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Perampanel bei Epilepsie

Fycompa

Perampanel is prescribed alongside other anti-epileptic medicines.

Take it once daily, at bedtime. Try not to miss any doses.

The most common side-effects are feeling dizzy and sleepy.

At a glance

  • Perampanel is an anti-epileptic medicine for adults and children aged 4 and older.

  • It is used alongside other medicines to treat seizures.

  • Take perampanel once daily at bedtime; do not chew, break or crush tablets.

  • Common side-effects include feeling dizzy, sleepy, or unsteady.

  • Tell your doctor if you experience mood changes, distressing thoughts, or feelings about suicide.

  • Do not stop taking perampanel suddenly without your doctor's advice.

  • Discuss suitable contraception if you are a woman and want to have a family.

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About perampanel for epilepsy

Art des Medikaments

Ein antiepileptisches Medikament

Verwendet für

Epilepsy in adults and in children aged 4 years and older

Auch genannt

Fycompa®

Verfügbar als

Tabletten und flüssige orale Medizin

Perampanel is used alongside other medicines in the treatment of seizures. A seizure is a short episode of symptoms which is caused by a burst of abnormal electrical activity in the brain. Generalised seizures occur if you have a burst of abnormal electrical activity which spreads throughout the brain. Generalised seizures affect consciousness and may cause a convulsion. With a focal seizure, the burst of electrical activity stays in one part of the brain and therefore you tend to have localised or 'focal' symptoms. Because different parts of the brain control different functions, your symptoms will depend on which part of your brain is affected. Focal seizures can sometimes develop into seizures which affect all of your brain. These are called secondary generalised seizures.

Perampanel is prescribed alongside other anti-epileptic medicines. It works by stabilising the electrical activity in your brain.

Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking perampanel it is important that your doctor knows:

  • Wenn Sie schwanger sind, versuchen, schwanger zu werden oder stillen.

  • Wenn Sie Probleme mit der Funktionsweise Ihrer Leber oder Ihrer Nieren haben.

  • Wenn Sie andere Medikamente einnehmen oder verwenden. Dazu gehören alle Medikamente, die Sie einnehmen und die ohne Rezept erhältlich sind, sowie pflanzliche und ergänzende Medikamente.

  • Wenn Sie jemals eine allergische Reaktion auf ein Medikament hatten.

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  • Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about perampanel, and it will also provide you with a full list of the side-effects which you could experience from taking it.

  • Take perampanel exactly as your doctor tells you to. You will be asked to take a low dose when you first start taking it, and then your dose will be increased as your body gets used to it. Your doctor or pharmacist will explain this to you, and directions will also be printed on the label of the pack to remind you about what the doctor said to you.

  • Perampanel is taken as a once-daily dose at bedtime. Try to avoid missing any doses. If you do forget, just take your next dose when it is due - do not take two doses together to make up for a forgotten dose.

  • Swallow the tablet whole with a drink of water. Do not chew, break or crush the tablet.

  • If you (or your child) have been prescribed the oral liquid medicine, follow the manufacturer's instructions for using the oral syringe.

  • Perampanel can be taken with or without food.

  • There are several strengths of perampanel tablets and each strength is a different colour. When you collect a new supply, check to make sure they are the colour you are expecting. If not, ask your pharmacist to check it out for you.

  • Versuchen Sie, Ihre regelmäßigen Termine mit Ihrem Arzt einzuhalten. So kann Ihr Arzt Ihren Fortschritt überprüfen.

  • Wenn Sie eine neue Behandlung gegen Epilepsie beginnen, kann sich die Anzahl oder Art der Anfälle, die Sie erleben, verändern. Ihr Arzt wird Sie darüber informieren.

  • Perampanel could make you feel sleepy, especially when you first start treatment.

  • Während Sie wegen Epilepsie behandelt werden, besteht ein geringes Risiko, dass Sie Stimmungsschwankungen, belastende Gedanken und Suizidgedanken entwickeln. Wenn dies passiert, müssen Sie sofort Ihren Arzt darüber informieren.

  • People with epilepsy must stop driving at first. Your doctor will advise you about if and when it may be possible for you to resume driving again.

  • Drinking alcohol while you are on perampanel can increase the risk of side-effects and may not be recommended for you. Ask for your doctor's advice.

  • Many anti-epileptic medicines can harm an unborn child. If you are a woman, make sure you have discussed with your doctor which types of contraception are suitable for you and your partner. If you want to have a family, discuss this with your doctor so that you can be given advice from a specialist bevor you become pregnant.

  • You need to take perampanel regularly every day. Do not stop taking it unless your doctor tells you to stop. Stopping treatment suddenly can cause problems and your doctor will want you to reduce your dose gradually if this becomes necessary.

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Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the more common ones associated with perampanel. The best place to find a full list of the side-effects which can be associated with your medicine, is from the manufacturer's printed information leaflet supplied with the medicine. Alternatively, you can find an example of a manufacturer's information leaflet in the reference section below. Speak with your doctor or pharmacist if any of the following continue or become troublesome.

