← All drugs
Drug · FAERS side-effect profile with label screen

Lacosamide side effects: what 36,986 FDA adverse event reports show

Lacosamide · 1,217 reaction terms · 119,447 drug–reaction co-reports · data 2026-09-14
Share: X Facebook Reddit Email

Drug class

Not stated in label

Who reports

36,986 reports · 79% serious · 3,133 with death outcome · 55% female

openFDA FAERS counts, all years, deduplication not applied

Used for

Lacosamide tablets are indicated for: • Treatment of partial-onset seizures in patients 4 years of age and older ( 1.1 ) • Adjunctive therapy in the treatment of primary generalized tonic-clonic seizures in patients 4 years of age and older ( 1.2 ) 1.1 Partial-Onset Seizures Lacosamide tablets are indicated for the treatment of partial-onset seizures in patients 4 years of age and older.

FDA label, Indications and Usage

Boxed warning

None in the current label

How to read this page. FAERS is a spontaneous-reporting system: counts are not incidence rates and a signal is not proof of causation. Each reaction below is run through an automated screen — is the term in the FDA label (known), in the indications (the disease being treated), an administrative/coding term, or none of these (unlabeled)? That screen is mechanical text matching, not a causality assessment. The 30 hand-written Bradford Hill assessments are on the causality assessment page. Not medical advice.

Causality screen of the 40 strongest signals

Labeled adverse reaction 2Labeled (related wording) 3Likely indication confounding 7Reporting / coding artifact 3Lab value / disease marker 2Not in label — unassessed 23
What the badges mean

Strongest disproportionality signals

Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only (and, for the 300 most-reported drugs, adjusted for age band), and flags pairs whose reports are unusually skewed by sex or come mostly from consumers. Each row also shows the PRR against the other drugs of the same FDA class, which removes most confounding by the condition being treated, and a calibrated p-value: on validation, known non-causes average an ROR of about 2, so significance is judged against that empirical null (✓ = p < 0.05 after calibration). 1,177 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.

