Levefix 500 mg/5 ml (Oral Solution)

50 ml bottle: ৳ 200.00

Medicine Details

Indications

  • Monotherapy for partial-onset seizures in adults and adolescents
  • Adjunctive therapy for partial-onset seizures in adults, adolescents, children, and infants
  • Treatment of myoclonic seizures in adults and adolescents
  • Treatment of primary generalized tonic-clonic seizures in adults and adolescents

Description

  • Precise mechanism of action is unknown
  • Minimal activity in submaximal stimulation and threshold tests
  • Inhibition of burst firing without affecting normal neuronal excitability

Dosage

  • Initial starting dose of 250 mg twice daily for adults and adolescents
  • Maximum dose of 1500 mg twice daily
  • Different dosage recommendations for pediatric population
  • Tablet formulation not suitable for infants and young children

Administration

  • Oral administration with 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
  • Interaction with probenecid, methotrexate, and laxatives reported
  • Effect of food and alcohol on absorption

Contraindications

  • Hypersensitivity to the active substance or other pyrrolidone derivatives

Side Effects

  • Common adverse reactions in adult and pediatric patients

Pregnancy & Lactation

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

Precautions & Warnings

  • Dose adjustment required for renal impairment
  • Rare cases of decreased blood cell counts reported
  • Association with acute kidney injury
  • Monitoring for signs of depression and suicidal ideation
  • Use in elderly, renal impairment, and hepatic impairment

Use in Special Populations

  • Dose adjustment in elderly and patients with compromised renal function
  • Individualized dose according to renal function

Overdose Effects

  • Observation of somnolence, agitation, depression, respiratory depression, and coma
  • No specific antidote available
  • Symptomatic treatment may include haemodialysis

Therapeutic Class

  • Adjunct anti-epileptic drugs

Storage Conditions

  • Store at a cool temperature not exceeding 25°C
  • Keep in a dry place protected from light

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