Classes
DEA Class; Rx
Common Brand Names; Fycompa
- Anticonvulsants, AMPA Glutamate Antagonists
Description
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
Indications
Indicated for the treatment of partial seizures.
Indicated as adjunctive therapy for primary generalized tonic-clonic seizures in patients with epilepsy
Contraindications
Known hypersensitivity to oxcarbazepine or any of its components, or to eslicarbazepine acetate
Adverse Effects
- 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
Warnings
—
Pregnancy and Lactation
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
Maximum Dosage
12 mg/day PO.
12 mg/day PO.
12 mg/day PO.
4 to 12 years: 12 mg/day PO.
1 to 3 years: Safety and efficacy have not been established.
Safety and efficacy have not been established.
Safety and efficacy have not been established.
How supplied
Perampanel
tablet: Schedule III
- 2mg
- 4mg
- 6mg
- 8mg
- 10mg
- 12mg
oral suspension
- 0.5mg/mL