Fycompa 4mg Tablet

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Brand Eisai
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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

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Overview

Fycompa 4mg Tablet is a prescription-only medicine (POM) that contains Perampanel 4mg. It is supplied as a tablet and is dispensed in Malaysia only against a valid prescription issued by a registered doctor.

Under Malaysian rules for prescription medicines, this page carries product, safety and handling information only. Your doctor or pharmacist will explain whether this medicine is suitable for you, the dose you should take, and how long you should take it.

On DoctorOnCall, Fycompa 4mg Tablet is reviewed by a licensed doctor through an online consultation and dispensed by a registered pharmacist before delivery. Always follow the instructions on your prescription label and the package insert supplied with the product, and do not share this medicine with anyone else.

Directions for Use

Take Fycompa 4mg Tablet once daily at bedtime, as somnolence and dizziness are common, especially when starting treatment or after a dose increase. Swallow the tablet whole with a glass of water, with or without food. Continue taking this medicine even if you feel well, and do not stop suddenly, as this can trigger seizures – your doctor will advise on tapering if the medicine needs to be discontinued.

Dosage

Fycompa 4mg Tablet is usually started at a low dose (such as 2mg once daily) and increased gradually by your doctor, typically at intervals of at least one to two weeks, up to a maintenance dose that controls your seizures. Because perampanel remains in the body for a long time, dose changes are made slowly. Never adjust your dose without your doctor’s guidance.

Storage Instructions

Store below 30°C in a dry place, away from direct sunlight and out of reach of children.

Side Effects

  • Dizziness
  • Fatigue
  • Irritability or mood changes
  • Headache
  • Difficulty walking or coordination issues
  • Sleepiness or drowsiness
  • Weight gain

Contraindications

  • Known hypersensitivity to perampanel or any ingredient in this product
  • Severe hepatic (liver) impairment
  • Should not be stopped abruptly without medical supervision, as this can precipitate seizures

Drug / Food Interactions

  • Strong CYP3A4 inducers such as carbamazepine, phenytoin, and rifampicin can significantly lower perampanel blood levels and reduce its effectiveness
  • CYP3A4 inhibitors such as ketoconazole can raise perampanel levels and increase the risk of side effects
  • Alcohol and other sedating medicines (e.g. benzodiazepines) can add to perampanel’s sedative effects and impair alertness
  • At higher doses, perampanel may reduce the effectiveness of hormonal contraceptives containing levonorgestrel – discuss additional contraception with your doctor

Quick Tips

  • Take your dose at bedtime to reduce the impact of dizziness and sleepiness
  • Avoid driving or operating machinery until you know how this medicine affects you
  • Avoid or limit alcohol while taking this medicine
  • Tell your doctor or family immediately about any new irritability, aggression, or mood changes
  • Do not stop this medicine suddenly – your doctor will advise on how to reduce the dose safely if needed
  • Keep all follow-up appointments so your doctor can monitor your response and adjust the dose

Ingredients / Active Ingredients

  • Perampanel 4mg

Safety Advice

Pregnancy

Safe If Prescribed

This medicine should only be used during pregnancy if prescribed by a doctor after careful evaluation.

Breastfeeding

Limited Data

Limited data on excretion in breast milk. Consult a doctor before use.

Kidney

Generally Safe

Generally safe, but caution may be required in some patients.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Not Advisable

It is not advisable to consume alcohol while taking this medicine.

Driving

Use With Care

Use caution while driving until you know how this medicine affects you.

Frequently Asked Questions

Product Specifications

BrandEisai
ClassificationPrescription medicine
Ingredients / Active IngredientsPerampanel
Pack Size28s
Shelf LifeUse this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.

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