Intravenous lacosamide (LCM) in status epilepticus (SE): Weight-adjusted dose and efficacy

Epilepsy & Behavior : E&B
E SantamarinaXavier Salas Puig

Abstract

Some studies suggest higher efficacy of lacosamide (LCM) in status epilepticus (SE) with higher loading doses; however, this weight-adjusted dose has not been evaluated. The objective was to evaluate the relationship between loading weight-adjusted dose and efficacy of LCM in SE. A group of patients with SE treated with LCM from Spanish hospitals was examined retrospectively. Demographic data, type of SE, etiology, response rate, last antiepileptic drug (AED) used, treatment line in which LCM was used, total loading dose, and weight-adjusted dose were collected. One hundred sixty-five cases of SE were collected; 87 (52.7%) patients had nonconvulsive SE. Mean age was 64.2 ± 17.2 and 60.6% (n = 100) were men. Regarding etiology, SE was considered as acute symptomatic in 85 (51.5%), remote symptomatic in 51 (30.9%), progressive symptomatic in 10 (6.1%), and cryptogenic in 19 (11.5%). Lacosamide was used as the third drug in 46.1%, and as a second option in 28%. In 115 patients, clonazepam had been used as the first option, and no benzodiazepines had been administered in the remaining 50. The median loading dose was 400 mg (100-600 mg), and the weight-adjusted dose was 5 mg/kg (3-6 mg/kg). The response rate was 63.3%, and 55.1% res...Continue Reading

Citations

Feb 7, 2019·Pharmacotherapy·Salia FarrokhEljim Tesoro
Aug 30, 2019·Medizinische Klinik, Intensivmedizin und Notfallmedizin·Frank Erbguth
Mar 12, 2019·Current Opinion in Critical Care·Baxter Allen, Paul M Vespa
Nov 15, 2019·Seizure : the Journal of the British Epilepsy Association·Ania A Crawshaw, Hannah R Cock
Jan 23, 2021·Journal of Clinical Neurology·Daeyoung KimUNKNOWN Drug Committee of Korean Epilepsy Society
May 18, 2021·Acta Neurologica Scandinavica·Prateek Kumar PandaIndar Kumar Sharawat

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