Epicet 250 mg (Tablet)

Unit Price: ৳ 16.00 (2 x 10: ৳ 320.00)
Strip Price: ৳ 160.00

Medicine Details

Indications

  • Monotherapy for partial-onset seizures in adults and adolescents
  • Adjunctive therapy for various types of seizures in adults, adolescents, children, and infants

Description

  • Mechanism of antiepileptic effect is unknown
  • Minimal activity in submaximal stimulation and threshold tests
  • Protection against secondarily generalized activity from induced seizures
  • Inhibition of burst firing without affecting normal neuronal excitability

Dosage

  • Recommended starting dose for adults and adolescents from 16 years of age
  • Initial therapeutic dose for adults (≥18 years) and adolescents (12 to 17 years) weighing 50 kg or more
  • Use of oral solution for pediatric population
  • No established safety and efficacy for monotherapy in children and adolescents below 16 years

Administration

  • Oral administration in two equally divided doses

Interaction

  • No influence on serum concentrations of existing antiepileptic medicinal products
  • Inhibition of renal clearance of methotrexate when administered concomitantly
  • Reports of decreased efficacy when administered with osmotic laxative macrogol

Contraindications

  • Hypersensitivity to the active substance or other pyrrolidone derivatives or to any of the excipients

Side Effects

  • Common adverse reactions in adult and pediatric patients
  • Incidence of somnolence, asthenia, infection, dizziness in adult patients
  • Incidence of fatigue, aggression, nasal congestion, decreased appetite, irritability in pediatric patients

Pregnancy & Lactation

  • Not recommended during pregnancy and lactation
  • Excretion in human breast milk

Precautions & Warnings

  • Dose adjustment for renal impairment
  • Rare cases of decreased blood cell counts
  • Risk of suicidal thoughts and behavior
  • Tablet formulation not adapted for use in infants and children under 6 years

Use in Special Populations

  • Recommended dose adjustment in elderly patients with compromised renal function
  • Individualized daily dose according to renal function in patients with renal impairment
  • No dose adjustment needed in patients with mild to moderate hepatic impairment

Overdose Effects

  • Adverse effects observed with overdose
  • Symptomatic treatment may include haemodialysis
  • No specific antidote available

Therapeutic Class

  • Adjunct anti-epileptic drugs

Storage Conditions

  • Store at a cool temperature (not exceeding 25°C) and dry place, protected from light

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