Epilep CR 200 mg (Tablet (Controlled Release))

Unit Price: ৳ 4.52 (5 x 10: ৳ 226.00)
Strip Price: ৳ 45.20

Medicine Details

Category Details
Generic Carbamazepine
Company Beximco pharmaceuticals ltd
Also available as

Indications

  • Partial and secondary generalized tonic-clonic seizures
  • Primary generalized tonic-clonic seizures
  • Trigeminal neuralgia
  • Prophylaxis of bipolar disorder

Pharmacology

  • Depresses activity in the nucleus ventralis of the thalamus
  • Reduces synaptic propagation of excitatory impulses
  • Decreases summation of temporal stimulation leading to neural discharge
  • Limits influx of Na ions across cell membrane
  • Stimulates the release of antidiuretic hormone (ADH)
  • Potentiates the action of ADH in promoting reabsorption of water

Dosage & Administration

  • Dosage for adults and children over 12 years of age
  • Dosage for children 12-15 years of age
  • Dosage for children 6-12 years of age
  • Dosage for children under 6 years of age
  • Combination therapy with other anticonvulsants
  • Dosage for trigeminal neuralgia
  • Instructions for taking without regards to meal

Interaction

  • Reported interaction with oral contraceptives
  • Interaction with hepatic enzyme inducers like Phenytoin

Contraindications

  • Allergy to any of its ingredients
  • Problems with the electrical message pathways in the heart (atrioventricular block)
  • History of decreased blood cell production by the bone marrow (bone marrow depression)
  • Hereditary blood disorders called porphyrias
  • Allergy to tricyclic antidepressants
  • Recent use of monoamine-oxidase inhibitor antidepressants (MAOI)

Side Effects

  • Common side effects like dizziness and drowsiness
  • Severe adverse reactions observed in the hemopoietic, skin, and cardiovascular system
  • Increased sensitivity to the sun
  • Possible skin reactions and liver problems

Pregnancy & Lactation

  • Pregnancy category D
  • Transfer to breast milk
  • Consideration for nursing mothers

Precautions & Warnings

  • Caution while performing hazardous activities
  • Possibility of skin reactions
  • Potential for liver problems
  • Effect on hormonal contraceptives
  • Need for gradual withdrawal under supervision
  • Caution for mixed seizures, elderly people, history of heart, kidney, or liver disease, psychotic illness, raised intraocular pressure, and previous therapy interruptions

Therapeutic Class

  • Primary anti-epileptic drugs

Storage Conditions

  • Storage temperature below 30°C
  • Protection from light & moisture
  • Keep out of the reach of children

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