Oxcarbazepine – Uses, Side Effects, Warnings, and More

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Uses

Oxcarbazepine is one of the drugs that can be used with others to treat seizure disorders (epilepsy).

Oxcarbazepine Tablet, Extended Release 24-Hour Dosage, and Administration

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, visit your doctor or pharmacist.

If your physician instructs you to do so, take this medication by mouth without food and on a daily basis, as advised. It is essential to take this medication on an empty stomach, preferably at least one hour before or two hours after eating something.

Take the pill as is. Crushing or chewing extended-release pills is not recommended. This can cause the medicine to be released all at once, which raises the likelihood of experiencing adverse effects.

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).

To maintain a consistent level of medication in your blood, it is essential to take all of your doses at the prescribed times. Take your doses at regular intervals that are evenly spaced apart. Do not skip doses.

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Because of the possibility that your seizures will return if you suddenly stop taking this medication, you should not do so without first consulting your physician.

Notify your physician if your ability to control your seizures worsens.

Side Effects

It is possible to experience symptoms such as lightheadedness, drowsiness, fatigue, nausea, vomiting, or headache. 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, suicidal thoughts or attempts, or 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 prescribing you this medication, your physician may first want to evaluate your risk by doing a blood test. If the results of the blood test indicate that you are at an increased risk, talk to your doctor about the potential drawbacks and benefits of taking oxcarbazepine as well as the other treatment options available. The majority of patients have reported experiencing these kinds of skin reactions within the first few months of treatment.

You should get immediate medical attention if you develop any of the following symptoms: itching, swelling, rash, blisters, or peeling on your skin. 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.

Precautions

Tell your doctor or pharmacist if you are allergic to oxcarbazepine; or to carbamazepine; or to eslicarbazepine; or to other anti-seizure medications (such as fosphenytoin, phenobarbital, phenytoin, or primidone); or if you have any other allergies before you take oxcarbazepine. Oxcarbazepine is used to treat epilepsy. 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).

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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).

Talk to your surgeon or dentist about everything you put into your body before undergoing any kind of procedure (including prescription drugs, nonprescription drugs, and herbal products).

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. If you are trying to conceive, become pregnant, or have any reason to believe that you may be pregnant, you should talk to your doctor as soon as possible about the advantages and dangers of using this drug while you are pregnant. In light of the fact that birth control methods such as pills, patches, implants, and injections run the risk of becoming ineffective when combined with this medication (for more information on this topic, see the Drug Interactions section), consult your physician about alternative methods of contraception that are more dependable.

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.

Interactions

Drug interactions can alter the way in which your prescriptions work or raise the likelihood 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 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.

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. Canada residents can call a provincial poison control center.

Notes

It is imperative that you do not provide this medication to anyone else.

It is important to have regular medical and/or laboratory testing (such as a complete blood count and sodium levels) carried out in order to track your improvement and identify any potential adverse reactions. Consult your doctor for additional details.

Neglected Dose

If you forget to take a dose, take it as soon as you realize you forgot it. If it is getting close to the time of the next dose, you should forgo the dose that you missed. Apply the following dose at the typical interval. 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.