Prospecto: information for the patient

Lacosamida Aurovitas 200 mg film-coated tablets EFG

Read this prospect carefully before starting to take this medicine, as it contains important information for you.

-Keep this prospect, as you may need to read it again.

-If you have any doubts, consult your doctor or pharmacist.

-This medicine has been prescribed only to you, and you must not give it to other people even if they have the same symptoms as you, as it may harm them.

-If you experience any adverse effects, consult your doctor or pharmacist, even if they are not listed in this prospect. See section 4.

1.What is Lacosamida Aurovitas and for what it is used

2.What you need to know before starting to take Lacosamida Aurovitas

3.How to take Lacosamida Aurovitas

4.Possible adverse effects

5.Storage of Lacosamida Aurovitas

6.Contents of the package and additional information

What is Lacosamida

This medication contains lacosamida, which belongs to a group of medications called

“anti-epileptic medications”. These medications are used to treat epilepsy.

•You have been prescribed this medication to reduce the number of seizures you experience.

For what lacosamida is used

•Lacosamida is used:

• alone and in combination with other anti-epileptic medications in adults, adolescents, and children aged 2 years or older to treat a certain type of epilepsy characterized by the occurrence of partial onset seizures with or without secondary generalization. In this type of epilepsy, seizures affect only one side of the brain. However, they may then spread to larger areas in both sides of the brain;

in combination with other anti-epileptic medications in adults, adolescents, and children aged 4 years or older to treat primary generalized tonic-clonic seizures (major seizures, with loss of consciousness) in patients with idiopathic generalized epilepsy (a type of epilepsy believed to have a genetic origin).

Do not take Lacosamida Aurovitas

•if you are allergic to lacosamida or any of the other ingredients of this medication

(listed in section 6). If you are unsure if you are allergic, consult your doctor

•if you are allergic to peanuts or soy

•if you have a heart rhythm problem called second- or third-degree AV block.

Do not take this medication if any of the above applies to you. If you are unsure, consult your doctor or pharmacist before taking this medication.

Warnings and precautions

Consult your doctor or pharmacist before starting to take this medication:

•ifyou have thoughts of self-harm or suicide. A small number of people taking antiepileptic drugs such as lacosamida have had thoughts of self-harm or suicide. If

you experience this type of thought at any time, contact your doctor immediately.

•ifyou have a heart problem that affects your heartbeat and your pulse is often

especially slow, fast, or irregular (such as AV block, atrial fibrillation, and atrial flutter).

•ifyou have a serious heart disease such as heart failure or have had a heart attack.

•ifyou often feel dizzy or fall. Lacosamida may cause dizziness, which could increase the risk of accidental injuries or falls. This means you should be careful until you are used to the effects of this medication.

If any of the above applies to you (or you are unsure), consult your doctor or pharmacist before taking this medication.

If you are taking Lacosamida, consult your doctor if you experience a new type of seizure or worsening of existing seizures.

If you are taking this medication and experience symptoms of abnormal heart rhythm (such as slow, fast, or irregular heartbeat, palpitations, shortness of breath, dizziness, fainting), consult your doctor immediately (see section 4).

Children

Lacosamida is not recommended for children under 2 years with epilepsy characterized by the onset of partial seizures and is not recommended for children under 4 years with primary generalized tonic-clonic seizures. This is because it is not yet known if it is effective and safe for children of this age group.

Other medications and Lacosamida Aurovitas

Inform your doctor or pharmacist if you are taking, have taken recently, or may need to take any other medication.

In particular, inform your doctor or pharmacist if you are taking any of the following medications that affect the heart, as lacosamida may also affect the heart:

•medications to treat heart problems;

•medications that may increase the "PR interval" in a heart test (ECG or electrocardiogram) such as antiepileptic or pain medications called carbamazepine, lamotrigine, or pregabalin;

•medications used to treat certain types of arrhythmia or heart failure.

If any of the above applies to you (or you are unsure), consult your doctor or pharmacist before taking this medication.

Inform your doctor or pharmacist if you are taking any of the following medications, as they may also increase or decrease the effect of lacosamida in your body:

•antifungal medications such as fluconazole, itraconazole, or ketoconazole;

•an HIV medication such as ritonavir;

•antibacterial medications such as clarithromycin or rifampicin;

•a medicinal plant used to treat mild anxiety and depression called St. John's Wort.

If any of the above applies to you (or you are unsure), consult your doctor or pharmacist before taking lacosamida.

Lacosamida Aurovitas with alcohol

As a precaution, do not take this medication with alcohol.

Pregnancy and breastfeeding

Women of childbearing age should discuss the use of contraceptives with their doctor.

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medication.

Lacosamida is not recommended during pregnancy, as its effects on pregnancy and the fetus are not yet known.

