Neurocet XR 750 mg (Tablet (Extended Release))

Unit Price: ৳ 40.00 (2 x 10: ৳ 800.00)
Strip Price: ৳ 400.00

Medicine Details

Indications

  • Monotherapy in the treatment of partial-onset seizures
  • Adjunctive therapy in the treatment of myoclonic seizures
  • Adjunctive therapy in the treatment of primary generalized tonic-clonic seizures
  • Treatment of epilepsy in adults and adolescents
  • Treatment of epilepsy in children and infants from 1 month of age

Mechanism of Action

  • Precise mechanism(s) unknown
  • Minimal activity in submaximal stimulation
  • Protection against secondarily generalized activity
  • Inhibition of burst firing
  • Selective prevention of hyper synchronization

Dosage

  • Recommended starting dose of 250 mg twice daily for adults and adolescents from 16 years of age
  • Maximum dose of 1500 mg twice daily for adults and adolescents
  • Dose adjustments for pediatric population based on weight and age
  • Use of oral solution for infants and children under 6 years

Administration

  • Oral administration
  • Swallowed with a sufficient quantity of liquid
  • Administered in two equally divided doses
  • Can be taken with or without food

Interaction

  • No influence on serum concentrations of existing antiepileptic medicinal products
  • Inhibition of renal clearance by probenecid
  • Decrease in methotrexate clearance
  • Decreased efficacy with concomitant use of osmotic laxative macrogol
  • No alteration of absorption by food, but reduced rate of absorption

Contraindications

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

Side Effects

  • Most common adverse reactions include somnolence, asthenia, infection, dizziness in adults
  • Most common adverse reactions include fatigue, aggression, nasal congestion, decreased appetite, irritability in pediatric patients

Precautions

  • Dose adjustment may be required for patients with renal impairment
  • Association with acute kidney injury
  • Advice for blood cell counts
  • Monitoring for signs of depression and suicidal ideation and behaviors
  • Caution for use in infants and children below 6 years

Pregnancy & Lactation

  • Not recommended during pregnancy and in women of childbearing potential not using contraception
  • Excreted in human breast milk, breastfeeding not recommended

Use in Special Populations

  • Dose adjustment recommended in elderly patients with compromised renal function

Overdose Effects

  • Observation of somnolence, agitation, aggression, depressed level of consciousness, respiratory depression and coma
  • Symptomatic treatment for overdose, including haemodialysis

Therapeutic Class

  • Adjunct anti-epileptic drugs

Storage Conditions

  • Store at a cool temperature not exceeding 25°C
  • Dry place, protected from light

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