Napilex 200mg/5ml Syrup


Overview

Introduction

Napilex 200mg/5ml Syrup belongs to a group of medicines called anti-epileptics. It is used to treat two conditions – epilepsy and bipolar disorder. It also helps in the prevention of migraine. This way it prevents extreme mood swings and abnormal brain signals that trigger seizures (fits).

Napilex 200mg/5ml Syrup can be used alone or in combination with other medicines. It may be taken with or without food. Your doctor will decide the correct dose for you. This may increase gradually until your condition is stable. This medicine may take several weeks to work but it is important to take it regularly to get the benefit. Do not stop taking it, even if you feel fine, unless your doctor advises you to. You may have more seizures, or your bipolar disorder may get worse.

The most common side effects of this medicine include skin rashes, headache, feeling or being sick, difficulty sleeping, dizziness and feeling sleepy or drowsy. Most side effects wear off, but if they bother you or do not go away, tell your doctor. There may be ways of preventing or reducing these effects. Long-term treatment can cause weakness in your bones (osteoporosis), increasing your risk of breaking a bone.

Before taking this medicine, tell your doctor if you have kidney or liver problems, meningitis or depression or suicidal thoughts. Also let your healthcare team know about all other medications you are using as some may affect, or be affected by, this medicine, including contraceptive pills. If you are pregnant or breastfeeding, Napilex 200mg/5ml Syrup can be taken if it is clearly needed but the dose may be adjusted. You should avoid driving or riding a bicycle if this medicine makes you drowsy or dizzy. You may need frequent blood tests to check how you are responding to this medicine.

Uses of Napilex Syrup

Side effects of Napilex Syrup

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Napilex

  • Headache
  • Dizziness
  • Blurred vision
  • Nausea
  • Vomiting
  • Sleepiness
  • Hair loss
  • Weight gain
  • Tremor
  • Double vision
  • Impaired coordination
  • Weakness
  • Stomach pain
  • Increased appetite

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 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 Blurred vision
    You can consider washing your eyes with water. Avoid driving or using tools or machines if your vision is impaired. Do not take your next dose if your vision is still blurry. If it gets worse or does not improve, ask your doctor to recommend eye drops or talk about changing your medications.
  • 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 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.
  • Coping with Hair loss
    Use gentle hair products such as baby shampoo. Use a soft brush and comb gently. Avoid using hairdryers, curling tongs or hair straighteners and pat your hair dry after washing. Do not color your hair. Protect your scalp by covering your head in the sun. It is necessary to not take the stress and eat a balanced, nutritious diet as it is vital for the health of your hair.
  • Coping with Weight gain
    Try to eat a healthy balanced diet without increasing your portion sizes. Avoid processed meat or poultry and seafood. Eat small, frequent meals and eat slowly. Do not snack on foods that contain a lot of calories such as crisps, cakes, biscuits and sweets. If you feel hungry between meals, eat fruits and vegetables which have low calories. Avoid reaching for a sugary drink if you feel stressed. Fasting once a week can be an effective way to lose weight. Make sure you get enough sleep. With proper diet and lifestyle changes, you might not gain any weight or may gain only a small amount. Even then if it bothers you, ask your doctor if there are any alternative medicines that do not have this side effect.
  • 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 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 Weakness
    Make sure you rest and drink plenty of fluids. Eat a well-balanced diet to keep your energy levels up. Do not drink too much alcohol. Do not drive or use tools or machinery until you feel better. Other things that can help include doing some gentle exercise every day, prioritizing and pacing your activities and having a short nap if you need to. If you are still having problems after a week, speak to your doctor, as they may want to change you to a different type of medicine.
  • Coping with Stomach pain
    Try to get plenty of rest and relax. Putting a heat pad or covered hot water bottle on your stomach may relieve the stomach pain. It may help if you eat and drink slowly and have smaller and more frequent meals. Reduce your intake of coffee, tea and alcohol as these can make the pain worse. If you are in a lot of pain, speak to your doctor about possible medication. Your doctor may be able to prescribe some over-the-counter medicines to help reduce the pain.

How to use Napilex Syrup

Take this medicine in the dose and duration as advised by your doctor. Check the label for directions before use. Measure it with a measuring cup and take it by mouth. Shake well before use. Napilex 200mg/5ml Syrup is to be taken with food.

