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Peramnel 4 Tablet

Perampanel (4mg)

Currently out of stock

Same composition, in stock now. Check with your doctor or pharmacist before you switch.

  • Ampanel 4 mg Tablet₹162View
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Peramnel 4 Tablet is used for epilepsy/Seizures.

Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026

Licensed pharmacyPharmacist-verified order

Key details

Salt: Perampanel (4mg)
Available variants: tablet 4mg 10`S
Best price: ₹129 (₹12.92 per tablet)
MRP: ₹136
Prescription: Required
Manufacturer: ICON PHARMA

Ordering notes

Delivery details are shown when the medicine is back in stock.
Returns & refunds: orders can be cancelled before dispatch; after dispatch, returns depend on the item category. Read the full policy

Composition of Peramnel 4 Tablet

Peramnel 4 Tablet contains Perampanel (4mg). It belongs to the Anticonvulsant class of medicines.

Uses of Peramnel 4 Tablet

Epilepsy/Seizures

Key benefits

  • In Epilepsy/Seizures Peramnel 4 Tablet slows down electrical signals in the brain which cause seizures (fits). It can also help reduce symptoms such as confusion
  • uncontrollable jerking movements
  • loss of awareness
  • and fear or anxiety. The medicine can allow you to do some activities that you would otherwise be forbidden or scared to do (such as swimming and driving). It can take a few weeks for this medicine to work (because the dose has to be increased slowly) and during this time you may still have seizures. Do not stop using this medicine even if you feel well until your doctor advises you to. Missing doses may trigger a seizure.

How Peramnel 4 Tablet works

Peramnel 4 Tablet is an antiepileptic medication. It prevents seizures in patients with epilepsy by blocking a receptor in the brain known as the glutamate receptor, thereby suppressing the abnormal and excessive activity of the nerve cells in the brain.

How to take Peramnel 4 Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Peramnel 4 Tablet may be taken with or without food.

Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.

Missed dose and overdose

If you miss a dose

If you miss a dose of Peramnel 4 Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

If you take too much

An overdose of this medicine can cause deep unconsciousness, slowed breathing and dangerous heart rhythm disturbance. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Peramnel 4 Tablet

Most side effects of Peramnel are mild and settle as the body adjusts. Reported side effects include:

  • Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.

Safety advice for Peramnel 4 Tablet

PregnancyPregnancy CONSULT YOUR DOCTOR
BreastfeedingBreast feeding CONSULT YOUR DOCTOR
AlcoholAlcohol UNSAFE
DrivingDriving UNSAFE
KidneyKidney CAUTION
LiverLiver CAUTION
Habit formingNo

Warnings and precautions

Never stop or change an anti-epileptic on your own. Stopping abruptly can cause prolonged, dangerous seizures. Sodium valproate and divalproex must not be used by anyone who is pregnant or could become pregnant unless a specialist has confirmed there is no alternative — they cause serious birth defects and developmental problems. Effective contraception is essential. Seek urgent care for any rash, especially in the first weeks — a rash with fever, blistering or peeling can be life-threatening. Report yellowing of the eyes or skin, persistent vomiting, unusual bruising or severe tiredness at once. Tell your doctor about any change in mood or any thoughts of harming yourself. Take the same brand each time unless your neurologist has agreed to a change; switching can alter seizure control.

Do not take Peramnel if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Valproate-containing medicines are contraindicated in pregnancy for epilepsy unless no alternative exists, and in all women of childbearing potential without a pregnancy prevention programme. Several are not suitable in significant liver disease.

Interactions with other medicines

This group interacts very widely, including with contraceptives, blood thinners and other anti-epileptics. Give your doctor a full list of what you take. Hormonal contraception may become unreliable — ask your doctor which method to use.

How to store Peramnel 4 Tablet

Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.

Expert advice for Peramnel 4 Tablet

Take your medication regularly as directed by your doctor as missing doses can trigger seizures. Do not change the brand of your medicine and make sure that you have sufficient amount of medicine present with you. Some healthy tips to prevent seizures: Take a healthy diet along with regular exercise. Practice yoga every day. Get enough sleep at nighttime. Limit the use of screen time such as mobile/ laptop. Take your medication on time. Do not drive or do anything that requires mental focus until you know how Peramnel 4 Tablet affects you. It may cause weight gain. Hence, monitor your weight regularly. Inform your doctor if you develop any unusual changes in mood or behavior, new or worsening depression, or suicidal thoughts or behavior. Do not stop taking the medication suddenly without talking to your doctor as it may increase the seizure frequency.

