Perampanel for epilepsy
Fycompa
Revisione paritaria di Sid DajaniUltimo aggiornamento di Michael Stewart, MRPharmSUltimo aggiornamento 3 Oct 2022
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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
Tipo di medicinale | Un medicinale antiepilettico |
Utilizzato per | Epilepsy in adults and in children aged 4 years and older |
Chiamato anche | Fycompa® |
Disponibile come | Compresse e medicina liquida orale |
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.
Before taking perampanel
Torna ai contenutiSome 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:
Se sei incinta, stai cercando di avere un bambino o stai allattando.
Se hai problemi con il funzionamento del tuo fegato o con il funzionamento dei tuoi reni.
Se stai assumendo o utilizzando altri medicinali. Questo include qualsiasi medicinale che stai assumendo e che è disponibile per l'acquisto senza prescrizione, così come i medicinali a base di erbe e complementari.
Se hai mai avuto una reazione allergica a un medicinale.
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How to take perampanel
Torna ai contenutiBefore 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.
Ottenere il massimo dal tuo trattamento
Torna ai contenutiCerca di mantenere i tuoi appuntamenti regolari con il tuo medico. Questo è per permettere al tuo medico di controllare i tuoi progressi.
Quando inizi un nuovo trattamento per l'epilessia, potrebbe esserci un cambiamento nel numero o nel tipo di crisi che sperimenti. Il tuo medico ti consiglierà a riguardo.
Perampanel could make you feel sleepy, especially when you first start treatment.
Durante il trattamento per l'epilessia, c'è un piccolo rischio di sviluppare cambiamenti d'umore, pensieri angoscianti e sentimenti di suicidio. Se ciò accade, devi informare immediatamente il tuo medico.
Le persone con epilessia devono smettere di guidare inizialmente. Il tuo medico ti consiglierà se e quando sarà possibile riprendere a guidare.
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 prima 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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Can perampanel cause problems?
Torna ai contenutiAlong 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 | Cosa posso fare se sperimento questo? |
Sensazione di vertigini, sonnolenza, stanchezza o instabilità; visione doppia | Fai attenzione a non cadere o inciampare mentre ti muovi. Non guidare e non utilizzare strumenti o macchinari |
Sensazione di nausea | Attieniti a cibi semplici - evita pasti grassi o piccanti |
Changes in appetite or weight, changes in mood (such as feeling aggressive, confused or anxious), back pain | Se uno di questi diventa problematico, discutine con il tuo medico |
Se si verificano altri sintomi che ritieni possano essere dovuti alle compresse, parla con il tuo medico o farmacista per ulteriori consigli.
How to store perampanel
Torna ai contenutiTenere tutti i medicinali fuori dalla portata e dalla vista dei bambini.
Conservare in un luogo fresco e asciutto, lontano da fonti di calore e luce diretta.
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.
Informazioni importanti su tutti i medicinali
Torna ai contenutiInformazioni importanti su tutti i medicinali
Non assumere mai più della dose prescritta. Se sospetti che tu o qualcun altro possa aver assunto un sovradosaggio di questo medicinale, recati immediatamente al pronto soccorso del tuo ospedale locale. Porta con te il contenitore, anche se è vuoto, in modo che il medico sappia cosa è stato assunto.
Questo medicinale è per te. Non darlo mai ad altre persone, anche se la loro condizione sembra essere la stessa della tua.
Se devi sottoporti a un'operazione o a un trattamento dentale, informa la persona che esegue il trattamento quali medicinali stai assumendo.
Se acquisti dei medicinali, verifica con un farmacista che siano sicuri da assumere insieme ai tuoi farmaci prescritti.
Non conservare medicinali scaduti o indesiderati. Portali alla tua farmacia locale che li smaltirà per te.
Se hai domande su questo medicinale, chiedi al tuo farmacista.
Segnala effetti collaterali di un medicinale o vaccino
Se si verificano effetti collaterali, è possibile segnalarli online tramite il Yellow Card website.

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Domande frequenti
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.
Ulteriori letture e riferimenti
- Manufacturer's PIL, Fycompa® 2 mg, 4 mg, 6 mg, 8 mg, 10 mg, 12 mg film-coated tablets; Eisai Ltd, The electronic Medicines Compendium. Dated July 2021.
- Manufacturer's PIL, Fycompa® 0.5 mg/1 ml oral suspension; Eisai Ltd, The electronic Medicines Compendium. Dated July 2021.
- Medicinali Completi BNF 89ª Edizione; Associazione Medica Britannica e Società Farmaceutica Reale di Gran Bretagna, Londra.
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About the authorView full bio

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

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.
Storia dell'articolo
Le informazioni su questa pagina sono scritte e revisionate da clinici qualificati.
Next review due: 1 Apr 2027
3 Oct 2022 | Ultima versione
10 May 2013 | Pubblicato originariamente
Autore:
Helen Allen, MPharm

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