Show:
ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
New onset refractory status epilepticus55614.2
418.8–900.7ROR 615.1 · calibrated p 5e-14 ✓
265.9 EB05 212.0 · IC025 +5.9
3/3 methods agree
Not in label — unassessedserious n=55 · 100% cliniciannot reported in cached trials
Epilepsia partialis continua21558.3
305.0–1,022.2ROR 558.7 · calibrated p 2e-12 ✓
223.1 EB05 153.9 · IC025 +4.5
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=21 · 100% cliniciannot reported in cached trials
Automatism epileptic18558.3
290.5–1,073.0ROR 558.6 · calibrated p 3e-12 ✓
215.8 EB05 144.5 · IC025 +4.2
3/3 methods agree
Not in label — unassessedserious n=18not reported in cached trials
Febrile infection-related epilepsy syndrome15558.3
273.0–1,142.1ROR 558.6 · calibrated p 7e-12 ✓
206.5 EB05 132.8 · IC025 +3.9
3/3 methods agree
Not in label — unassessedserious n=14not reported in cached trials
Mitochondrial dna mutation38451.4
294.4–692.2ROR 451.9 · calibrated p 2e-12 ✓
222.2 EB05 169.0 · IC025 +5.3
3/3 methods agree
Not in label — unassessedserious n=38 · ♀ 100% (drug 55%)not reported in cached trials
Tuberous sclerosis complex28208.4
135.1–321.7ROR 208.6 · calibrated p 2e-9 ✓
137.9 EB05 100.2 · IC025 +4.7
3/3 methods agree
Not in label — unassessedserious n=28not reported in cached trials
Multiple-drug resistance816203.6
188.0–220.4ROR 208.1 · calibrated p 3e-10 ✓
148.9 EB05 140.6 · IC025 +7.0
3/3 methods agree
Reporting / coding artifactserious n=638 · 94% cliniciannot reported in cached trials
Brain lobectomy15199.4
110.6–359.5ROR 199.5 · calibrated p 7e-9 ✓
124.3 EB05 80.0 · IC025 +3.8
3/3 methods agree
Not in label — unassessedserious n=14not reported in cached trials
Angiofibroma16154.0
88.6–267.9ROR 154.1 · calibrated p 4e-8 ✓
106.0 EB05 69.2 · IC025 +3.9
3/3 methods agree
Not in label — unassessedserious n=15not reported in cached trials
Csf oligoclonal band present26152.8
99.0–235.8ROR 152.9 · calibrated p 2e-8 ✓
110.6 EB05 79.3 · IC025 +4.6
3/3 methods agree
Lab value / disease markerserious n=26 · ♀ 100% (drug 55%) · 100% cliniciannot reported in cached trials
Sudden unexplained death in epilepsy104135.0
109.0–167.3ROR 135.4 · calibrated p 2e-8 ✓
106.8 EB05 90.7 · IC025 +5.8
3/3 methods agree
Not in label — unassessedserious n=104 · ♀ 28% (drug 55%)NCT00771927: 1/511 (0.2%) on Lacosamide (serious AE)
Focal dyscognitive seizures216132.2
114.1–153.3ROR 133.0 · calibrated p 1e-8 ✓
106.1 EB05 94.8 · IC025 +6.2
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=205not reported in cached trials
Hippocampal sclerosis24128.8
82.7–200.8ROR 128.9 · calibrated p 7e-8 ✓
97.0 EB05 68.6 · IC025 +4.4
3/3 methods agree
Not in label — unassessedserious n=24not reported in cached trials
Vagal nerve stimulator implantation53123.3
91.6–166.0ROR 123.5 · calibrated p 4e-8 ✓
97.7 EB05 77.6 · IC025 +5.3
3/3 methods agree
Not in label — unassessedserious n=51NCT00771927: 1/493 (0.2%) on Lacosamide
Seizure cluster141120.6
100.5–144.6ROR 121.0 · calibrated p 3e-8 ✓
98.0 EB05 85.2 · IC025 +5.9
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=127NCT00771927: 2/511 (0.4%) on Lacosamide (serious AE)
Change in seizure presentation115120.5
98.5–147.3ROR 120.8 · calibrated p 4e-8 ✓
97.7 EB05 83.6 · IC025 +5.8
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=111not reported in cached trials
Postictal psychosis25109.1
71.0–167.4ROR 109.1 · calibrated p 2e-7 ✓
85.6 EB05 61.0 · IC025 +4.4
3/3 methods agree
Not in label — unassessedserious n=25 · 100% clinicianNCT00771927: 1/493 (0.2%) on Lacosamide
Cerebral salt-wasting syndrome16108.9
63.8–186.1ROR 109.0 · calibrated p 4e-7 ✓
82.6 EB05 53.9 · IC025 +3.8
3/3 methods agree
Not in label — unassessedserious n=16not reported in cached trials
Postictal paralysis3595.8
