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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