Trileptal

oxcarbazepine

Brand(s):

• Oxetol

Manufacturer:

• Sun Pharmaceutical Industries Ltd.

Disease(s):

• Seizures / Epilepsy

Oxcarbazepine Tablets

What is Oxcarbazepine?

Oxcarbazepine is an anticonvulsant medication primarily used in the treatment of epilepsy. Specifically, it's effective in preventing partial seizures, a type of seizure that affects only part of the brain. It works by stabilizing the electrical activity in the brain, reducing the likelihood of seizures.

Important Information for Your Doctor

Before starting oxcarbazepine, it's crucial to inform your healthcare provider about your complete medical history. This includes:

• Kidney disease: Oxcarbazepine is processed by the kidneys, so kidney problems may affect how well the medication works and increase the risk of side effects.
• Liver disease: Similar to kidney disease, liver problems can impact the medication's effectiveness and safety.
• History of suicidal thoughts or attempts: Oxcarbazepine, like some other anticonvulsants, may increase the risk of suicidal thoughts or actions. Open communication with your doctor about any mental health concerns is essential.
• Allergies: Report any known allergies to oxcarbazepine, carbamazepine (a related drug), other medications, foods, dyes, or preservatives.
• Pregnancy or breastfeeding plans: Oxcarbazepine can pass into breast milk and may pose risks to a developing fetus. Discuss the potential benefits and risks with your doctor before taking this medication if you are pregnant, breastfeeding, or planning to become pregnant.

How to Take Oxcarbazepine

Oxcarbazepine tablets are taken orally with a glass of water. They can be taken with or without food. It's essential to follow your doctor's prescribed dosage and schedule precisely. Do not adjust the dosage or stop taking the medication without consulting your physician.

Children: While oxcarbazepine may be prescribed for children as young as 2 years old under specific circumstances, pediatric use requires careful monitoring by a healthcare professional.

Overdose: In case of an overdose, immediately seek medical attention or contact a poison control center.

Important Note: This medication is prescribed specifically for you and should not be shared with others.

Missed Dose

If you miss a dose, take it as soon as you remember, unless it's almost time for your next dose. Never take a double dose to make up for a missed one.

Potential Drug Interactions

Avoid taking oxcarbazepine with:

• Carbamazepine

Oxcarbazepine may interact with:

• Birth control pills (reducing their effectiveness)
• Chlorpropamide
• Cyclophosphamide
• Diuretics
• Octreotide
• Other anti-seizure medications (e.g., phenobarbital, phenytoin, valproic acid)
• Some high blood pressure medications (e.g., felodipine, diltiazem, verapamil)
• Vincristine

This is not an exhaustive list. Always provide your doctor with a complete list of all medications, supplements, and substances you are using to ensure there are no harmful interactions.

Monitoring and Precautions

Regular check-ups with your doctor are crucial to monitor your progress and adjust the treatment as needed. Never stop taking oxcarbazepine suddenly, as this can significantly increase the risk of seizures. Consider wearing a MedicAlert bracelet or carrying identification detailing your medical condition, medications, and doctor's contact information.

Serious skin reactions (rare but serious): Contact your doctor immediately if you experience a skin rash, redness, itching, peeling skin (especially inside the mouth), swollen glands, or fever.

Drowsiness and dizziness: Oxcarbazepine can cause drowsiness and dizziness. Avoid driving, operating machinery, or engaging in activities requiring alertness until you know how the medication affects you. Avoid sudden changes in posture to prevent fainting spells. Alcohol may worsen these effects.

Birth control: Oxcarbazepine can decrease the effectiveness of birth control pills. Discuss additional contraceptive measures with your doctor.

Suicidal thoughts: This medication may increase the risk of suicidal thoughts or actions. Monitor your mood closely and report any worsening of mental health or suicidal ideation to your healthcare provider immediately.

Possible Side Effects

Report to your doctor immediately:

• Allergic reactions (skin rash, itching, hives, swelling of the lips, mouth, tongue, or throat)
• Vision changes
• Confusion
• Urination problems (difficulty or changes in urine volume)
• Fever
• Infection
• Nausea and vomiting
• Problems with balance, speech, or walking
• Swelling of feet or hands
• Unusual bleeding or bruising
• Unusual weakness or fatigue
• Worsening mood, suicidal thoughts or actions
• Yellowing of eyes or skin (jaundice)

Side effects that usually don't require immediate medical attention (but should be reported if persistent or bothersome):

• Constipation or diarrhea
• Headache
• Loss of appetite
• Nervousness
• Upset stomach
• Tremors
• Trouble sleeping

This is not a complete list of all possible side effects.

Storage

Keep oxcarbazepine out of reach of children. Store at room temperature (15-30°C or 59-86°F). Keep the container tightly closed, protected from light and moisture. Use the medication within 7 weeks of opening the bottle and discard any unused medication after the expiration date.