Oxalepsy

Description

Oxcarbazepine 600mg is an anticonvulsant medicine used to help control seizures in people with epilepsy. It works mainly by reducing abnormal electrical activity in the brain. Doctors prescribe it for adults and children to lower the frequency and severity of epileptic episodes.

Uses

Doctors may recommend Oxcarbazepine 600mg for:

• Control and prevention of seizures in epilepsy.

• Long-term treatment to reduce seizure recurrence.

• Adjunct therapy with other anti-seizure medicines in complex cases.

Dosage

• Usual dose: As prescribed by your doctor, often taken twice daily.

• Swallow the tablet whole with a full glass of water.

• Can be taken with or without food, but try to take it at the same time each day.

In Case of Overdose

Too much Oxcarbazepine may cause:

• Dizziness.

• Blurred vision.

• Severe drowsiness.

Seek immediate medical help if an overdose is suspected.

Missed Dose

• Take as soon as you remember if not close to your next dose.

• If it is almost time for the next dose, skip the missed dose.

• Do not double the dose.

When Not to Use

Do not use Oxcarbazepine if you have:

• Allergy to Oxcarbazepine or similar medicines.

• History of severe skin reactions (Stevens-Johnson syndrome, TEN).

• Severe liver or kidney disease (unless closely monitored).

• Very low sodium levels in the blood (hyponatremia).

Possible Side Effects

Some patients may notice:

• Drowsiness or dizziness.

• Headache.

• Nausea or vomiting.

• Double or blurred vision.

• Skin rash or itching.

• Problems with balance or coordination.

Seek urgent care if you develop severe rash, swelling, or difficulty breathing.

Precautions & Warnings

• May cause dizziness: avoid driving or operating machinery until you know how it affects you.

• Regular blood tests may be needed to check sodium, liver function, and blood counts.

• Avoid alcohol as it increases drowsiness.

• May reduce effectiveness of hormonal birth control – use alternate contraception.

• Use with caution in the elderly, or in patients with heart, liver, or kidney disease.

• Not safe in pregnancy without doctor’s advice; may affect the baby.

Drug Interactions

Oxcarbazepine may interact with:

• Other seizure medicines (carbamazepine, phenytoin, lamotrigine).

• Oral contraceptives (may reduce effect).

• Warfarin (may affect blood clotting levels).

• CNS depressants (benzodiazepines, opioids) – may increase drowsiness.

Always tell your doctor about all medicines you are using.

Food Interactions

• Avoid alcohol – increases side effects

• Grapefruit juice may affect drug metabolism; best to avoid.

• Maintain a balanced diet and good fluid intake.

Storage & Disposal

• Store in original pack, below 25°C, away from moisture and sunlight.

• Do not store in the bathroom.

• Keep out of reach of children.

• Do not use expired tablets; ask a pharmacist about safe disposal.

Dr. Sana Ahmed, Neurologist
MBBS, FCPS (Neurology), Lahore

Oxcarbazepine is used to control seizures in patients who don’t respond to older treatments. It is generally well tolerated, but sodium levels and skin reactions should be monitored. Women should be aware it can reduce the effectiveness of birth control pills. It’s a reliable option for long-term seizure management.

Medical Disclaimer: This information is for educational purposes only. Always consult a healthcare professional for correct dosage and safe use.