Epicet XR 500 mg (Tablet (Extended Release))

Unit Price: ৳ 30.00 (2 x 6: ৳ 360.00)
Strip Price: ৳ 180.00

Medicine Details

Indications

  • Partial-onset seizures treatment
  • Monotherapy
  • Adjunctive therapy
  • Treatment for newly diagnosed epilepsy
  • Treatment for myoclonic seizures
  • Treatment for primary generalized tonic-clonic seizures

Description

  • Precise mechanism is unknown
  • Minimal activity in submaximal stimulation
  • Inhibition of burst firing
  • Selective prevention of hyper synchronization of epileptiform burst firing

Dosage

  • Recommended starting dose for adults and adolescents
  • Initial therapeutic dose
  • Maximum dose for adults
  • Maximum dose for pediatric population
  • Dosage adjustments for renal impairment
  • Oral solution for children under 6 years
  • Monotherapy safety and efficacy under 16 years not established
  • Lowest effective dose should be used for children

Administration

  • Oral administration
  • Swallow with liquid
  • Can be taken with or without food
  • Divided in two equal doses

Interaction

  • No influence on serum concentrations of existing antiepileptic drugs
  • Inhibition of renal clearance of primary metabolite by probenecid
  • Decrease in methotrexate clearance when administered concomitantly
  • Reports of decreased efficacy when co-administered with osmotic laxative
  • No alteration of absorption by food

Contraindications

  • Hypersensitivity to active substance or pyrrolidone derivatives

Side Effects

  • Most common adverse reactions in adults
  • Most common adverse reactions in pediatric patients

Pregnancy & Lactation

  • Not recommended during pregnancy
  • Not recommended during breastfeeding
  • Impact on fertility not detected in animal studies

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 infants and children under 6 years

Use in Special Populations

  • Dose adjustment in elderly patients with compromised renal function
  • Individualized dose according to renal function
  • No dose adjustment for mild to moderate hepatic impairment
  • 50% reduction of daily maintenance dose for severe hepatic impairment

Overdose Effects

  • Observed effects of overdoses
  • No specific antidote
  • Symptomatic treatment
  • Possible haemodialysis

Therapeutic Class

  • Adjunct anti-epileptic drugs

Storage Conditions

  • Store at cool temperature
  • Protect from light

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