ZEPTOL CR 400 mg 10 Tablet

Prescription status:

Prescription required

Manufacturer Name: 

Sun Pharmaceuticals Industries Ltd

Drug classification: 

Anticonvulsants

What is this used for:

• Epilepsy
• Peripheral neuropathy (nerve pain caused by diabetes)
• Bipolar disorder 
• Trigeminal neuralgia (a condition that causes facial nerve pain)

When to not take this medicine:

• History of bone marrow suppression
• Hypersensitivity or allergy towards this medicine or ingredients present along with it.
• Heart condition
• Liver problems

How should i take the medicine:

Take this medicine with an adequate amount of water as directed by the physician. Do not take this medicine in small or larger amounts than recommended.

How this medicine works:

It works by reducing abnormal electrical activity in the brain that causes seizures and nerve pain.

Side effects

• Feeling sleepy, dizziness, headaches and feeling or being sick (less common)
• Vomiting (less common)
• Breathing problems (rare)
• Blurry vision (rare)
• Stomach pain (less common)
• Feeling confused, or your normal behaviour changes (less common)
• Passing out (rare)
• Skin rashes (common)
• Dry mouth (common)
• Weight gain (Less common) 
• Unusual bleeding (rare)
• Bruising, mouth sores (rare)
• Infections (rare)
• High temperature (rare)
• Sore throat (less common)

Pregnancy warning: Category D

There is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.

Lactation warning:

Use of this medicine is not recommended for lactating and breastfeeding mothers unless absolutely necessary. Inform your doctor about the use of this medicine. All the risks and benefits should be discussed with the doctor before taking this medicine.

Renal dose adjustments:

Care must be taken for individuals with kidney disease while taking this medicine. Please discuss appropriate dose adjustments with your doctor. Your doctor may also prescribe a suitable alternative on the basis of creatinine clearance values.

Hepatic dose adjustments:

Care must be taken for individuals with liver disease while taking this medicine. Please discuss appropriate dose adjustments with your doctor. Your doctor may also prescribe a suitable alternative.

Drug interactions:

• Aspirin - Unknown

Inform your doctor about the use of either medicines. The use of these medicines are contraindicated since they may give serious adverse reactions which may lead to coma or death. Suitable alternatives may be considered based on the condition of the patient.

• Diphenhydramine - Moderate

Inform your doctor about the use of either medicines. When these medicines are taken or used together may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating, inform the doctor on priority. Appropriate dose adjustments may be done, or suitable alternate medicine may be considered based on the condition.

• Erythromycin - Major

Inform your doctor about the use of either medicines. When these medicines are taken or used together, may increase the blood levels of carBAMazepine and may decrease those of erythromycinIf you experience any signs and symptoms like nausea, visual disturbances, dizziness, or poor muscle coordination. Then inform the doctor on priority. Appropriate dose adjustments may be done, or suitable alternate medicine may be considered based on the condition.

• Melatonin - Minor

Inform your doctor about the use of either medicines. The use of these medicines are contraindicated since they may give serious adverse reactions which may lead to coma or death. Suitable alternatives may be considered based on the condition of the patient.

• Acetaminophen - Moderate

Inform your doctor about the use of either medicines. When these medicines are taken or used together may alter the effects of acetaminophen and cause serious side effects that may affect your liver If you experience any signs and symptoms like fever, chills, joint pain or swelling, excessive tiredness or weakness, unusual bleeding or bruising, skin rash or itching, loss of appetite, nausea, vomiting, or yellowing of the skin or the whites of your eyes then inform the doctor on priority. Appropriate dose adjustments may be done, or suitable alternate medicine may be considered based on the condition.

• Alprazolam - Moderate

Inform your doctor about the use of either medicines. When these medicines are taken or used together, may alter the effectiveness of alprazolam. If you experience any uneasiness then inform the doctor on priority. Appropriate dose adjustments may be done, or suitable alternate medicine may be considered based on the condition.

Alcohol interactions:

Consumption of alcohol is not recommended while receiving/taking this medicine as it may cause interactions and lead to serious adverse effects and may worsen the health condition.

Food interactions: Grapefruit may interact with carbamazepine and lead to unwanted side effects. Avoid the use of grapefruit products.

Expert Advice:

1. Food instruction: Take medicine with food.
2. Swallow the tablet as whole and do not crush, chew, or break it
3. Report any side effects like nausea, vomiting, etc.experienced immediately to the doctor.
4. Avoid driving or hazardous activity until you know how this medicine will affect you. 

Missed dose instructions:

Take this medicine as soon as you remember. However if it is almost the for your next dose skip the dose and go back to your regular dosing schedule. Do not double dose to make up for the missed dose.

Over dose Instructions:

Seek emergency treatment or contact your physician in case if you experience any unusual signs and symptoms during the treatment with this medicine.

Storage Instructions:

• Store at room temperature away from moisture, heat, and light.
• Keep away from children 
• Discard the unused medicine safely after use

References:

[Internet]. Accessdata.fda.gov. 2020 [cited 19 October 2020]. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2009/016608s101,018281s048lbl.pdf

Drugs H. Carbamazepine: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2020 [cited 19 October 2020]. Available from: https://medlineplus.gov/druginfo/meds/a682237.html#how

Carbamazepine: medicine to treat epilepsy and nerve pain [Internet]. nhs.uk. 2020 [cited 19 October 2020]. Available from: https://www.nhs.uk/medicines/carbamazepine/

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Keep away from direct sunlight

Store in a dry place