66.9–137.1ROR 95.9 · calibrated p 4e-7 ✓
78.5 EB05 59.0 · IC025 +4.7
3/3 methods agree
Not in label — unassessedserious n=35NCT00771927: 1/493 (0.2%) on Lacosamide (serious AE)
Intestinal atresia1592.0
53.3–158.9ROR 92.1 · calibrated p 1e-6 ✓
72.2 EB05 46.4 · IC025 +3.6
3/3 methods agree
Not in label — unassessedserious n=15not reported in cached trials
Partial seizures67084.6
78.1–91.7ROR 86.2 · calibrated p 4e-7 ✓
73.5 EB05 68.9 · IC025 +6.0
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
serious n=635NCT00771927: 1/511 (0.2%) on Lacosamide (serious AE)
Atonic seizures10182.2
66.7–101.3ROR 82.4 · calibrated p 6e-7 ✓
70.9 EB05 60.0 · IC025 +5.4
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=95not reported in cached trials
Cataract congenital2179.8
50.5–126.0ROR 79.8 · calibrated p 2e-6 ✓
65.9 EB05 45.5 · IC025 +4.0
3/3 methods agree
Not in label — unassessedserious n=21 · 100% cliniciannot reported in cached trials
Status epilepticus1,27672.0
68.0–76.3ROR 74.6 · calibrated p 1e-6 ✓
63.8 EB05 61.0 · IC025 +5.9
3/3 methods agree
Labeled adverse reaction
exact term
serious PRR 46.7NCT00771927: 3/511 (0.6%) on Lacosamide (serious AE)
Umbilical haemorrhage1562.5
36.7–106.6ROR 62.5 · calibrated p 1e-5 ✓
52.8 EB05 33.9 · IC025 +3.5
3/3 methods agree
Not in label — unassessedserious n=15not reported in cached trials
Organic brain syndrome1859.5
36.6–96.7ROR 59.5 · calibrated p 1e-5 ✓
51.1 EB05 34.2 · IC025 +3.7
3/3 methods agree
Not in label — unassessedserious n=18not reported in cached trials
Aura16956.6
48.3–66.3ROR 56.9 · calibrated p 7e-6 ✓
51.2 EB05 45.0 · IC025 +5.2
3/3 methods agree
Not in label — unassessedserious n=128NCT00771927: 2/511 (0.4%) on Lacosamide
Propofol infusion syndrome6153.6
41.2–69.6ROR 53.6 · calibrated p 1e-5 ✓
48.3 EB05 38.9 · IC025 +4.7
3/3 methods agree
Not in label — unassessedserious n=61 · ♀ 88% (drug 55%) · 90% cliniciannot reported in cached trials
Brain tumour operation1751.9
31.6–85.2ROR 51.9 · calibrated p 3e-5 ✓
45.3 EB05 30.0 · IC025 +3.5
3/3 methods agree
Reporting / coding artifactserious n=17not reported in cached trials
Electrocardiogram pr prolongation6150.2
38.6–65.2ROR 50.2 · calibrated p 2e-5 ✓
45.5 EB05 36.7 · IC025 +4.7
3/3 methods agree
Not in label — unassessedserious n=56 · ♀ 82% (drug 55%) · 100% cliniciannot reported in cached trials
Anticonvulsant drug level above therapeutic5350.1
37.8–66.3ROR 50.1 · calibrated p 2e-5 ✓
45.3 EB05 36.0 · IC025 +4.6
3/3 methods agree
Lab value / disease markerserious n=52 · ♀ 29% (drug 55%)not reported in cached trials
Petit mal epilepsy40549.0
44.3–54.2ROR 49.5 · calibrated p 1e-5 ✓
45.0 EB05 41.5 · IC025 +5.3
3/3 methods agree
Not in label — unassessedserious n=389NCT00771927: 1/493 (0.2%) on Lacosamide
Myoclonic epilepsy11748.9
40.5–59.0ROR 49.0 · calibrated p 2e-5 ✓
44.7 EB05 38.3 · IC025 +4.9
3/3 methods agree
Labeled adverse reaction
exact term
serious n=116NCT00771927: 1/493 (0.2%) on Lacosamide
Brain operation17748.2
41.4–56.2ROR 48.5 · calibrated p 2e-5 ✓
44.3 EB05 39.1 · IC025 +5.1
3/3 methods agree
Reporting / coding artifactserious n=173 · 84% consumerNCT00771927: 1/511 (0.2%) on Lacosamide (serious AE)
Intensive care unit acquired weakness2946.5
31.9–67.9ROR 46.6 · calibrated p 4e-5 ✓
41.9 EB05 30.6 · IC025 +4.0
3/3 methods agree
Not in label — unassessedserious n=29 · 100% cliniciannot reported in cached trials
Generalised tonic-clonic seizure1,19744.7
42.2–47.4ROR 46.2 · calibrated p 2e-5 ✓
41.4 EB05 39.5 · IC025 +5.3
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
serious PRR 30.0not reported in cached trials
Congenital aplasia2144.2
28.4–69.0ROR 44.3 · calibrated p 6e-5 ✓
39.7 EB05 27.4 · IC025 +3.7
3/3 methods agree
Not in label — unassessedserious n=21not reported in cached trials