How Napilex Syrup works

Napilex 200mg/5ml Syrup 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
It is unsafe to consume alcohol with Napilex 200mg/5ml Syrup.
Pregnancy
CONSULT YOUR DOCTOR
Napilex 200mg/5ml Syrup is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
Breastfeeding
SAFE IF PRESCRIBED
Napilex 200mg/5ml Syrup is safe to use during breastfeeding. Human studies suggest that the drug does not pass into the breastmilk in a significant amount and is not harmful to the baby.
Monitor the baby for unusual bruising or bleeding, jaundice and other signs of liver damage.
Driving
UNSAFE
Napilex 200mg/5ml Syrup may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
SAFE IF PRESCRIBED
Napilex 200mg/5ml Syrup is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Napilex 200mg/5ml Syrup may not be needed in these patients. Please consult your doctor.
Liver
CAUTION
Napilex 200mg/5ml Syrup should be used with caution in patients with liver disease. Dose adjustment of Napilex 200mg/5ml Syrup may be needed. Please consult your doctor.
Use of Napilex 200mg/5ml Syrup is not recommended in patients with the severe liver disease.

What if you forget to take Napilex Syrup?

If you miss a dose of Napilex 200mg/5ml Syrup, 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.
Napilex 200mg/5ml Syrup
₹0.58/ml of Syrup
Geprin 200mg Syrup
GNF Ethicals
₹0.6/ml of Syrup
3% costlier
Raival 200mg Syrup
Esquire Drug House
₹0.6/ml of Syrup
4% costlier
Valprol Syrup
Intas Pharmaceuticals Ltd
₹0.61/ml of Syrup
5% costlier
Valpex Syrup
Alkem Laboratories Ltd
₹0.61/ml of Syrup
6% costlier
Valon 200mg/5ml Syrup
Ikon Pharmachem Pvt Ltd
₹0.65/ml of Syrup
13% costlier

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.
  • Monitor your weight during treatment with this medicine as it can cause weight gain.
  • It may cause cosmetic side effects such as increased hair growth on face, acne and thinning of hair. Talk to your doctor if this bothers you.
  • 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 Napilex 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): Stozen, Sulpigold, Amisulide
SERIOUS
Brand(s): Arifril, Biozol, Elrip
SERIOUS
Brand(s): Equblam
SERIOUS

Patient Concerns

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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.
she is suffering from constipation.can i give evict syrup 5ml
Dr. Rahul Yadav
Paediatrics
Hello please continue the treatment s adviced by your pediatrician. Also increase intake of water and fluids.Increase intake of vegetables salads and plenty of roughage. Decrease intake of Maida biscuits and refined flour.
arrow
Do you have any questions related to Napilex 200mg/5ml Syrup ?

User Feedback


FAQs

Q. For how long should I take Napilex to cure my epilepsy completely?

Napilex does not cure your condition, it only prevents the seizures from occurring. Therefore, you will have to keep on taking it, maybe for years. Consult your doctor if you face any problems while taking this medicine.

Q. What happens if I stop taking Napilex?

You should not stop taking Napilex suddenly. It should be discontinued gradually. Stopping it suddenly may increase the chances of recurrence of seizures. Always consult your doctor if you feel the need to stop taking this medicine.

Q. I have gained weight after I started using Napilex. Is it because of this medicine? What should I do?

Yes, weight gain can occur with the use of Napilex. To control your weight, you should have a healthy balanced diet and exercise regularly. Talk to your doctor if you have any other concerns.

Q. Does Napilex affect the working of birth control pills?

Yes, Napilex does not have any effect on the working of birth control pills. However, contraceptives (birth control pills) may interfere with the working of Napilex and seizures may occur. It is important that you inform your doctor that you are using birth control pills. Your doctor will keep a track on your response to the treatment and monitor the Napilex levels in your blood levels.

Q. Is it safe to take Napilex for long term?

Many patients can safely take Napilex for a long time. Rarely, long-term use of Napilex may weaken your bones, thereby increasing their chances of breaking easily (osteoporosis and osteopenia). If you are taking Napilex for a long time, get regular check ups done for bone health.

Q. I am concerned because I have heard that Napilex causes hair loss. Is it true?

Napilex may cause thinning of hair, change of hair colour and even hair loss. If you are concerned, talk to your doctor if it is possible to reduce the dose of Napilex. Your hair may regrow after either reducing your dose or switching to a different medicine.

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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. Drugs.com. Valproic acid Pregnancy and Breastfeeding Warnings. [Accessed 22 Mar. 2019] (online) Available from:External Link
  2. Sodium valporate. Barceloneta, Puerto Rico: Abbott Pharmaceuticals PR Ltd.; 2011 [Accessed 22 Mar. 2019] (online) Available from:External Link
  3. Central Drugs Standard Control Organisation (CDSCO). [Accessed 22 Mar. 2019] (online) Available from:External Link

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