Manufacturer and class

Manufacturer:
ICON PHARMA
Therapeutic class:
NEURO CNS
Drug class:
Anticonvulsant
Chemical class:
Bipyridines and oligopyridines

Substitutes for Peramnel 4 Tablet

Medicines with the same active ingredient (Perampanel (4mg)). Ask your doctor or pharmacist before switching brands.

MedicinePackPricevs Peramnel 4 Tablet
Ampanel 4 mg TabletSUN PHARMAtablet · 10`S₹16225% more
Perampa 4 TabletIntas Pharmaceuticals Ltdtablet · 10`S₹18040% more
Fycompa 4 mg TabletEISAI INDIA PVT LTDtablet · 14`S₹826539% more
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Peramnel 4 Tablet FAQs

What is Peramnel 4 Tablet used for?
Peramnel 4 Tablet is commonly used for Epilepsy/Seizures. Always follow your doctor's advice, this information is for educational purposes and not a substitute for professional medical guidance.
What is the salt in Peramnel 4 Tablet?
Peramnel 4 Tablet contains Perampanel (4mg). If you are allergic to any of these active ingredients or excipients, do not take this medicine and speak to your doctor first.
How should I take Peramnel 4 Tablet?
Take this medicine in the dose and duration as advised by your doctor. Take it exactly as prescribed; do not change the dose or stop early without talking to your doctor.
How does Peramnel 4 Tablet work?
Peramnel 4 Tablet is an antiepileptic medication.
Is Peramnel 4 Tablet a prescription medicine?
Yes. Peramnel 4 Tablet is a prescription-only (Rx) medicine. Upload a valid prescription from a registered medical practitioner during checkout. We cannot dispense it without a valid Rx.
What are the common side effects of Peramnel 4 Tablet?
The side effects reported most often with Peramnel are Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them. Most are mild and settle as the body adjusts; tell your doctor if any of them persist or worry you, and stop the medicine and seek help at once for a rash, swelling of the face or lips, or difficulty breathing.
Can Peramnel 4 Tablet be taken during pregnancy?
Pregnancy CONSULT YOUR DOCTOR Always tell your doctor if you are pregnant, planning a pregnancy or breastfeeding before starting Peramnel.
Can I drink alcohol while taking Peramnel 4 Tablet?
Alcohol UNSAFE
What if I miss a dose of Peramnel 4 Tablet?
If you miss a dose of Peramnel 4 Tablet, take it as soon as possible.
Is Peramnel 4 Tablet habit forming?
No. Peramnel 4 Tablet is not known to be habit forming when taken as prescribed.
How much does Peramnel 4 Tablet cost on PingMeDoc Pharmacy?
Peramnel 4 Tablet starts at ₹129 (MRP ₹136) on PingMeDoc Pharmacy. Available in tablet 4mg 10`S. Final price is confirmed at checkout and may vary by variant and location.
Who manufactures Peramnel 4 Tablet?
Peramnel 4 Tablet is manufactured by ICON PHARMA. PingMeDoc Pharmacy sources medicines only from licensed manufacturers and distributors.
How is Peramnel 4 Tablet delivered?
Peramnel 4 Tablet is delivered across India via our licensed pharmacy partners. Standard delivery timelines are confirmed at checkout. Chennai customers can opt for chargeable same-city express delivery.

Peramnel 4 Tablet, Quick facts

Salt
Perampanel (4mg)
Form
tablet
Best price
₹129 (₹12.92 per tablet)
MRP
₹136
Prescription
Required (Rx)
Brand
ICON PHARMA
Manufacturer
ICON PHARMA
Therapeutic class
NEURO CNS
Drug class
Anticonvulsant
Chemical class
Bipyridines and oligopyridines
Action class
AMPA glutamate receptor antagonist
Habit forming
No
Variants
tablet 4mg 10`S
Delivery
Standard across India

References

The information on Peramnel 4 Tablet is compiled from the manufacturer's prescribing information and the sources below, and is reviewed by a registered medical practitioner. It does not replace advice from your own doctor.

  1. PingMeDoc clinical monograph library — compiled from Indian package inserts, the Indian Pharmacopoeia
  2. CDSCO schedules and standard pharmacology references. Reviewed for patient readability. This is general information, not a substitute for your doctor's advice.
  3. Central Drugs Standard Control Organisation (CDSCO), Ministry of Health & Family Welfare, Government of India, approved drug and schedule listings.
  4. National List of Essential Medicines (NLEM) 2022, Government of India.
  5. Manufacturer's package insert / prescribing information for Peramnel 4 Tablet.
  6. World Health Organization, ATC/DDD classification and Model Formulary for the active ingredient.

Next steps

Safety disclaimer

Product information is for general awareness and does not replace professional medical advice. Always follow a clinician's guidance and upload a valid prescription when required.