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Drugs & Medications

Trileptal

OXCARBAZEPINE SUSPENSION

GENERIC NAME(S): OXCARBAZEPINE

Uses

This medication is used to treat seizure disorders (epilepsy). It may be used with other seizure medications as determined by your doctor.

How to use Trileptal

Read the Medication Guide provided by your pharmacist before you start using oxcarbazepine and each time you get a refill. If you have any questions, consult your doctor or pharmacist.

Shake the bottle well before each dose. Measure each dose carefully with the provided oral dosing syringe. Take this medication by mouth, usually twice daily, or as directed by your doctor. This drug may be taken with or without food. The suspension may be swallowed directly from the oral syringe or mixed in a small glass of water.

The dosage is based on your medical condition (including pregnancy) and response to therapy.

It is important to take all doses on time to keep the level of medication in your blood constant. Take doses at evenly spaced intervals. Do not skip doses.

Do not stop taking this drug suddenly without your doctor's approval since seizures may reoccur.

Notify your doctor if seizure control worsens.

Side Effects

Dizziness, drowsiness, fatigue, nausea, vomiting, headache, trouble sleeping, acne, dry mouth, and constipation may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including: double vision, change in vision, involuntary eye movements, difficulty speaking, difficulty concentrating, loss of coordination, trouble walking (abnormal gait), uncontrolled muscle movements (tremor), dulled sense of touch, easy bleeding/bruising, chest pain, persistent sore throat, stomach/abdominal pain, bloody stool, dark urine, change in amount of urine, yellowing of eyes/skin.

A small number of people who take anticonvulsants for any condition (such as seizure, bipolar disorder, pain) may experience depression, suicidal thoughts/attempts, or other mental/mood problems. Tell your doctor immediately if you or your family/caregiver notice any unusual/sudden changes in your mood, thoughts, or behavior including signs of depression, suicidal thoughts/attempts, thoughts about harming yourself.

Oxcarbazepine may rarely cause very serious (possibly fatal) skin reactions. Some people in certain ethnic groups (including people of Asian/South Asian descent) are at greater risk. Your doctor may order a blood test to measure your risk before prescribing this medication. If the blood test shows you are at greater risk, discuss the risks and benefits of oxcarbazepine and other treatment choices with your doctor. Such skin reactions have developed mostly within the first few months of treatment. Get medical help right away if you develop any of the following symptoms: skin rash/blisters/peeling, itching, or swelling. Ask your doctor or pharmacist for more details.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: fever, rash, itching/swelling (especially of the face/tongue/throat/lymph nodes), joint/muscle pain, severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

Before taking this medication, tell your doctor or pharmacist if you are allergic to it; or to carbamazepine; or to eslicarbazepine; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, including: kidney disease, decreased sodium blood levels (hyponatremia), recent seizures.

This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit alcoholic beverages.

During pregnancy, this medication should be used only when clearly needed. It may harm an unborn baby. However, since untreated seizures are a serious condition that can harm both a pregnant woman and her unborn baby, do not stop taking this medication unless directed by your doctor. If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately talk to your doctor about the benefits and risks of using this medication during pregnancy. Since birth control pills, patches, implants, and injections may not work if taken with this medication (see also Drug Interactions section), discuss reliable forms of birth control with your doctor.

This medication passes into breast milk but is unlikely to harm a nursing infant. Consult your doctor before breast-feeding.

Interactions

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with them first.

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription medication you may use, especially: other seizure control medication (e.g., carbamazepine, phenytoin, phenobarbital, valproic acid), calcium channel blockers (e.g., verapamil, felodipine), cyclosporine, a certain combination HIV medication (elvitegravir/cobicistat/emtricitabine/tenofovir).

This medication may decrease the effectiveness of hormonal birth control such as pills, patch, or ring. This could cause pregnancy. Discuss with your doctor or pharmacist if you should use additional reliable birth control methods while using this medication. Also tell your doctor if you have any new spotting or breakthrough bleeding, because these may be signs that your birth control is not working well.

Tell your doctor if you take any drugs that make you drowsy, such as: medicine for sleep, sedatives, tranquilizers, anti-anxiety drugs (e.g., diazepam), narcotic pain relievers (e.g., hydrocodone, codeine), psychiatric medicines (e.g., phenothiazines such as chlorpromazine, or tricyclics such as amitriptyline), muscle relaxants, antihistamines that cause drowsiness (e.g., diphenhydramine).

Check the labels on all your medicines (e.g., cough-and-cold products) because they may contain drowsiness-causing ingredients. Ask your pharmacist about the safe use of those products.

Oxcarbazepine is very similar to eslicarbazepine. Do not use medications containing eslicarbazepine while using oxcarbazepine.

This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

Overdose

If overdose is suspected, contact a poison control center or emergency room immediately. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.

Notes

See also Side Effects section.

It is recommended you wear or carry identification indicating you are using this drug.

Do not share this medication with others.

Laboratory and/or medical tests (such as sodium levels, pregnancy tests) may be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.

Missed Dose

If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Storage

Store at room temperature at 77 degrees F (25 degrees C) in the original container away from light and moisture. Brief storage between 59 and 86 degrees F (15-30 degrees C) is permitted. Do not store in the bathroom. Keep all medicines away from children and pets.

Discard any unused medication after 7 weeks.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

MEDICAL ALERT: Your condition can cause complications in a medical emergency. For information about enrolling in MedicAlert, call 1-888-633-4298 (US) or 1-800-668-1507 (Canada).

Information last revised June 2014. Copyright(c) 2014 First Databank, Inc.

Images

TRILEPTAL 150 MG TABLET
TRILEPTAL 150 MG TABLET
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T D, C G
TRILEPTAL 300 MG TABLET
TRILEPTAL 300 MG TABLET
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TRILEPTAL 600 MG TABLET
TRILEPTAL 600 MG TABLET
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light pink
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TF TF, CG CG
TRILEPTAL 150 MG TABLET
TRILEPTAL 150 MG TABLET

Identification

color
grey-green
shape
oval
imprint
T D, C G
This medicine is a grey-green, oval, scored tablet imprinted with "T D" and "C G".
TRILEPTAL 300 MG TABLET
TRILEPTAL 300 MG TABLET

Identification

color
yellow
shape
oval
imprint
TE TE, CG CG
This medicine is a yellow, oval, scored, film-coated tablet imprinted with "TE TE" and "CG CG".
TRILEPTAL 600 MG TABLET
TRILEPTAL 600 MG TABLET

Identification

color
light pink
shape
oval
imprint
TF TF, CG CG
This medicine is a light pink, oval, scored tablet imprinted with "TF TF" and "CG CG".

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Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, expect as may be authorized by the applicable terms of use.

CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

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