Epocarb 300mg Tablet


Overview

Introduction

Epocarb 300mg Tablet is a prescription medicine used to treat and prevent epilepsy (seizures). However, it cannot cure epilepsy and will only work to prevent seizures for as long as you continue to take the medicine.

Epocarb 300mg Tablet may be used alone or in combination with other medicines. The dose and how often you need to take it will be decided by your doctor so that you get the right amount to control your symptoms. It may be increased gradually. You can take this medicine with or without food but take it at the same time each day to get the most benefit. It usually takes a couple of weeks to work. It is important to take this medicine regularly and for as long as you are advised, even if you feel well. Missing doses may trigger seizures and, if you stop, your condition may get worse. It should never be stopped suddenly.

The most common side effects of this medicine include nausea, vomiting, feeling dizzy, tired or drowsy, and unsteadiness. Most of these are not serious. Keep taking the medicine but talk to your doctor if these side effects bother you or do not go away. However, if you notice a skin rash or redness, tell your doctor straight away. It could develop into a life-threatening skin condition called Stevens-Johnson syndrome. Long-term treatment with this medicine can cause osteoporosis (reduced bone mass) and increase your risk of breaking a bone. Anticonvulsants like this medicine may cause suicidal thoughts and behaviors. If your mood becomes depressed, tell your doctor.

This medicine may not be suitable for everybody. Before using it, tell your doctor if you have ever had heart problems, kidney or liver disease, difficulty urinating, depression or suicidal thoughts. Many other medicines can interfere with it and some should not be taken together so tell your doctor all the medicines you are taking to make sure it is safe. If you are pregnant, do not start or stop taking this medicine without asking your doctor. Drinking alcohol should be avoided as it can increase some of the side effects and can also increase your risk of seizures. You may need frequent blood tests to help your doctor make sure you are taking the right dose both before you start and while you are using it.

Uses of Epocarb Tablet

Side effects of Epocarb Tablet

Common
  • Headache
  • Nausea
  • Vomiting
  • Double vision
  • Fatigue
  • Dizziness
  • Impaired coordination
  • Nystagmus (involuntary eye movement)
  • Tremor
  • Abnormal vision
  • Altered walking
  • Sleepiness

How to cope with side effects?

The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.

  • Coping with Headache
    Make sure you rest and drink plenty of fluids. Rest in a quiet, dimly lit room. Do not sleep more than you normally would. Do not strain your eyes (for example by looking at a screen). Do not drink alcohol. Headaches are usually temporary and usually go away with time. But, if they last longer or get worse, ask your doctor to recommend a painkiller.
  • Coping with Nausea
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop from feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Vomiting
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Dizziness
    This is usually short-lived and should go away within a few days. If this happens, stop what you are doing and sit or lie down until you feel better. Lying still in a dark, quiet room may help reduce the spinning feeling. Sleep with your head slightly raised on two or more pillows. Get up slowly from a lying or sitting position. Get plenty of rest and try to relax as being anxious can make it worse. Try taking this medicine at bedtime to reduce the symptoms. Drinking plenty of water and ginger tea may also help. Avoid alcohol, caffeine and smoking as it will make you feel worse. Avoid driving or using tools or machinery until you feel better.
  • Coping with Impaired coordination
    If you feel unsteady, stop what you are doing and sit or lie down until you feel better. Try getting up very slowly from a sitting or lying position. If your condition does not improve, talk with your doctor about changing the dose or trying an alternative medicine.
  • Coping with Tremor
    These symptoms can be a sign that the dose is too high for you. It may help to change your dose or take your medicine at a different time of the day. There are also exercises that can improve muscle strength, control and coordination. In terms of lifestyle, avoid caffeine (in coffee, tea and chocolate), alcohol, and ask your doctor about other techniques to help you relax and manage stress. Talk to your doctor if this bothers you. Your doctor may be able to prescribe you medicines that can help.
  • Coping with Abnormal vision
    Speak to your doctor about ways of preventing or reducing this side effect if it bothers you. They may be able to reduce your dose or prescribe you an alternate medicine. Bright spots or shimmering lights in your vision are not usually dangerous but may be a symptom of a variety of eye diseases. Be careful when driving or operating machinery where sudden changes of light can happen, especially while driving at night.
  • Coping with Sleepiness
    If the medicine is making you drowsy during the day, stop what you are doing and sit or lie down until you feel better. You can also consider taking a nap. Physical exercises such as walking may be helpful. Do not drink alcohol, as it will make you feel more tired. Avoid driving or operating heavy equipment when you are feeling drowsy. This problem usually goes away as your body gets used to the medicine. However, if it does not, ask your doctor if you can take your medicine at bedtime or whether the dose can be reduced.

