Fampridine

Drug Status

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Government Approvals

UK(BNF)

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WHO Essential Medicine

NO

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Known Teratogen

No

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Pharmaceutical Class

None

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Controlled Drug Substance

No

Summary

  • Fampridine is used to improve walking in people with multiple sclerosis, which is a condition affecting the brain and spinal cord. It helps enhance walking speed and mobility by improving nerve signal conduction. Fampridine is usually used alongside other therapies for multiple sclerosis to help manage symptoms and improve quality of life.

  • Fampridine works by blocking potassium channels in nerve cells, which helps improve nerve signal conduction. This action enhances communication between nerves, improving walking speed and mobility in people with multiple sclerosis. Think of it like fixing a frayed wire to restore a clear signal. This mechanism helps manage symptoms of multiple sclerosis.

  • The usual dose of fampridine for adults is 10 mg taken twice daily, about 12 hours apart. It is taken as a tablet, swallowed whole with water, and can be taken with or without food. Do not crush or chew the tablet. Always follow your doctor's specific dosing instructions for safe and effective use.

  • Common side effects of fampridine include dizziness, nausea, and insomnia, which means trouble sleeping. These occur in a small percentage of people. If you experience new symptoms after starting fampridine, they might be temporary or unrelated. Talk with your doctor before stopping the medication to ensure your treatment remains effective.

  • Fampridine can increase the risk of seizures, especially at higher doses. People with a history of seizures should not take fampridine. It may also cause kidney problems, so regular monitoring is important. If you experience symptoms like confusion, dizziness, or difficulty breathing, seek medical help immediately. Always follow your doctor's advice.

Indications and Purpose

How does fampridine work?

Fampridine works by blocking potassium channels in nerve cells, which helps improve nerve signal conduction. This action enhances communication between nerves, improving walking speed and mobility in people with multiple sclerosis. Think of it like fixing a frayed wire to restore a clear signal. This mechanism helps manage symptoms of multiple sclerosis.

Is fampridine effective?

Fampridine is effective in improving walking in people with multiple sclerosis, which is a condition affecting the brain and spinal cord. Clinical studies show that fampridine can enhance walking speed and mobility. It works by improving nerve signal conduction. Your doctor will monitor your progress to ensure fampridine is working effectively for you.

What is fampridine?

Fampridine is a medication used to improve walking in people with multiple sclerosis, which is a condition affecting the brain and spinal cord. It works by improving nerve signal conduction, helping to enhance walking speed and mobility. Fampridine is usually used alongside other therapies for multiple sclerosis to help manage symptoms.

Directions for Use

For how long do I take fampridine?

Fampridine is usually a long-term medication for managing multiple sclerosis symptoms. You'll typically take it every day as a lifelong treatment unless your doctor suggests otherwise. Stopping fampridine without medical advice could cause your symptoms to worsen. Always talk with your doctor before changing or stopping your fampridine treatment.

How do I dispose of fampridine?

Dispose of unused fampridine by taking it to a drug take-back program or collection site at a pharmacy or hospital. If these options are unavailable, mix the medication with an undesirable substance like used coffee grounds, seal it in a plastic bag, and throw it away in the trash. This helps prevent harm to people and the environment.

How do I take fampridine?

Take fampridine as a tablet twice daily, about 12 hours apart. Swallow the tablet whole with water; do not crush or chew it. You can take it with or without food. If you miss a dose, skip it and take the next dose at the regular time. Do not double up on doses. Avoid alcohol while taking fampridine, as it may increase the risk of side effects.

How long does it take for fampridine to start working?

Fampridine starts working in your body shortly after you take it, but it may take several weeks to notice improvements in walking speed and mobility. The time it takes to see full benefits can vary based on individual factors like overall health and the severity of multiple sclerosis symptoms. Take it as prescribed for the best results.

How should I store fampridine?

Store fampridine tablets at room temperature, away from moisture and light. Keep them in a tightly closed container. Do not store them in humid places like bathrooms. If the packaging isn't child-resistant, transfer the tablets to a container that children can't easily open. Always keep fampridine out of children's reach to prevent accidental ingestion.

What is the usual dose of fampridine?

