Levetam XR 500 mg (Tablet (Extended Release))

Unit Price: ৳ 30.00 (2 x 10: ৳ 600.00)
Strip Price: ৳ 300.00

Medicine Details

Indications

  • Treatment of partial-onset seizures with or without secondary generalization in adults and adolescents
  • Adjunctive therapy for various types of seizures in adults, adolescents, children, and infants

Description

  • Precise mechanism of antiepileptic effect is unknown
  • Minimal activity in submaximal stimulation and threshold tests
  • Inhibition of burst firing without affecting normal neuronal excitability
  • Selective prevention of hyper synchronization of epileptiform burst firing

Dosage

  • Recommended starting dose for adults and adolescents
  • Increase of dose based on clinical response
  • Different dose recommendations for pediatric population
  • Use of oral solution for infants and children under 6 years

Administration

  • Oral administration
  • Swallowed with sufficient quantity of liquid
  • Divided doses

Interaction

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

Contraindications

  • Hypersensitivity to active substance or other pyrrolidone derivatives

Side Effects

  • Most common adverse reactions in adult and pediatric patients

Pregnancy & Lactation

  • Not recommended during pregnancy or breastfeeding
  • Excretion in human breast milk
  • No impact on fertility in animal studies

Precautions & Warnings

  • Dose adjustment for renal impairment
  • Rare cases of decreased blood cell counts
  • Association with acute kidney injury
  • Monitoring for signs of depression, suicidal ideation, and behavior
  • Appropriate treatment for depression and suicidal ideation and behaviors
  • Use in special populations such as elderly, renal impaired, and hepatic impaired individuals

Use in Special Populations

  • Adjustment of dose in elderly patients with compromised renal function
  • Individualized dose according to renal function
  • No dose adjustment in patients with mild to moderate hepatic impairment

Overdose Effects

  • Observations of somnolence, agitation, aggression, and respiratory depression
  • No specific antidote
  • Symptomatic treatment and potential haemodialysis

Therapeutic Class

  • Adjunct anti-epileptic drugs

Storage Conditions

  • Store at a cool temperature not exceeding 25°C
  • Protect from light

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