How to use Epocarb Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Epocarb 300mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Epocarb Tablet works

Epocarb 300mg Tablet is an antiepileptic medication. It controls seizures or fits by decreasing the abnormal and excessive activity of the nerve cells in the brain.

Safety Advice

Alcohol
UNSAFE
Epocarb 300mg Tablet may cause excessive drowsiness with alcohol.
Pregnancy
CONSULT YOUR DOCTOR
Epocarb 300mg Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breastfeeding
CONSULT YOUR DOCTOR
Epocarb 300mg Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Baby should be monitored for excessive sleepiness and weight gain.
Driving
UNSAFE
Epocarb 300mg Tablet may cause side effects which could affect your ability to drive.
Epocarb 300mg Tablet may make you feel sleepy or dizzy, or may cause blurred vision, lack of muscle coordination, especially when starting treatment or increasing the dose. This may affect your driving ability.
Kidney
CAUTION
Epocarb 300mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Epocarb 300mg Tablet may be needed. Please consult your doctor.
Liver
CAUTION
Epocarb 300mg Tablet should be used with caution in patients with severe liver disease. Dose adjustment of Epocarb 300mg Tablet may be needed. Please consult your doctor.
Dose adjustment is not recommended in patients with mild to moderate liver disease.

What if you forget to take Epocarb Tablet?

If you miss a dose of Epocarb 300mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Epocarb 300mg Tablet
₹7.1/Tablet
₹5.25/Tablet
save 26%
Oxetol 300 Tablet
Sun Pharmaceutical Industries Ltd
₹9.4/Tablet
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Zenoxa 300 Tablet
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₹10.4/Tablet
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Vinlep 300 Tablet
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₹15.15/Tablet
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Quick Tips

  • Take your medication regularly as directed by your doctor as missing doses can trigger seizures.
  • Do not change the brand of your medicine and make sure that you have sufficient amount of medicine present with you.
  • Some healthy tips to prevent seizures:
    • Practice yoga every day.
    • Get enough sleep at nighttime.
    • Limit the use of screen time such as mobile/laptop.
    • Take your medication on time.
  • It may cause dizziness and sleepiness. Do not drive or do anything that requires mental focus until you know how it affects you.
  • It may increase the risk of low sodium levels in the blood. Inform your doctor if you develop difficulty concentrating, memory problems, confusion, weakness, and unsteadiness.
  • Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts.
  • Do not stop taking the medication suddenly without talking to your doctor as it may increase the seizure frequency.

Interaction with Drugs

Taking Epocarb with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Brand(s): Eurolam, Alwel, Tenzo
SERIOUS
Brand(s): Equblam, Zepox, Raipox
SERIOUS
Brand(s): Risure, Clobakon, Boze
SERIOUS
Brand(s): Panik
SERIOUS

Patient Concerns

arrow
Need a substitute for my medicine Oxytol 450. Sun Pharma. Is Epocarb 450 a valid substitute medicine for it
Dr. Vikas Sharma
Neurology
U can take But not sure of quality
She has problem of epilepsy from last two years
Dr. Rahul Yadav
Paediatrics
Hello, epilepsy and seizures cannot be treated online without physically examining the child and detailed history.
arrow
Do you have any questions related to Epocarb 300mg Tablet ?