Common

perampanel side-effects

Was kann ich tun, wenn ich das erlebe?

Feeling dizzy, sleepy, tired or unsteady; double vision

Take care that you do not fall or trip when moving around. Do not drive and do not use tools or machines

Übelkeit (Nausea)

Halten Sie sich an einfache Speisen - vermeiden Sie fettige oder scharfe Mahlzeiten

Changes in appetite or weight, changes in mood (such as feeling aggressive, confused or anxious), back pain

Wenn eines dieser Probleme auftritt, besprechen Sie es mit Ihrem Arzt

Wenn Sie andere Symptome bemerken, die Ihrer Meinung nach auf die Tabletten zurückzuführen sein könnten, sprechen Sie mit Ihrem Arzt oder Apotheker für weitere Ratschläge.

  • Bewahren Sie alle Medikamente außerhalb der Reichweite und Sicht von Kindern auf.

  • An einem kühlen, trockenen Ort aufbewahren, fern von direkter Hitze und Licht.

  • The oral liquid medicine lasts for 90 days after first opening. It's a good idea to write the date you opened the bottle on to the label.

Wichtige Informationen über alle Medikamente

Never take more than the prescribed dose. If you suspect that you or someone else might have taken an overdose of this medicine, go to the accident and emergency department of your local hospital at once. Take the container with you, even if it is empty, so the doctor knows what has been taken.

Dieses Medikament ist für Sie. Geben Sie es niemals an andere Personen weiter, auch wenn deren Zustand ähnlich erscheint wie Ihrer.

Wenn bei Ihnen eine Operation oder eine zahnärztliche Behandlung ansteht, informieren Sie bitte die Person, die die Behandlung durchführt, über die Medikamente, die Sie einnehmen.

If you buy any medicines, check with a pharmacist that they are safe to take with your prescribed medicines.

Bewahren Sie keine abgelaufenen oder unerwünschten Medikamente auf. Bringen Sie sie zu Ihrer örtlichen Apotheke, die sie für Sie entsorgt.

Wenn Sie Fragen zu diesem Medikament haben, fragen Sie Ihren Apotheker.

Berichten Sie Nebenwirkungen eines Medikaments oder Impfstoffs

Wenn Sie Nebenwirkungen bemerken, können Sie diese online über die Yellow Card website.

Symptom-Checker für Patienten

Unsicher beim Mischen von Medikamenten?

Überprüfen Sie mögliche Wechselwirkungen zwischen Medikamenten, Nahrungsergänzungsmitteln und Lebensmitteln, bevor Sie sie zusammen einnehmen.

Häufig gestellte Fragen

What is the main purpose of perampanel and how does it help with epilepsy?

Perampanel is an anti-epileptic medicine used to treat seizures. It works by stabilising the electrical activity in your brain to help control the abnormal bursts of activity that cause seizures. It is always used alongside other anti-epileptic medicines.

Can I take perampanel if I am pregnant or breastfeeding?

If you are pregnant, trying for a baby, or breastfeeding, it is important to inform your doctor before starting perampanel. Many anti-epileptic medicines can harm an unborn child, so your doctor will need to discuss suitable contraception or specialist advice if you plan to have a family.

What should I do if I forget to take a dose of perampanel?

If you forget to take a dose, just take your next dose when it is due. Do not take two doses together to make up for a forgotten dose.

Are there different formulations of perampanel, and how should they be stored?

Perampanel is available as tablets and an oral liquid medicine. Tablets should be swallowed whole with water and not chewed, broken, or crushed. If you have the oral liquid medicine, you should follow the manufacturer's instructions for using the oral syringe. All medicines should be kept out of reach and sight of children, in a cool, dry place away from direct heat and light. The oral liquid medicine lasts for 90 days after first opening, so it's a good idea to write the opening date on the label.

Can perampanel affect my mood or mental health?

While being treated for epilepsy, there is a small risk that you may develop mood changes, distressing thoughts, and feelings about suicide. If you experience these, you must tell your doctor straightaway.

What should I do if I experience side-effects like dizziness or sleepiness while taking perampanel?

If you feel dizzy, sleepy, tired, unsteady, or experience double vision, you should take care not to fall or trip and avoid driving or using tools or machines. If these or any other side-effects become troublesome, or if you experience any other symptoms you think might be due to the medicine, you should speak with your doctor or pharmacist for further advice.

Is it safe to drink alcohol while taking perampanel?

Drinking alcohol while you are on perampanel can increase the risk of side-effects. It may not be recommended for you, so you should ask your doctor for advice on this.

Weiterführende Literatur und Referenzen

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About the authorView full bio

Author image

Helen Allen, MPharm

Pharmacist, Medical Author

MPharm

Helen Allen qualified as a Pharmacist in 1979 and spent 3 years as the drug information leaflets' author for EMIS.

About the reviewer

Author image

Sid Dajani

Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.

Artikelverlauf

Die Informationen auf dieser Seite wurden von qualifizierten Klinikern verfasst und begutachtet.

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