It is not recommended to breastfeed while taking lacosamida, as it passes into breast milk. Immediately consult your doctor if you are pregnant or plan to become pregnant. They will help you decide if you should take lacosamida or not.

Do not stop treatment without consulting your doctor, as this may increase seizures (crises). A worsening of your condition may also harm the fetus.

Driving and operating machinery

You should not drive, ride a bike, or use any tools or machines until you know if this medication affects you. The reason is that lacosamida may cause dizziness or blurred vision.

Lacosamida Aurovitas contains soy lecithin

If you are allergic to peanuts or soy, do not take this medication.

Follow exactly the administration instructions of this medication indicated by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist again. Other forms of this medication may be more suitable for children; consult your doctor or pharmacist.

Lacosamide Dosage

•Take lacosamide twice a day, with an interval of approximately 12 hours.

•Try to take it more or less at the same time each day.

•Take the lacosamide tablet with a glass of water.

•You can take lacosamide with meals or separately.

Normally, you will start taking a low dose each day and your doctor will gradually increase the dose over several weeks. When you reach the dose that works well for you, called the "maintenance dose", you will take the same amount each day. Lacosamide is used as long-term treatment. You should continue taking lacosamide until your doctor tells you to stop.

How much to take

Below are the normal recommended doses of lacosamide for different age groups and weights. Your doctor may prescribe a different dose if you have kidney or liver problems.

Adolescents and children weighing 50 kg or more and adults

When taking lacosamide alone:

The usual starting dose is 50 mg twice a day.

Your doctor may also prescribe a starting dose of 100 mg of lacosamide twice a day. Your doctor may increase the dose you take twice a day by 50 mg each week, until you reach a maintenance dose between 100 mg and 300 mg twice a day.

When taking lacosamide with other antiepileptic medications::

The usual starting dose is 50 mg twice a day.

Your doctor may increase the dose you take twice a day by 50 mg each week, until you reach a maintenance dose between 100 mg and 200 mg twice a day.

If you weigh 50 kg or more, your doctor may start the lacosamide treatment with a single "loading dose" of 200 mg. Then you will start taking the continuous maintenance dose 12 hours later.

Children and adolescents weighing less than 50 kg

- In the treatment of initial partial seizures:Lacosamide is not recommended for children under 2 years of age.

- In the treatment of primary generalized tonic-clonic seizures:Lacosamide is not recommended for children under 4 years of age.

Dose depends on body weight. Normally, treatment starts with the syrup and only changes to tablets if the patient is able to take them and get the correct dose with tablets of different concentrations. Your doctor will prescribe the pharmaceutical form that best suits you.

If you take more lacosamide than you should

If you have taken more lacosamide than you should, consult your doctor immediately. Do not try to drive.

You may experience:

•dizziness;

•sensation of dizziness (nausea) or dizziness (vomiting);

•seizures (crises), heart problems such as slow, fast, or irregular heartbeat, coma, or low blood pressure with tachycardia and sweating.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicological Information Service, phone: 91 562 04 20, indicating the medication and the amount ingested.

If you forget to take lacosamida

•If you have forgotten to take a dose within 6 hours of the scheduled dose, take it as soon as you remember.

•If you have forgotten to take a dose after 6 hours of the scheduled dose, do not take the missed dose, instead, take lacosamide at the next time you normally take it.

•Do not take a double dose to compensate for the missed doses.

If you interrupt the treatment with lacosamida

•Do not stop taking lacosamide without telling your doctor, as epilepsy may recur or worsen.

•If your doctor decides to stop your treatment with lacosamide, they will give you instructions on how to gradually reduce the dose.

If you have any other questions about the use of this medication, ask your doctor or pharmacist.

Like all medications, lacosamide may cause side effects, although not everyone will experience them.

The side effects in the nervous system, such as dizziness, may be more pronounced after a single "loading" dose.

Inform your doctor or pharmacist if you experience any of the following side effects:

Very common: may affect more than 1 in 10 patients

• Headache;
• Feeling dizzy or nauseous;
• Diplopia (double vision).

Common: may affect up to 1 in 10 patients

• Short muscle or group of muscles spasms (myoclonic crisis);
• Difficulty coordinating movements or walking;
• Problems maintaining balance, agitation (tremor), paresthesia (tingling), or muscle spasms, easy to fall and bruise;
• Memory problems, thinking or finding words, confusion;
• Rapid, uncontrolled eye movements (nystagmus), blurred vision;
• Sensation of dizziness (vertigo), feeling intoxicated;
• Feeling nauseous (vomiting), dry mouth, constipation, indigestion, excessive gas in the stomach or intestines, diarrhea;
• Decreased sensitivity, difficulty articulating words, attention alteration;
• Ringing in the ears like buzzing, beeping, or whistling;
• Irritability, sleep problems, depression;
• Drowsiness, fatigue, or weakness (asthenia);
• Itching, rash.