User Feedback


FAQs

Q. Does the use of Epocarb affect weight?

Yes, Epocarb affects weight and may cause weight gain. Additionally, in some cases, weight loss has also been reported. Consult a dietician and follow a diet plan to maintain your weight.

Q. What are the advantages of Epocarb over carbamazepine?

Epocarb has fewer side effects as compared to carbamazepine. Moreover, Epocarb can be started with clinically effective dose as against carbamazepine which requires frequent visits to the doctor before an effective dose can be decided based on the patient’s response.

Q. Does Epocarb cause memory loss?

Yes, memory loss is a common side effect of Epocarb, but it does not occur in everyone.

Q. How can I watch for early symptoms of suicidal thoughts and actions?

You should pay attention to any changes, especially sudden changes in mood, behaviors, thoughts, or feelings. Be aware of common warning signs that might be a signal for risk of suicide. Some of these include talking or thinking about hurting yourself or ending your life, withdrawing from friends and family, becoming depressed or worsening of your depression, or becoming preoccupied with death and dying. Never miss an appointment with your doctor and stay connected with the doctor even between visits.

Q. When and how should I take Epocarb?

Take it exactly as directed by your doctor. It is recommended that you take it twice every day, unless your doctor tells you otherwise. Taking your medicine at the same time each day will have the best effect. It will also help you remember when to take it. Epocarb can be taken with or without food.

Q. For how long do I need to take Epocarb. Can I stop taking it on my own?

You should take your medicine for the time and duration prescribed by your doctor. Epocarb helps to control your epilepsy but does not cure it. You must take this medicine every day, even if you feel well. Do not stop taking Epocarb or lower the dose yourself. Stopping your medicine suddenly or lowering the dose may cause seizures. Consult your doctor who will reduce the dose gradually before stopping it completely.

Q. Will the use of Epocarb affect my fertility?

Epocarb is not know to affect fertility in males or females. However, talk to your doctor if you are facing fertility issues while taking this medicine.

Q. Does Epocarb cause hair loss?

Hair loss is a common side effect of Epocarb but does not affect everyone. If there is substantial hair loss, consult your doctor.

Q. Who should not take Epocarb?

You should not take Epocarb if you are allergic to Epocarb, eslicarbazepine or to any of its components. It should also be avoided by pregnant women and women taking birth control pills. Also, people having severe liver or kidney disease and people with a psychiatric disorder should avoid taking Epocarb.

Related Products

Disclaimer: 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.
References
  1. Stahl SM, editor. Oxcarbazepine. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 497-501.
  2. Porters RJ, Meldrum BS. Antiseizure Drugs. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 406-407.
  3. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1037-38.
  4. Oxcarbazepine. Camberley, Surrey: Novartis Pharmaceuticals UK Ltd.; 2000 [16 Nov. 2018]. [Accessed 22 Jan. 2019] (online) Available from:External Link
  5. Oxcarbazepine. Dublin 13, Ireland: Gerard Laboratories; 2018. [Accessed 17 Jun. 2019] (online) Available from:External Link
  6. Oxcarbazine. Andheri (East), Mumbai: Sun Pharmaceutical Industries Ltd.; 2007. [Accessed 25 Mar 2019] (online) Available from:External Link
  7. Oxcarbazepine. East Hanover, New Jersey: Novartis Pharmaceuticals Corporation; 2000 [revised Jan. 2019]. [Accessed 17 Jun. 2019] (online) Available from:External Link
  8. Oxcarbazepine. Macquarie Park, New South Wales: Novartis Pharmaceuticals Australia Pty Limited; 2017. [Accessed 17 Jun. 2019] (online) Available from:External Link
  9. Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006. Oxcarbazepine. [Updated 2020 Jan 20]. [Accessed 20 Feb. 2020] (online) Available from:External Link
  10. Drugs.com. Oxcarbazepine. [Accessed 25 Mar 2019] (online) Available from:External Link
  11. Central Drugs Standard Control Organisation (CDSCO). [Accessed 25 Mar. 2019] (online) Available from:External Link
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