Perampanel

DEA Class;  Rx

Common Brand Names; Fycompa

  • Anticonvulsants, AMPA Glutamate Antagonists

Alpha-amino-3-hydroxy-5-methyl-4-isoxazoleproprionic acid (AMPA) receptor antagonist
Used for partial-onset and primary generalized tonic-clonic seizures
Black box warning for neuropsychiatric events

Indicated for the treatment of partial seizures.

Indicated as adjunctive therapy for primary generalized tonic-clonic seizures in patients with epilepsy

Known hypersensitivity to oxcarbazepine or any of its components, or to eslicarbazepine acetate

  • Dizziness (16-43%)
  • Somnolence (9-18%)
  • Headache (11-13%)
  • Fatigue (8-12%)
  • Irritability (4-12%)
  • Falls (2-10%)
  • Nausea (6-8%)
  • Ataxia (1-8%)
  • Vertigo (3-5%)
  • Balance disorder (3-5%)
  • Back pain (2-5%)
  • Weight gain (4%)
  • Vomiting (2-4%)
  • Anxiety (3-4%)
  • Blurred vision (1-4%)
  • Dysarthria (1-4%)
  • Cough (1-4%)
  • Hypoaesthesia (3%)
  • Constipation (2-3%)
  • Arthralgia (2-3%)
  • Extremity pain (2-3%)
  • Aggression (1-3%)
  • Anger (1-3%)
  • Myalgia (1-3%)
  • Diplopia (1-3%)
  • Injuries due to falls (1-3%)
  • Hypersomnia (1-3%)
  • Hyponatremia (2%)
  • Contusions (2%)
  • Oropharyngeal pain (2%)
  • Asthenia (1-2%)
  • Confusional state (1-2%)
  • Euphoric mood (1-2%)
  • Altered mood (1-2%)
  • Abnormal coordination (1-2%)
  • Musculoskeletal pain (1-2%)
  • Peripheral edema (1-2%)
  • Memory impairment (1-2%)
  • Paraesthesia (1-2%)
  • Acute psychosis, hallucinations, delusions, paranoia, delirium, disorientation, drug reaction with eosinophilia and systemic symptoms (DRESS)/multiorgan hypersensitivity

There is a pregnancy exposure registry that monitors pregnancy outcomes in women exposed to antiepileptic drugs (AEDs)

Perampanel and/or its metabolites are present in rat milk, and are detected at concentrations higher than that in maternal plasma

Adults

12 mg/day PO.

Geriatric

12 mg/day PO.

Adolescents

12 mg/day PO.

Children

4 to 12 years: 12 mg/day PO.
1 to 3 years: Safety and efficacy have not been established.

Infants

Safety and efficacy have not been established.

Neonates

Safety and efficacy have not been established.

Perampanel

tablet: Schedule III

  • 2mg
  • 4mg
  • 6mg
  • 8mg
  • 10mg
  • 12mg

oral suspension

  • 0.5mg/mL

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