Trial evidence (ClinicalTrials.gov)

✓ Trial adverse-event data found on ClinicalTrials.gov

Largest completed trials with posted results that list Lacosamide as a study intervention. The right-hand column of the signal table shows whether each FAERS term was also recorded in these trials, with a real denominator (13 of 40 signal terms matched).

Caveats: trial populations, doses and follow-up differ from the reporting population; AE terms are sponsor-coded and matched here by wording; absence from a trial list means the term was not reported above the sponsor's frequency threshold, not that it cannot occur.

Most frequently reported reactions

By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.

ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Seizure6,85836.0
35.2–36.8ROR 44.0 · calibrated p 3e-5 ✓
33.9 EB05 33.2 · IC025 +5.0
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
serious PRR 22.7NCT00771927: 2/511 (0.4%) on Lacosamide (serious AE)
Drug ineffective (drug did not work)4,1371.8
1.7–1.8ROR 1.9 · calibrated p 0.878
1.8 EB05 1.7 · IC025 +0.8Reporting / coding artifactserious PRR 3.1NCT00771927: 1/511 (0.2%) on Lacosamide (serious AE)
Off label use (used outside approved label)3,9742.6
2.5–2.7ROR 2.8 · calibrated p 0.696
2.6 EB05 2.5 · IC025 +1.3
3/3 methods agree
Reporting / coding artifactserious PRR 2.9not reported in cached trials
Dizziness1,6691.9
1.8–2.0ROR 1.9 · calibrated p 0.914
1.9 EB05 1.8 · IC025 +0.8Labeled adverse reaction
exact term
serious PRR 1.7NCT00771927: 4/511 (0.8%) on Lacosamide (serious AE)
Somnolence (drowsiness)1,4964.2
4.0–4.5ROR 4.4 · calibrated p 0.314
4.2 EB05 4.0 · IC025 +2.0
3/3 methods agree
Labeled adverse reaction
exact term
serious PRR 3.9NCT00771927: 1/511 (0.2%) on Lacosamide (serious AE)
Fatigue (tiredness)1,4461.1
1.0–1.1ROR 1.1 · calibrated p 0.344
1.1 EB05 1.0 · IC025 -0.0
PRR-only: not supported by EBGM or IC
Labeled adverse reaction
exact term
serious PRR 1.0NCT00771927: 1/493 (0.2%) on Lacosamide (serious AE)
Epilepsy1,41727.6
26.2–29.0ROR 28.6 · calibrated p 3e-4 ✓
26.3 EB05 25.2 · IC025 +4.6
3/3 methods agree
Labeled adverse reaction
exact term
serious PRR 18.9NCT00771927: 1/511 (0.2%) on Lacosamide (serious AE)
Fall1,3952.4
2.3–2.5ROR 2.4 · calibrated p 0.840
2.4 EB05 2.3 · IC025 +1.2
3/3 methods agree
Labeled adverse reaction
exact term
serious PRR 1.9NCT00771927: 2/511 (0.4%) on Lacosamide (serious AE)
Overdose1,2793.4
3.2–3.5ROR 3.4 · calibrated p 0.498
3.3 EB05 3.2 · IC025 +1.6
3/3 methods agree
Reporting / coding artifactserious PRR 2.6not reported in cached trials
Status epilepticus1,27672.0
68.0–76.3ROR 74.6 · calibrated p 1e-6 ✓
63.8 EB05 61.0 · IC025 +5.9
3/3 methods agree
Labeled adverse reaction
exact term
serious PRR 46.7NCT00771927: 3/511 (0.6%) on Lacosamide (serious AE)
Generalised tonic-clonic seizure1,19744.7
42.2–47.4ROR 46.2 · calibrated p 2e-5 ✓
41.4 EB05 39.5 · IC025 +5.3
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
serious PRR 30.0not reported in cached trials
Death1,0710.7
0.7–0.7ROR 0.7 · calibrated p 0.128
0.7 EB05 0.7 · IC025 -0.6
PRR-only: not supported by EBGM or IC
Outcome field, not a reactionserious PRR 0.5NCT00771927: 1/511 (0.2%) on Lacosamide (serious AE)
Headache1,0651.0
0.9–1.0ROR 1.0 · calibrated p 0.283
1.0 EB05 0.9 · IC025 -0.2
PRR-only: not supported by EBGM or IC
Labeled adverse reaction
exact term
serious PRR 1.1NCT00771927: 3/511 (0.6%) on Lacosamide (serious AE)
Drug interaction1,0013.6
3.4–3.8ROR 3.7 · calibrated p 0.446
3.6 EB05 3.4 · IC025 +1.7
3/3 methods agree
Reporting / coding artifactserious PRR 2.7not reported in cached trials
Nausea9490.7
0.6–0.7ROR 0.7 · calibrated p 0.117
0.7 EB05 0.6 · IC025 -0.7
PRR-only: not supported by EBGM or IC
Labeled adverse reaction
exact term
serious PRR 0.7NCT00771927: 2/511 (0.4%) on Lacosamide (serious AE)

Unlabeled candidate signals

These flagged terms were not found in the FDA label text and do not match an artifact pattern. They are the pairs that would merit a structured assessment (temporality, dose-response, biological plausibility, consistency across databases, trial or cohort evidence). The screen has not done that; string-matching misses label wording, and a strong PRR can still be stimulated reporting, co-medication, or the disease itself.

✓ A hand-written Bradford Hill causality assessment exists for this drug: Lacosamide ↔ Bradycardia.

Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.

Common questions

What are the most reported side effects of Lacosamide?

In FDA FAERS, the most frequently co-reported reaction terms for Lacosamide are seizure, dizziness, somnolence, fatigue, epilepsy, fall. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.

Does Lacosamide have an FDA boxed warning?

No. The FDA label retrieved for Lacosamide has no boxed warning; see the label's Warnings and Precautions for the recognised risks.

Do FAERS signals prove that Lacosamide causes these side effects?

No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.

Sources & methods

Page generated 2026-10-14. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.