Trileptal – Uses, Side Effects, Warnings, and More

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Uses

Oxcarbazepine may be administered on its own or in combination with other medicines for the treatment of seizure disorders (epilepsy).

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The correct way to take Trileptal

Before beginning treatment with oxcarbazepine and whenever you get a refill for your prescription, make sure you carefully read the Medication Guide provided by your pharmacist. If you have any questions, you should consult with either your physician or your pharmacist.

You should take this medication by mouth as advised by your doctor, often twice daily. It can be used with or without food. Your current medical condition, how well you are responding to treatment, and any other medications you may be taking all play a role in determining the appropriate dosage for you. The dosage for children is also determined by their body weight. It is possible that your physician will instruct you to begin treatment with this medicine at a low dose and then gradually increase that dose over the course of a few days. Be sure to pay close attention to the directions that your doctor gives you. Make sure to inform both your primary care physician and your pharmacist about all of the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Make sure you take this medication as directed for it to have the desired effect. Take it at the same time every day so that you don’t forget. This will assist.

It is important that you speak with your healthcare provider before discontinuing the use of this medicine. When this treatment is suddenly discontinued, the symptoms of some disorders, such as seizures, may become more severe. It’s possible that your current dose needs to be gradually lowered.

Notify your physician immediately if your seizures become more severe.

Side Effects

It is possible to experience symptoms such as dizziness, fatigue, exhaustion, nausea or vomiting, stomach or abdominal discomfort, headache, difficulty sleeping, or constipation. Notify your doctor or pharmacist as soon as possible if any of these side effects continue or become worse.

Keep in mind that the reason your doctor has recommended that you take this medication is that he or she believes that the potential benefits to you outweigh the potential risks of doing so. The majority of persons who take this medicine do not report experiencing any severe adverse effects.

People who use anticonvulsants for any ailment (including pain, bipolar disorder, or seizures) run the risk of developing depression, having suicidal thoughts or attempts, or having other mental or mood issues. This risk is rather low, but it does exist. Notify your physician without delay if you or a member of your family or your caretaker observe any odd or sudden changes in your mood, thoughts, or behavior, such as signs of depression, suicidal thoughts or attempts, or ideas about hurting yourself.

Notify your primary care physician as soon as possible if you experience any major adverse effects, such as loss of coordination, changes in vision (such as double vision), rapid or uncontrollable eye movements, shaking (tremor), easy bleeding, or bruising, or unusual weariness.

You should seek immediate medical attention if you experience any very serious side effects, such as signs of infection (such as fever, swollen lymph nodes, sore throat that doesn’t go away, cough), symptoms of low sodium level (such as headache, dizziness, nausea, or vomiting), or symptoms of very high blood pressure (severe nausea, extreme drowsiness, confusion, seizures).

Oxcarbazepine has a very low risk of causing skin reactions, but when it does, it can be quite severe and even fatal. Some individuals belonging to particular racial and ethnic groupings, such as those of Asian or South Asian heritage, are at an increased risk. Before you begin using this medicine, your physician may want to evaluate your risk by conducting a blood test. If the blood test reveals that you are at greater risk, your physician should talk to you about the benefits and drawbacks of oxcarbazepine as well as the other treatment options available to you. The majority of patients have reported experiencing these kinds of skin reactions within the first few months of treatment. In the event that you develop symptoms of a serious skin response, such as a rash, blisters, peeling of the skin, itching, or swelling, seek immediate medical attention. Inquire with your primary care physician or your pharmacist for further information.

It is quite unusual for this medicine to cause an extremely severe allergic reaction. However, you should seek immediate medical attention if you detect any symptoms of a significant allergic reaction, such as a rash, itching/swelling (particularly of the face/tongue/throat), extreme dizziness, or difficulty breathing. These symptoms may indicate anaphylaxis.

This list of potential adverse effects is not exhaustive in any way. Please consult your physician or pharmacist if you have any side effects that are not listed above.

In the United States, if you are experiencing any adverse effects, please consult your primary care physician. You can call the FDA at 1-800-FDA-1088 or visit their website at www.fda.gov/medwatch to report any adverse effects.

In Canada, if you are experiencing any adverse effects, please consult your primary care physician. You can call Health Canada at 1-866-234-2345 to report any adverse effects you experience.

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Precautions

Inform your physician or pharmacist that you are allergic to oxcarbazepine, as well as carbamazepine or eslicarbazepine, as well as any other anti-seizure medications (such as fosphenytoin, phenobarbital, phenytoin, or primidone) or if you have any other allergies before beginning treatment with oxcarbazepine. There is a possibility that this product contains inactive substances, which, if present, could result in allergic responses or other complications. Discuss the matter further with your pharmacist for further information.

