What is oxcarbazepine?
Oxcarbazepine is in a group of drugs called anticonvulsants, or antiepileptic drugs. It works by
decreasing nerve impulses that cause seizures.
Oxcarbazepine is used to treat partial seizures in adults and children who are at least 2 years
old.
Oxcarbazepine may also be used for other purposes not listed in this medication guide.
What should I discuss with my healthcare provider before taking oxcarbazepine?
Do not take this medication if you are allergic to oxcarbazepine or to a similar medicine
called carbamazepine (Carbatrol, Tegretol).
Before taking oxcarbazepine, tell your doctor if you have liver or kidney disease. If you have
any of these conditions you may not be able to use oxcarbazepine, or you may require a dose
adjustment or special tests during treatment.
You may have thoughts about suicide while taking this medication. Tell your doctor if you have
new or worsening depression or suicidal thoughts during the first several months of treatment, or
whenever your dose is changed.
Your family or other caregivers should also be alert to changes in your mood or symptoms.
Your doctor will need to check you at regular visits. Do not miss any scheduled appointments.
FDA pregnancy category D. This medication can cause harm to an unborn baby.
Oxcarbazepine should not be used during pregnancy, but taking the medicine can make birth control
pills less effective. Use a non-hormone method of birth control (not birth control pills) to
prevent pregnancy
while you are taking oxcarbazepine. Tell your doctor if you become
pregnant during treatment.
Oxcarbazepine can pass into breast milk and may harm a nursing baby. Do not use this
medication without telling your doctor if you are breast-feeding a baby.
Do not give this medication to a child younger than 2 years old.
How should I take oxcarbazepine?
Take this medication exactly as it was prescribed for you. Do not take the medication in larger
amounts, or take it for longer than recommended by your doctor. Your doctor may occasionally
change your dose to make sure you get the best results from this medication.
Take oxcarbazepine with a full glass of water.
Shake the
oral suspension (liquid)
well just before you measure a dose.
To be sure you get the correct dose, use the oral dosing syringe provided with this medicine. If you did
not receive an oral syringe with your medication, ask your pharmacist for one.
Give the oral liquid directly from the oral syringe, or mix the medicine with a small glass of
water. After using the syringe, rinse it with water and allow it to air dry.
Do not stop taking the medication even if you feel better. It is important to take
oxcarbazepine regularly to prevent seizures from recurring. Get your prescription refilled before you
run out of medicine completely. Call your doctor promptly if this medicine does not seem to be
working as well in preventing your seizures.
Carry an ID card or wear a medical alert bracelet stating that you are taking oxcarbazepine,
in case of emergency. Any doctor, dentist, or emergency medical care provider who treats you should
know that you have a seizure disorder.
Seizures are often treated with a combination of different drugs. To best treat your condition,
use all of your medications as directed by your doctor. Be sure to read the medication guide or patient
instructions provided with each of your medications. Do not change your doses or medication schedule
without advice from your doctor.
Store oxcarbazepine at room temperature away from moisture and heat.
What happens if I miss a dose of oxcarbazepine?
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the
missed dose and take the medicine at the next regularly scheduled time.
Do not
take
extra medicine to make up the missed dose.
Where can I get more information about oxcarbazepine?
Your pharmacist has information about oxcarbazepine written for health professionals that you may read.
What are the possible side effects of oxcarbazepine?
Get emergency medical help if you have any of these
signs of an allergic
reaction:
hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Oxcarbazepine can reduce the sodium in your body to dangerously low levels, which can cause
a life-threatening electrolyte imbalance. Contact your doctor right away if you have nausea, vomiting,
weakness, thirst, loss of appetite, headache, confusion, hallucinations, muscle pain or weakness, and/or
increased or more severe seizures.
Call your doctor at once if you have any new or worsening symptoms such as: mood or
behavior changes, depression, anxiety, or if you feel agitated, hostile, restless, hyperactive (mentally or
physically), or have thoughts about suicide or hurting yourself.
Call your doctor at once if you have any of these serious side effects:
-
sore throat, and headache with a severe blistering, peeling, and red
skin rash;
-
jaundice (yellowing of the skin or eyes);
-
fever, swollen glands, flu-like symptoms;
-
easy bruising or bleeding, unusual weakness;
-
urinating less than usual or not at all; or
-
increased seizures.
Less serious side effects may include:
-
mild nausea, vomiting, stomach pain, diarrhea;
-
problems with speech, balance, or coordination;
-
blurred vision;
-
mental slowness, trouble concentrating;
-
tremors or shaking;
-
dizziness, drowsiness; or
-
skin rash.
This is not a complete list of side effects and others may occur. Call your
doctor for medical advice about side effects. You may report side effects to FDA at
1-800-FDA-1088.
What is the most important information I should know about oxcarbazepine?
Do not take this medication if you are allergic to oxcarbazepine or to a similar medicine
called carbamazepine (Carbatrol, Tegretol).
Before taking oxcarbazepine, tell your doctor if you have liver or kidney disease.
Do not
use this medication without your doctor's consent if you are
pregnant. It could cause harm to the unborn baby. Oxcarbazepine should not be used during
pregnancy, but taking the medicine can make birth control pills less effective. Use a non-hormone
method of birth control (not birth control pills) to
prevent pregnancy
while you are
taking oxcarbazepine. Tell your doctor if you become pregnant during treatment.
Oxcarbazepine can reduce the sodium in your body to dangerously low levels, which can cause
a life-threatening electrolyte imbalance. Contact your doctor right away if you have nausea with
vomiting, weakness, headache, confusion, mood changes, and/or increased or more severe seizures.
You may have thoughts about suicide while taking this medication. Your doctor will need to
check you at regular visits. Do not miss any scheduled appointments.
Call your doctor at once if you have any new or worsening symptoms such as: mood or
behavior changes, depression, anxiety, or if you feel agitated, hostile, restless, hyperactive (mentally or
physically), or have thoughts about suicide or hurting yourself.
There are many other medicines that can interact with oxcarbazepine.
Tell your doctor about all the prescription and over-the-counter medications you use. This includes
vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new
medication without telling your doctor. Keep a list with you of all the medicines you use and show this
list to any doctor or other healthcare provider who treats you.
What should I avoid while taking oxcarbazepine?
Avoid becoming overheated or dehydrated during exercise and in hot weather. Follow your
doctor's instructions about the type and amount of liquids you should drink. In some cases, drinking
too much liquid can be as unsafe as not drinking enough.
Oxcarbazepine can cause side effects that may impair your thinking or reactions. Be careful
if you drive or do anything that requires you to be awake and alert.
Do not drink alcohol while taking oxcarbazepine. Alcohol may increase drowsiness caused
by oxcarbazepine. It may also increase the risk of seizures.
What other drugs will affect oxcarbazepine?
Before using oxcarbazepine, tell your doctor about all other seizure medications you are taking,
including:
-
carbamazepine (Carbatrol, Tegretol);
-
phenobarbital (Luminal, Solfoton);
-
phenytoin (Dilantin); or
-
valproic acid (Depakene).
There are many other medicines that can interact with
oxcarbazepine.
Tell your doctor about all the prescription and over-the-counter medications
you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do
not start using a new medication without telling your doctor. Keep a list with you of all the medicines
you use and show this list to any doctor or other healthcare provider who treats you.
What happens if I have an overdose of oxcarbazepine?