Emsilac 150mg Tablet: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Thoughts of self-harm or suicide
- Irregular or slow heartbeat
- Severe allergic reaction with swelling of face, lips, or throat
- Sudden rash, blisters, or peeling skin
- Yellowing of skin or eyes
- Severe dizziness or fainting
- Unusual bleeding or bruising
If experiencing severe symptoms, call emergency services immediately.
What is ictrol 150mg tablet used for?
This medicine is an antiepileptic drug used to treat partial-onset seizures and primary generalized tonic-clonic seizures in adults and children 4 years and older. It works by stabilizing neuronal membranes and reducing abnormal electrical activity in the brain.
- Generic Name: Lacosamide (150mg)
- Manufacturer: Intas Pharmaceuticals Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 ictrol 150mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा लैकोसामाइड नामक एंटीपाइलेप्टिक दवा है, जिसका उपयोग आंशिक-शुरुआत दौरे (फोकल दौरे) और प्राथमिक सामान्यीकृत टॉनिक-क्लोनिक दौरे के इलाज के लिए किया जाता है। यह मस्तिष्क में असामान्य विद्युत गतिविधि को कम करके दौरे को नियंत्रित करने में मदद करती है। यह दवा 4 वर्ष और उससे अधिक उम्र के बच्चों और वयस्कों में उपयोग की जा सकती है।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में चक्कर आना, सिरदर्द, मतली, उल्टी, धुंधली दृष्टि, थकान और संतुलन की समस्या शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन आत्मघाती विचार, गंभीर एलर्जी प्रतिक्रिया, और हृदय ताल में बदलाव हो सकते हैं। यदि आपको कोई असामान्य लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे अचानक बंद न करें, क्योंकि इससे दौरे बढ़ सकते हैं। जब तक आपको पता न चले कि यह दवा आप पर कैसा असर करती है, तब तक वाहन न चलाएं। शराब का सेवन न करें। अपने डॉक्टर को अपनी सभी स्वास्थ्य समस्याओं के बारे में बताएं।
💊 ictrol 150mg tablet Uses & Benefits
[{"condition":"Partial-onset seizures (focal seizures)","description":"This medicine is indicated as monotherapy or adjunctive therapy for the treatment of partial-onset seizures in adults and children aged 4 years and older.","evidence":"Well-established"},{"condition":"Primary generalized tonic-clonic seizures","description":"This medicine is indicated as adjunctive therapy for primary generalized tonic-clonic seizures in adults and children aged 4 years and older.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Neuropathic pain","description":"Sometimes prescribed off-label for neuropathic pain, though evidence is limited.","evidence":"Limited"},{"condition":"Status epilepticus","description":"May be used off-label in the management of status epilepticus, but not a first-line agent.","evidence":"Limited"}]
Primary treatment for: Epilepsy
Also treats: Partial-onset seizures, Primary generalized tonic-clonic seizures
📋 Drug Information
| Generic Name(s) | Lacosamide (150mg) |
| Brand Name | ictrol 150mg tablet |
| Manufacturer | Intas Pharmaceuticals Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | Sodium channel modulators (AED) |
| Route of Administration | Oral |
| Storage | Store at room temperature between 20°C and 25°C (68°F to 77°F). Keep in a dry place away from direct sunlight. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine selectively enhances the slow inactivation of voltage-gated sodium channels, leading to stabilization of neuronal membranes and inhibition of repetitive neuronal firing. This action reduces the spread of seizure activity in the brain.
Mechanism Steps
💡 How to Take ictrol 150mg tablet
Strength: 150 mg immediate-release tablet
Dosage Information
| Adult Dosage | The recommended initial dose of this medicine is 50 mg twice daily, which may be increased to 100 mg twice daily after one week, and further to 200 mg twice daily if needed. The maximum recommended dose is 400 mg per day. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may require dose adjustment based on renal function. Start with a lower dose and titrate slowly. |
| Renal Impairment | In patients with severe renal impairment (creatinine clearance less than 30 mL/min), the maximum dose should be reduced by 25%. In patients with end-stage renal disease, this medicine should be used with caution. |
| Hepatic Impairment | In patients with mild to moderate hepatic impairment, no dose adjustment is needed. In severe hepatic impairment, use with caution and consider dose reduction. |
| Maximum Daily Dose | 400 mg per day |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of ictrol 150mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Carbamazepine | Major | |
| Lamotrigine | Major | |
| Pregabalin | Major | |
| Ketoconazole | Moderate | |
| Ritonavir | Moderate | |
| Omeprazole | Moderate | |
| Diazepam | Moderate | |
| Morphine | Moderate | |
| Oral contraceptives | Minor |
🚨 Major Interactions
- Drugs that prolong PR interval (e.g., carbamazepine, lamotrigine, pregabalin)
- Strong CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)
⚡ Moderate Interactions
- CYP2C19 inhibitors (e.g., omeprazole)
- CNS depressants (e.g., benzodiazepines, opioids)
🍷 Alcohol Interaction
Alcohol may increase the central nervous system depressant effects of this medicine, leading to increased drowsiness, dizziness, and impaired coordination. It is advisable to avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to lacosamide or any component of the formulation","Second- or third-degree heart block without a pacemaker"]
⚠️ Warnings & Precautions
["Suicidal thoughts and behavior: Monitor patients for depression, suicidal thoughts, or unusual changes in mood or behavior.","Heart rhythm abnormalities: This medicine may cause PR interval prolongation. Use with caution in patients with cardiac conduction issues.","Dizziness and ataxia: May impair ability to drive or operate machinery.","Withdrawal of antiepileptic drugs: Do not stop abruptly to avoid precipitating seizures.","Multi-organ hypersensitivity: Rarely, this medicine can cause a serious multi-organ hypersensitivity reaction."]
