Oxcarbazepine
FULL PRESCRIBING INFORMATION: CONTENTS*
- OXCARBAZEPINE DESCRIPTION
- CLINICAL PHARMACOLOGY
- PHARMACODYNAMICS
- PHARMACOKINETICS
- CLINICAL STUDIES
- INDICATIONS & USAGE
- OXCARBAZEPINE CONTRAINDICATIONS
- WARNINGS
- PRECAUTIONS
- INFORMATION FOR PATIENTS
- LABORATORY TESTS
- DRUG INTERACTIONS
- CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY
- PREGNANCY
- LABOR & DELIVERY
- NURSING MOTHERS
- PEDIATRIC USE
- GERIATRIC USE
- OXCARBAZEPINE ADVERSE REACTIONS
- DRUG ABUSE AND DEPENDENCE
- OVERDOSAGE
- DOSAGE & ADMINISTRATION
- HOW SUPPLIED
- STORAGE AND HANDLING
- INFORMATION FOR PATIENTS
- SPL MEDGUIDE
- PACKAGE LABEL.PRINCIPAL DISPLAY PANEL SECTION
FULL PRESCRIBING INFORMATION
OXCARBAZEPINE DESCRIPTION
CLINICAL PHARMACOLOGY
Mechanism of ActionPHARMACODYNAMICS
PHARMACOKINETICS
Effect of Food
Distribution
Metabolism and Excretion
Special Populations
Hepatic impairment
Renal impairment
Pediatric use
Geriatric use
Gender
Race
CLINICAL STUDIES
Oxcarbazepine Monotherapy Trials
Oxcarbazepine Adjunctive Therapy Trials
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INDICATIONS & USAGE
OXCARBAZEPINE CONTRAINDICATIONS
WARNINGS
Hyponatremia
Anaphylactic Reactions and Angioedema
Patients With a Past History of Hypersensitivity Reaction to Carbamazepine
Serious Dermatological Reactions
Suicidal Behavior and Ideation
Withdrawal of AEDs
PRECAUTIONS
Cognitive/Neuropsychiatric Adverse EventsAdult Patients
Pediatric Patients
Multi-Organ Hypersensitivity
INFORMATION FOR PATIENTS
LABORATORY TESTS
DRUG INTERACTIONS
Antiepileptic Drugs
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Hormonal Contraceptives
Calcium Antagonists
Other Drug Interactions
Drug/Laboratory Test Interactions
CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY
PREGNANCY
Teratogenic EffectsPregnancy category C
LABOR & DELIVERY
NURSING MOTHERS
Patients With Renal Impairment
PEDIATRIC USE
GERIATRIC USE
OXCARBAZEPINE ADVERSE REACTIONS
Most Common Adverse Events in All Clinical StudiesAdjunctive Therapy/Monotherapy in Adults Previously Treated With Other AEDs
Monotherapy in Adults Not Previously Treated With Other AEDs
Adjunctive Therapy/Monotherapy in Pediatric Patients 4 Years Old and Above Previously Treated With Other AEDs
Monotherapy in Pediatric Patients 4 Years Old and Above Not Previously Treated With Other AEDs
Adjunctive Therapy/Monotherapy in Pediatric Patients 1 Month to < 4 Years Old Previously Treated or Not Previously Treated With Other AEDs
Incidence in Controlled Clinical Studies
Controlled Clinical Studies of Adjunctive Therapy/Monotherapy in Adults Previously Treated With Other AEDs
Controlled Clinical Study of Monotherapy in Adults Not Previously Treated With Other AEDs
Controlled Clinical Studies of Adjunctive Therapy/Monotherapy in Pediatric Patients Previously Treated With Other AEDs
Other Events Observed in Association With the Administration of Oxcarbazepine
Body as a Whole:
Cardiovascular System:
Digestive System:
Hemic and Lymphatic System:
Laboratory Abnormality:
Musculoskeletal System:
Nervous System:
Respiratory System:
Skin and Appendages:
Special Senses:
Surgical and Medical Procedures:
Urogenital and Reproductive System:
Other:
Postmarketing and Other Experience
Body as a Whole:
Skin and Appendages:
DRUG ABUSE AND DEPENDENCE
AbuseDependence
OVERDOSAGE
Human Overdose ExperienceTreatment and Management
DOSAGE & ADMINISTRATION
Adults
Adjunctive Therapy
Conversion to Monotherapy
Initiation of Monotherapy
Pediatric Patients
Adjunctive Therapy (Aged 2 to 16 Years)
Conversion to Monotherapy (Aged 4 to 16 Years)
Initiation of Monotherapy (Aged 4 to 16 Years)
Patients With Hepatic Impairment
Patients With Renal Impairment
HOW SUPPLIED
STORAGE AND HANDLING
INFORMATION FOR PATIENTS
Warnings and Precautions
Warnings and Precautions
Warnings and Precautions
Warnings and Precautions
Warnings and Precautions
Warnings and Precautions
Drug Interactions
Use in Specific Populations
SPL MEDGUIDE
Oxcarbazepine Tablets(ox kar baz' e peen)
What is the most important information I should know about oxcarbazepine tablets?
Do not stop taking oxcarbazepine tablets without first talking to your healthcare provider.
Oxcarbazepine tablets can cause serious side effects, including:
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● nausea
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● tiredness, lack of energy
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● headache
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● confusion
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● more frequent or more severe seizures.
