Limited coverage drugs – lacosamide tablets
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Generic name |
lacosamide | |
---|---|---|
Strength | 50mg, 100mg, 150mg, 200mg | |
Form | tablet |
Special Authority criteria |
Approval period |
For the treatment of partial-onset seizures in adults and to be used:
AND
|
Indefinite |
Practitioner exemptions
- None
Special notes
- Special Authority requests should include documentation stating which other anti-epileptic drugs have been tried in adequate doses. Examples of other anti-epileptic drugs include:
- phenytoin (Dilantin®)
- carbamazepine (Tegretol®)
- gabapentin (Neurontin®)
- topiramate (Topamax®)
- lamotrigine (Lamictal®)
- levetiracetam (Keppra®)
- perampanel (Fycompa™)
- vigabatrin (Sabril®)
- eslicarbazepine acetate (Aptiom™)
- valproic acid (Epival®)
Special Authority request form(s)
- Log in to eForms
- 5328 - General Special Authority Request (PDF, 523KB)