Before beginning treatment with this drug, it is important to discuss your medical history with your doctor or pharmacist, particularly if you have a history of renal disease or mineral imbalance (low level of sodium in the blood).

This medication could cause you to feel lightheaded or sleepy. Drinking alcohol or smoking marijuana (also known as cannabis) can make you feel more lightheaded and sleepy. Do not get behind the wheel of a vehicle, operate any machinery, or engage in any activity that requires attentiveness until you are able to do it safely. Reduce your intake of alcoholic beverages. If you are a marijuana user, you should consult your primary care physician (cannabis).

Before undergoing surgery, it is important to discuss all of the products you use with your dentist or doctor (including prescription drugs, nonprescription drugs, and herbal products).

Children under the age of three may be more susceptible to the adverse effects of this medication, particularly infections.

During pregnancy, it is important to only use this drug when it is absolutely necessary. It could cause harm to an unborn child. Do not stop taking this medication unless your doctor tells you to do so. Untreated seizures are a serious disorder that can be harmful to both a pregnant woman and her unborn baby. Discuss the advantages and dangers of using this medicine during pregnancy with your attending physician as soon as possible if you are intending on becoming pregnant, if you already are pregnant, or if you suspect that you may be pregnant. Because it is possible that hormonal birth control will not function if this drug is taken at the same time (for more information, see the section on Drug Interactions), talk to your doctor about other effective methods of birth control.

This medicine does get into breast milk, but it is highly unlikely that it may affect an infant who is being breastfed. Before starting to breastfeed, you should talk to your healthcare provider.

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Interactions

Interactions between drugs might alter the way in which they perform or raise the possibility that you will have major adverse effects. This document does not contain all possible medication interactions. Maintain a list of all the goods you use, including prescription and over-the-counter medications, as well as herbal remedies, and give it to both your primary care physician and your pharmacist. Without first consulting your physician, you should never alter the dosage of any medication, stop taking any medication, or start taking any new medication.

Orlistat is a product that should be considered a possible interaction partner for this medication.

This medicine has the potential to hasten or delay the elimination of other medications from your body, which may have an effect on the way those medications function. Among the list of medications that have been adversely affected are cabotegravir, cobicistat, elvitegravir, sofosbuvir, and rilpivirine, to name a few.

It is possible that using this drug will lessen the efficacy of hormonal birth control methods such as tablets, patches, or rings. This has the potential to result in pregnancy. Talk to your healthcare provider or pharmacist about whether or if you should use additional methods of birth control that are dependable while you are taking this medicine. You should also consult your physician if you notice any new spotting or if you experience any breakthrough bleeding since these could be indications that your method of birth control is not functioning properly.

Tell your doctor or pharmacist if you are taking any other products that cause drowsiness, such as alcohol, marijuana (cannabis), antihistamines (such as cetirizine, diphenhydramine), drugs for sleep or anxiety (such as alprazolam, diazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or opioid pain relievers. These products include but are not limited to: alcohol (such as codeine, and hydrocodone).

You should read the labels on all of your medications (such as those meant to treat allergies or coughs and colds) since some of them may contain substances that make you feel sleepy. Talk to your local pharmacist about the proper way to use those products.

Oxcarbazepine is extremely similar to eslicarbazepine. When taking oxcarbazepine, you should avoid taking any drugs that include eslicarbazepine.

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Overdose

Dial 911 if you suspect that someone has overdosed and they are exhibiting serious symptoms such as passing out or having problems breathing. In any other case, you should immediately contact a poison control center. To reach the poison control center for your area in the United States, dial 1-800-222-1222. Canadian residents can call a provincial poison control center.

Warnings

This drug should not be given to anyone else.

While you are taking this medicine, you may be required to undergo certain medical and/or laboratory tests, such as a complete blood count and sodium levels. Make sure you don’t miss any of your doctor or lab appointments. Consult your doctor for additional details.

Neglected Dose

If you forget to take a dose, you should take it as soon as you realize you forgot. If it is getting close to the time of the next dose, you should forgo the dose that you missed. Your next dose should be taken at the typical time. It is not necessary to double the dose in order to catch up.

Storage

Keep at room temperature and away from light and moisture. Store at room temperature. Keep away from the bathroom at all costs. Always make sure that children and animals are kept well away from any medications.

Unless you have been specifically told to do so, you should not flush drugs down the toilet or pour them down a drain. When it is no longer needed or has passed its expiration date, dispose of this product in the appropriate manner. Talk to your neighborhood pharmacy or the firm that handles garbage disposal in your area.