Call your healthcare provider right away if you have any of the following:
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● swelling of your face, eyes, lips, or tongue
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● trouble swallowing or breathing
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● a skin rash
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● hives
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● fever, swollen glands, or sore throat that do not go away or come and go
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● painful sores in the mouth or around your eyes
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● yellowing of your skin or eyes
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● unusual bruising or bleeding
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● severe fatigue or weakness
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● severe muscle pain
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● frequent infections or infections that do not go away
Like other antiepileptic drugs, oxcarbazepine tablets may cause suicidal thoughts or actions in a very small number of people, about 1 in 500.
Call a doctor right away if you have any of these symptoms, especially if they are new, worse, or worry you:
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● thoughts about suicide or dying
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● attempts to commit suicide
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● new or worse depression
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● new or worse anxiety
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● feeling agitated or restless
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● panic attacks
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● trouble sleeping (insomnia)
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● new or worse irritability
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● acting aggressive, being angry, or violent
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● acting on dangerous impulses
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● an extreme increase in activity and talking (mania)
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● other unusual changes in behavior or mood
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● Pay attention to any changes, especially sudden changes, in mood, behaviors, thoughts, or feelings.
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● Keep all follow-up visits with your healthcare provider as scheduled.
Do not stop taking oxcarbazepine tablets without first talking to a healthcare provider.
What are oxcarbazepine tablets?
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● alone or with other medicines to treat partial seizures in adults.
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● alone to treat partial seizures in children 4 years and older.
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● with other medicines to treat partial seizures in children 2 years and older.
Who should not take oxcarbazepine tablets?
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● Do not take oxcarbazepine tablets if you are allergic to oxcarbazepine or any of the other ingredients in oxcarbazepine tablets. See the end of this leaflet for a complete list of ingredients in oxcarbazepine tablets.
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● Many people who are allergic to carbamazepine are also allergic to oxcarbazepine. Tell your healthcare provider if you are allergic to carbamazepine.
What should I tell my healthcare provider before taking oxcarbazepine tablets?
Before taking oxcarbazepine tablets, tell your healthcare provider about all your medical conditions, including if you:
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● have or have had suicidal thoughts or actions, depression or mood problems
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● have liver problems
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● have kidney problems
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● are allergic to carbamazepine. Many people who are allergic to carbamazepine are also allergic to oxcarbazepine.
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● use birth control medicine. Oxcarbazepine tablets may cause your birth control medicine to be less effective. Talk to your healthcare provider about the best birth control method to use.
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● are pregnant or plan to become pregnant. Oxcarbazepine tablets may harm your unborn baby. Tell your healthcare provider right away if you become pregnant while taking oxcarbazepine tablets. You and your healthcare provider will decide if you should take oxcarbazepine tablets while you are pregnant.
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● If you become pregnant while taking oxcarbazepine tablets, talk to your healthcare provider about registering with the North American Antiepileptic Drug (NAAED) Pregnancy Registry. The purpose of this registry is to collect information about the safety of antiepileptic medicine during pregnancy. You can enroll in this registry by calling 1-888-233-2334.
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How should I take oxcarbazepine tablets?
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● Do not stop taking oxcarbazepine tablets without talking to your healthcare provider. Stopping oxcarbazepine tablets suddenly can cause serious problems, including seizures that will not stop (status epilepticus).
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● Take oxcarbazepine tablets exactly as prescribed. Your healthcare provider may change your dose. Your healthcare provider will tell you how much oxcarbazepine to take.
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● Take oxcarbazepine tablets 2 times a day.
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● Take oxcarbazepine tablets with or without food.
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● If you take too much oxcarbazepine, call your healthcare provider or local Poison Control Center right away.
What should I avoid while taking oxcarbazepine tablets?
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● Do not drive, operate heavy machinery, or do other dangerous activities until you know how oxcarbazepine tablets affect you. Oxcarbazepine tablets may slow your thinking and motor skills.
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● Do not drink alcohol or take other drugs that make you sleepy or dizzy while taking oxcarbazepine tablets until you talk to your healthcare provider. Oxcarbazepine tablets taken with alcohol or drugs that cause sleepiness or dizziness may make your sleepiness or dizziness worse.
What are the possible side effects of oxcarbazepine tablets?
What is the most important information I should know about oxcarbazepine tablets?
Oxcarbazepine tablets may cause other serious side effects including:
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● your seizures can happen more often or become worse
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● trouble concentrating
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● problems with your speech and language
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● feeling confused
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● feeling sleepy and tired
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● trouble walking and with coordination
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● dizziness
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● sleepiness
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● double vision
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● tiredness
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● nausea
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● vomiting
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● problems with vision
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● stomach pain
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● trembling
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● upset stomach
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● problems with walking and coordination (unsteadiness)
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● rash
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● infections (especially in children)
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
How should I store oxcarbazepine tablets?
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● Store at 20to 25(68to 77to 30(59to 86
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● Keep oxcarbazepine tablets dry.
General Information about the safe and effective use of oxcarbazepine tablets
What are the ingredients in oxcarbazepine tablets?
Active ingredient:
Inactive ingredients:
PACKAGE LABEL.PRINCIPAL DISPLAY PANEL SECTION
OxcarbazepineOxcarbazepine TABLET
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PLEASE, BE CAREFUL!
Be sure to consult your doctor before taking any medication!