Epicet XR 750 mg (Tablet (Extended Release))

Unit Price: ৳ 35.00 (2 x 6: ৳ 420.00)
Strip Price: ৳ 210.00

Medicine Details

Indications

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

Description

  • Mechanism of action is unknown
  • Inhibition of burst firing
  • Prevention of hyper-synchronization of epileptiform burst firing

Dosage

  • Recommended starting dose for adults and adolescents from 16 years of age: 250 mg twice daily
  • Initial therapeutic dose for adults (≥18 years) and adolescents (12 to 17 years) weighing 50 kg or more: 500 mg twice daily
  • Dosage changes every two to four weeks

Administration

  • Must be taken orally
  • Swallowed with sufficient quantity of liquid
  • Administered in two equally divided doses

Interaction

  • No influence on serum concentrations of existing antiepileptic medicinal products
  • Inhibition of renal clearance of the primary metabolite by probenecid
  • Decrease in methotrexate clearance when administered concomitantly

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, fatigue, aggression, nasal congestion, decreased appetite, and irritability

Pregnancy & Lactation

  • Not recommended during pregnancy
  • Not recommended during breastfeeding

Precautions & Warnings

  • Dose adjustment required for patients with renal impairment
  • Rare cases of decreased blood cell counts described
  • Suicidal thoughts and behaviour reported
  • Tablet formulation not adapted for use in infants and children under the age of 6 years

Use in Special Populations

  • Adjustment of dose recommended in elderly patients with compromised renal function
  • Dose individualization according to renal function for renal impairment
  • No dose adjustment needed in patients with mild to moderate hepatic impairment
  • Dose reduction in severe hepatic impairment

Overdose Effects

  • Observation of somnolence, agitation, aggression, depressed level of consciousness, respiratory depression, and coma

Therapeutic Class

  • Adjunct anti-epileptic drugs

Storage Conditions

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

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