Uncommon: may affect up to 1 in 100 patients

• Decreased heart rate, palpitations, irregular pulse, or other changes in heart electrical activity (conduction disorder);
• Exaggerated feeling of well-being, seeing and/or hearing things that are not real;
• Allergic reaction to the medication, hives;
• Blood tests may show abnormalities in liver function tests, liver damage;
• Thoughts of self-harm or suicide or attempted suicide: inform your doctor immediately;
• Feeling angry or agitated;
• Abnormal thoughts or loss of sense of reality;
• Severe allergic reactions, which cause swelling of the face, throat, hands, feet, ankles, or lower legs;
• Loss of consciousness;
• Abnormal involuntary movements (dyskinesia).

Frequency not known: cannot be estimated from available data

• Abnormally fast ventricular heart rate (ventricular tachyarrhythmia);
• Sore throat, elevated temperature, and presenting infections more frequently than normal. Blood tests may show a severe decrease in a specific type of white blood cell (agranulocytosis);
• Severe skin reaction, which may include elevated temperature and other pseudogripal symptoms, generalized rash with lymph node inflammation (enlarged lymph nodes). Blood tests may show increased levels of liver enzymes and an increase in a type of white blood cell (eosinophilia);
• Generalized blistering and peeling of the skin, especially around the mouth, nose, eyes, and genitals (Stevens-Johnson syndrome) and a more severe form that causes peeling of the skin on more than 30% of the body surface (toxic epidermal necrolysis);
• Seizures.

Other side effects in children

The additional side effects observed in children were fever (pyrexia), nasal congestion (nasopharyngitis), sore throat (pharyngitis), eating less than usual (decreased appetite), changes in behavior, not acting normally (abnormal behavior), and lack of energy (lethargy). Drowsiness (somnolence) is a very common side effect in children and may affect more than 1 in 10 children.

Reporting side effects

If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect that does not appear in this prospectus.You can also report directly through the Spanish Medicines and Medical Devices Agency's website:www.notificaRAM.es.By reporting side effects, you can contribute to providing more information on the safety of this medication..

Keep this medication out of the sight and reach of children.

Do not use this medication after the expiration date that appears on the box and on the blister after CAD/EXP. The expiration date is the last day of the month indicated.

This medication does not require special conditions for conservation.

Medications should not be thrown down the drains or in the trash. Dispose of the packaging and medications you no longer need at the SIGRE collection point of the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medications you no longer need. In this way, you will help protect the environment.

Composition ofLacosamida Aurovitas 200 mg film-coated tablets EFG

-The active ingredient is lacosamida. Each film-coated tablet contains 200 mg of lacosamida.

-The other components are:

Core of the tablet:Microcrystalline cellulose (Grado-101), hydroxypropyl cellulose (partially substituted), crospovidone (type A), hydroxypropyl cellulose, microcrystalline cellulose (Grado-102), anhydrous colloidal silica, magnesium stearate.

Coating of the tablet:Titanium dioxide (E171), hypromellose (6 mPas) (E464), talc (E553b), poly(vinyl alcohol) (E1203), hypromellose (15mPas) (E464), macrogol 3350 (E1521), soy lecithin (E322), AL Indigo Carmín [(3%-5%) (E 132)], aluminium lake of indigo carmin [(11%- 14%) (E132)].

Appearance of the product and contents of the package

Film-coated tablet.

Film-coated tablets of a light blue to blue color, oval (size 16.5 x 7.7 mm), marked with “200” on one face and “L” and “A” on both sides of the groove on the other face. The tablet can be divided into equal doses.

Lacosamida Aurovitas 200 mg film-coated tablets EFG is available in blisters.

Package sizes:

Blister packs:14, 28, 56, 168film-coated tabletsand multiple packs with168 (3 packs of 56 film-coated tablets) film-coated tablets.

Only some package sizes may be marketed.

Marketing authorization holder and responsible manufacturer

Marketing authorization holder

Aurovitas Spain, S.A.U.

Avda. de Burgos, 16-D

28036 Madrid

Spain

Responsible manufacturer

APL Swift Services (Malta) Limited

HF26, Hal Far Industrial Estate, Hal Far

Birzebbugia, BBG 3000

Malta

O

Generis Farmacêutica, S.A.

Rua João de Deus, 19

2700-487 Amadora

Portugal

This medicinal product is authorized in the Member States of the European Economic Area with the following names:

France:Lacosamide Arrow 200 mg coated tablet

Germany:Lacosamid PUREN 200 mg Filmtabletten

Italy:Lacosamide Aurobindo

Portugal:Lacosamida Generis

Spain:Lacosamida Aurovitas 200 mg film-coated tablets EFG

Last review date of this leaflet:February 2023

The detailed information on this medicinal product is available on the website of the Spanish Agency for Medicines and Medical Devices (AEMPS) (http://www.aemps.gob.es/).