Eslicarbazepine is used in combination with other medications to control focal (partial) seizures (seizures that involve only one part of the brain). Eslicarbazepine is in a class of medications called anticonvulsants. It works by decreasing abnormal excitement in the brain.
How should this medicine be used?
Eslicarbazepine comes as a tablet to take by mouth. It is usually take your doctor or pharmacist to explain any part you do not understand. Take eslicarbazepine exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
You can swallow the tablets whole or you can crush them.
Your doctor will probably start you on a low dose of eslicarbazepine and increase your dose after 1 week. Your doctor may increase your dose again at least 1 week later if necessary to control your seizures.
Eslicarbazepine may help control your seizures but will not cure your condition. Continue to take eslicarbazepine even if you feel well. Do not stop taking eslicarbazepine without talking to your doctor even if you experience serious side effects such as unusual changes in behavior or mood. If you suddenly stop taking eslicarbazepine, your seizures may happen more often or may become worse. Your doctor will probably decrease your dose gradually.
Your doctor or pharmacist will give you the manufacturer's patient information sheet (Medication Guide) when you begin treatment with eslicarbazepine and each time you refill your prescription. Read the information carefully and ask your doctor or pharmacist if you have any questions. You can also visit the Food and Drug Administration (FDA) website (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) or the manufacturer's website to obtain the Medication Guide.
What are the precautions to be followed?
Before taking eslicarbazepine,
tell your doctor and pharmacist if you are allergic to eslicarbazepine, oxcarbazepine (Oxtellar XR, Trileptal), any other medications, or any of the ingredients in eslicarbazepine tablets. Ask your pharmacist or check the Medication Guide for a list of the ingredients.
tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: anticoagulants ('blood thinners') such as warfarin (Coumadin, Jantoven); hormonal contraceptives (birth control pills, patches, rings, implants, injections, and intrauterine devices); other medications for seizures such as carbamazepine (Carbatrol, Equetro, Epitol, Tegretol, Teril), clobazam (Onfi), oxcarbazepine (Oxtellar XR, Trileptal), phenobarbital, phenytoin (Dilantin, Phenytek), or primidone (Mysoline); omeprazole (Prilosec, in Zegerid); simvastatin (Zocor, in Simcor, in Vytorin); and rosuvastatin (Crestor). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
tell your doctor if you have or have ever had liver or kidney disease.
tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you are using hormonal contraceptives, you should know that this type of birth control may not work well when used with eslicarbazepine. You should not use hormonal contraceptives as your only method of birth control while you are taking eslicarbazepine. Talk to your doctor about birth control methods that will work for you. If you become pregnant while taking eslicarbazepine, call your doctor.
you should know that eslicarbazepine may make you drowsy. Do not drive a car or operate machinery until you know how this medication affects you.
you should know that your mental health may change in unexpected ways and you may become suicidal (thinking about harming or killing yourself or planning or trying to do so) while you are taking eslicarbazepine for the treatment of epilepsy, mental illness, or other conditions. A small number of adults and children 5 years of age and older (about 1 in 500 people) who took anticonvulsants such as eslicarbazepine to treat various conditions during clinical studies became suicidal during their treatment. Some of these people developed suicidal thoughts and behavior as early as one week after they started taking the medication. There is a risk that you may experience changes in your mental health if you take an anticonvulsant medication such as eslicarbazepine, but there may also be a risk that you will experience changes in your mental health if your condition is not treated. You and your doctor will decide whether the risks of taking an anticonvulsant medication are greater than the risks of not taking the medication. You, your family, or your caregiver should call your doctor right away if you experience any of the following symptoms: panic attacks; agitation or restlessness; new or worsening irritability, anxiety, or depression; acting on dangerous impulses; difficulty falling or staying asleep; aggressive, angry, or violent behavior; mania (frenzied, abnormally excited mood); talking or thinking about wanting to hurt yourself or end your life; withdrawing from friends and family; preoccupation with death and dying; giving away prized possessions; or any other unusual changes in behavior or mood. Be sure that your family or caregiver knows which symptoms may be serious so they can call the doctor if you are unable to seek treatment on your own.
What are possible side effects of this medication ?
Eslicarbazepine may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
dizziness
difficulty with balance
fast, repeated eye movements that you cannot control
excessive tiredness
sleepiness
weakness
forgetfulness or memory loss
difficulty concentrating
slowed thinking or movement
speech problems
shakiness
uncontrollable shaking of a part of the body
nausea
vomiting
constipation
stomach pain
Some side effects can be serious. If you experience any of these symptoms, call your doctor immediately or get emergency medical treatment:
infections that come and go or do not go away
fever
blisters
rash
swollen glands
sores in the mouth or around the eyes
hives
swelling of the eyes, faces, lips, tongue, mouth, or throat
hoarseness
difficulty breathing or swallowing
seizures that happen more often or are worse than before
difficulty walking
headache
confusion
irritability
muscle weakness or spasms
unusual bruising or bleeding
yellowing of the skin or eyes
loss of appetite
pain in the upper right part of the stomach
blurred or double vision
Eslicarbazepine may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.
How to store the medication and dispose it of after its use later?
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.