The usual dose of fampridine for adults is 10 mg taken twice daily, about 12 hours apart. Do not exceed this dose, as higher doses can increase the risk of seizures. Always follow your doctor's specific dosing instructions. Fampridine is not recommended for children or people with severe kidney problems. Your doctor will adjust the dose based on your health needs.

Warnings and Precautions

Can fampridine be taken safely while breastfeeding?

The safety of fampridine while breastfeeding is not well-established. It is unknown if fampridine passes into breast milk. If you are breastfeeding or planning to breastfeed, talk with your doctor about the risks and benefits of using fampridine. Your doctor can help determine the best treatment plan for you and your baby.

Can fampridine be taken safely while pregnant?

The safety of fampridine during pregnancy is not well-established. There is limited information on its effects on pregnant women. If you are pregnant or planning to become pregnant, talk with your doctor about the risks and benefits of using fampridine. Your doctor can help create a treatment plan that is safe for you and your baby.

Can I take fampridine with other prescription drugs?

Fampridine can interact with other medications that affect kidney function, increasing the risk of side effects. It may also interact with drugs that lower the seizure threshold, increasing seizure risk. Always inform your doctor about all medications you take to avoid potential interactions. Your doctor can help manage your treatment safely.

Does fampridine have adverse effects?

Adverse effects are unwanted reactions to a medication. Common adverse effects of fampridine include dizziness, nausea, and insomnia. Serious effects like seizures are rare but require immediate medical attention. If you notice any new or worsening symptoms, contact your doctor. They can help determine if these are related to fampridine and suggest appropriate actions.

Does fampridine have any safety warnings?

Yes, fampridine has important safety warnings. It can increase the risk of seizures, especially at higher doses. People with a history of seizures should not take fampridine. It may also cause kidney problems, so regular monitoring is important. If you experience symptoms like confusion, dizziness, or difficulty breathing, seek medical help immediately. Always follow your doctor's advice and report any new symptoms.

Is fampridine addictive?

Fampridine is not addictive or habit-forming. It does not cause dependency or withdrawal symptoms when you stop taking it. Fampridine works by improving nerve signal conduction in the body, which does not affect brain chemistry in ways that could lead to addiction. If you have concerns about medication dependence, fampridine does not carry this risk.

Is fampridine safe for the elderly?

Elderly individuals may be more sensitive to the side effects of fampridine, such as dizziness and balance issues. These can increase the risk of falls. Regular monitoring by a healthcare provider is important to ensure safety. Dose adjustments may be necessary based on kidney function and overall health. Always consult your doctor before starting fampridine.

Is it safe to drink alcohol while taking fampridine?

It's best to avoid alcohol while taking fampridine. Alcohol can increase the risk of side effects like dizziness and seizures. If you choose to drink, do so in moderation and be aware of any warning signs like increased dizziness or confusion. Talk with your doctor about alcohol use while taking fampridine for personalized advice.

Is it safe to exercise while taking fampridine?

You can exercise while taking fampridine, but be cautious. Fampridine can cause dizziness, which might affect your balance during physical activity. Start with light exercises and gradually increase intensity. Stay hydrated and watch for signs of dizziness or fatigue. If you experience these symptoms, stop exercising and rest. Consult your doctor for personalized exercise advice.

Is it safe to stop fampridine?

Fampridine is usually taken long-term for managing multiple sclerosis symptoms. Stopping it suddenly may cause your symptoms to return or worsen. There are no known withdrawal symptoms, but always talk with your doctor before stopping fampridine. They can guide you on how to safely discontinue the medication if needed.

What are the most common side effects of fampridine?

Side effects are unwanted reactions to a medication. Common side effects of fampridine include dizziness, nausea, and insomnia. These occur in a small percentage of people. If you experience new symptoms after starting fampridine, they might be temporary or unrelated. Talk with your doctor before stopping the medication to ensure your treatment remains effective.

Who should avoid taking fampridine?

Do not take fampridine if you have a history of seizures, as it can increase seizure risk. It is also contraindicated in people with moderate to severe kidney problems, as it can lead to higher drug levels in the body. Always inform your doctor about your medical history before starting fampridine to ensure it is safe for you.