicines carry a small but recognised risk of mood changes and suicidal ideation as a class effect
- Have diabetes — if using for neuropathic pain, your specialist will monitor you closely alongside your diabetes management
- Are taking any other medicines — including other anti-epileptics, heart medicines, or any prescription or over-the-counter drugs
Side Effects
Common Side Effects
- Dizziness or feeling unsteady — particularly at the start of treatment or after a dose increase — take care when standing up quickly or moving around
- Headache
- Nausea or vomiting — usually mild and tends to settle as your body adjusts to the medicine
- Blurred or double vision (diplopia) — avoid driving or operating machinery if your vision is affected
- Tiredness or fatigue
- Tremor (shaking of the hands)
- Difficulty with balance and coordination (ataxia)
- Memory difficulties or problems with concentration
- Dry mouth
Serious Side Effects — Seek Medical Help Immediately
- Heart rhythm changes (PR interval prolongation or AV block) — signs include a slow or irregular heartbeat, feeling faint, chest discomfort, or palpitations — seek immediate medical attention and inform your doctor promptly
- Severe allergic reaction or skin reaction (DRESS Syndrome) — signs include a widespread rash, high fever, swollen lymph glands, and involvement of internal organs — stop the medicine and seek urgent medical attention immediately
- Suicidal thoughts or worsening depression — if you or someone caring for you notices new or worsening depression, unusual mood changes, agitation, or thoughts of self-harm, contact your doctor immediately — do not wait for the next scheduled appointment
- Increase in seizure frequency or severity — if your seizures become more frequent, more prolonged, or harder to control after a dose change, contact your neurologist promptly
- Severe liver reactions — signs include yellowing of the skin or eyes (jaundice), dark urine, or persistent upper stomach pain — stop the medicine and seek urgent medical help
If you notice any unexpected or serious side effects, stop taking Lalap 150mg and consult your doctor or pharmacist promptly.
Drug Interactions
| Medicine / Substance | Interaction |
|---|---|
| Other anti-epileptic medicines (e.g. Carbamazepine, Phenytoin, Phenobarbital) | Enzyme-inducing anti-epileptics may reduce Lacosamide blood levels — your doctor may need to adjust your dose accordingly |
| Medicines that affect heart rhythm (e.g. beta-blockers, antiarrhythmics, digoxin) | Combined use may increase the risk of cardiac conduction changes — use with caution under close medical monitoring with ECG |
| Strong CYP2C19 inhibitors (e.g. Omeprazole, Fluconazole, Fluvoxamine) | May increase Lacosamide blood levels — dose adjustment may be required by your doctor |
| Alcohol | Alcohol significantly worsens dizziness, unsteadiness, and drowsiness caused by Lacosamide — avoid alcohol completely during treatment |
| CNS depressants (e.g. sedatives, sleeping tablets, strong pain medicines, opioids) | May increase sedation and dizziness when combined with Lacosamide — inform your doctor of all sedating medicines you are taking |
| Other medicines for neuropathic pain (e.g. Pregabalin, Gabapentin, Duloxetine) | If Lalap 150mg is being used for neuropathic pain alongside these medicines, your specialist must monitor closely for additive CNS effects |
Always inform your doctor and pharmacist about all medicines, vitamins, herbal remedies, and supplements you are currently taking before starting or adjusting Lalap 150mg.
Storage Instructions
- Store below 25°C in a cool, dry place
- Keep away from direct sunlight, heat, and moisture
- Keep out of reach of children (بچوں کی پہنچ سے دور رکھیں)
- Do not use after the expiry date printed on the pack or outer box
- Store in the original packaging to protect from light and humidity
- Do not dispose of medicines in household waste — return unused tablets to your pharmacist
Frequently Asked Questions (FAQs)
Q: What is Lalap 150mg used for?
Lalap 150mg contains Lacosamide — a prescription anti-epileptic medicine used to control partial-onset seizures and generalised tonic-clonic seizures in patients with epilepsy. It can be used alone in adults and adolescents aged 17 and above, or combined with other anti-epileptics in patients aged 4 and above. It is also sometimes used by specialists for nerve-related pain (neuropathic pain). It works by stabilising overactive sodium channels in brain nerve cells to reduce abnormal electrical firing that causes seizures.
Q: How does Lalap 150mg fit into the Lacosamide dose range?
Lacosamide treatment always begins at a low dose — usually 50mg twice daily — and is increased gradually in steps of 50mg every one to two weeks. Lalap 150mg represents an intermediate maintenance dose in this titration. The standard maintenance range is 100mg to 200mg twice daily. Some patients achieve good seizure control at 150mg twice daily (300mg per day), while others may need the maximum of 200mg twice daily (400mg per day). Your neurologist will always decide the right dose for your individual situation.
Q: Can Lalap 150mg be used in children?
Lalap 150mg can be used in children aged 4 years and above as adjunctive therapy — meaning alongside other anti-epileptic medicines — but only under the supervision of a paediatric neurologist who will calculate the correct weight-based dose. It is not recommended as monotherapy (sole treatment) in children under 17 years. Younger children under 4 years should not receive Lacosamide tablets.
Q: Can I stop taking Lalap 150mg suddenly?
No — never stop Lalap 150mg or any anti-epileptic medicine suddenly without your doctor's guidance. Stopping abruptly can trigger a dangerous and sudden increase in seizures, including status epilepticus — a prolonged, life-threatening seizure emergency. If your doctor decides it is time to stop or reduce Lacosamide, the dose will always be reduced very gradually over several weeks to safely withdraw the medicine.
Q: Is Lalap 150mg safe during pregnancy?
The full safety profile of Lacosamide during pregnancy has not been completely established. However, uncontrolled seizures during pregnancy carry serious risks for both the mother and the developing baby. Your neurologist must carefully weigh the risks and benefits of continuing Lacosamide specifically for your situation. Never stop your anti-epileptic medicine without specialist guidance — always discuss any pregnancy plans with your neurologist well in advance so that your treatment can be reviewed and optimised before conception if needed.
⚕️ Medical Disclaimer: This product description is for informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Lalap 150mg is a prescription-only anti-epileptic medicine — always use it under the direct supervision of a qualified neurologist or doctor. Never adjust your dose or stop this medicine without medical guidance.
Prescription Only (Rx) | DRAP Registered | Film-Coated Tablet | For oral use only