🤱 Lactation Safety
This medicine is excreted in human breast milk. Because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.
💊 Overdose Management
There is no specific antidote for overdose with this medicine. In case of overdose, immediate medical attention is required. Treatment should be symptomatic and supportive. Hemodialysis may be considered in severe cases.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not change the dose or stop taking it without medical advice, as stopping suddenly can cause seizures. Avoid driving or operating heavy machinery until you know how this medicine affects you, because it can cause dizziness and drowsiness. Inform your doctor if you have a history of heart problems, kidney or liver disease, or depression. Do not drink alcohol while taking this medicine, as it can increase drowsiness and dizziness. Keep all follow-up appointments and report any new or worsening symptoms promptly.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the side effects of this medicine, especially dizziness and balance problems. Dose adjustment based on renal function is often necessary. Regular monitoring is advised.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before conception. This medicine should be used during pregnancy only if clearly needed. Effective contraception is recommended for women of childbearing potential.
🏥 Post-Surgery Considerations
After surgery, inform your surgeon and anesthesiologist that you are taking this medicine. It may interact with anesthetic agents and affect heart rhythm. Your dose may need adjustment during the perioperative period.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. It may interact with certain anesthetics or sedatives. Your dentist may need to take precautions.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Exercise is generally safe, but avoid activities that could be dangerous if you experience dizziness or seizures, such as swimming alone or high-altitude climbing. Consult your doctor before starting a new exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness and drowsiness, which can affect your ability to drive or operate machinery. It is important to assess your individual response before engaging in such activities. Most people can continue their normal work with appropriate precautions.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience serious side effects or your seizures are well-controlled, your doctor may consider gradually tapering the dose. Abrupt discontinuation can lead to withdrawal seizures.
📅 Long-Term Use Effects
Long-term use of this medicine may require regular monitoring of kidney and liver function, as well as heart rhythm. Some patients may experience tolerance or reduced efficacy over time. It is important to have periodic evaluations to ensure the medicine remains safe and effective.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
A high-fat, low-carbohydrate diet that may help reduce seizures in some patients, especially children.
Evidence: Well-established for certain types of epilepsyA device implanted under the skin that sends electrical impulses to the vagus nerve to reduce seizures.
Evidence: Well-established for refractory epilepsySurgical removal of the brain area causing seizures, considered for some patients with focal seizures.
Evidence: Well-established for selected patients💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, consult your doctor before receiving any vaccine, especially live vaccines, as your immune response may vary.
📦 Storage Guide
✅ DO
Store at room temperature (20-25°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging along with a copy of your prescription. Keep it in your carry-on luggage to avoid loss. Store at room temperature and protect from extreme heat or cold. If crossing time zones, consult your doctor about adjusting dosing times. Check local customs regulations for controlled substances.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts working within a few hours, but full therapeutic effect may take several weeks. Your doctor will adjust the dose gradually.
A: No, you should never stop this medicine without consulting your doctor. Stopping suddenly can cause seizures to return.
A: Avoid alcohol and activities requiring alertness until you know how this medicine affects you. Also, avoid missing doses.
🤔 Common Patient Concerns
🔄 Substitutes for ictrol 150mg tablet
View AllAlternative brands with exact same active ingredient:
-
lacasa 150 mg tabletZydus Cadila ₹120.00 16.4% COSTLIER
-
emsilac 150mg tabletEmcure Pharmaceuticals Ltd ₹134.06 30% COSTLIER
-
lacotab 150mg tabletAlteus Biogenics Pvt Ltd ₹170.00 64.8% COSTLIER
-
laconext 150 tabletLupin Ltd ₹186.10 80.5% COSTLIER
-
lacove 150mg tabletLinux Laboratories ₹198.60 92.6% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure epilepsy permanently.
Fact: This medicine helps control seizures but does not cure epilepsy. It must be taken regularly as prescribed. - Myth: You can stop taking this medicine once seizures are controlled.
Fact: Stopping this medicine suddenly can cause seizures to return. Always consult your doctor before making any changes.
🔄 Alternative Options
Generic Alternatives
- Lacosamide
Brand Alternatives
- Emsilac 150mg Tablet