Epicar (100mg/5ml) 120ml Suspension

Carbamazepine, a medication found in 100mg syrup/suspension, exerts its therapeutic effects primarily by stabilizing electrical activity in the brain. It achieves this through blocking sodium channels in the nervous system, thereby reducing the release of excitatory neurotransmitters and preventing abnormal neuronal firing. This mechanism is particularly effective in managing conditions characterized by excessive neuronal excitability, such as epilepsy and certain types of neuropathic pain. By modulating the activity of these sodium channels, carbamazepine helps to control seizures and alleviate pain without significantly impacting other physiological processes.

Carbamazepine 100mg

Anticonvulsant

Suspension

The following are the uses of Carbamazepine 100mg Syrup/Suspension:

• Used for managing and preventing seizures associated with epilepsy.
• Used for stabilizing mood and treating acute manic or mixed episodes in bipolar disorder.
• Used for treating nerve pain and reducing the frequency and intensity of trigeminal neuralgia episodes.
• Used for managing neuropathic pain associated with certain nerve injuries.
• Used for controlling symptoms of alcohol withdrawal, particularly seizures.
• Used for treating diabetic neuropathy to alleviate pain and discomfort.
• Used for reducing symptoms of central pain syndrome.

In the case of an overdose of Carbamazepine 100mg Syrup/Suspension, prompt medical attention is necessary. Symptoms may include dizziness, double vision, slurred speech, and severe drowsiness. It is important to act quickly, as an overdose can lead to life-threatening conditions such as respiratory depression or cardiac arrhythmias. Treatment may involve gastric lavage, activated charcoal, and supportive care in a medical facility to manage potential complications.

In the case of a missed dose of Carbamazepine 100mg Syrup/Suspension, it is generally recommended to take the missed dose as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. It is important not to double the dose to make up for a missed one, as this may increase the risk of side effects. Consult your healthcare provider if you frequently miss doses or are unsure about how to manage missed doses.

To administer Carbamazepine 100mg Syrup/Suspension, shake the bottle well, then measure the prescribed dose using a measuring cup or oral syringe, and take it orally, following the dosage instructions provided by your healthcare professional, typically twice a day with or after meals.

Here are the situations when Carbamazepine 100mg Syrup/Suspension should not be used:

• Avoid using Carbamazepine if you have a known allergy or hypersensitivity to Carbamazepine or any of the excipients in the medication.
• Do not use this medication if you have a history of bone marrow suppression or blood disorders.
• Contraindicated in individuals with a history of liver disease or impaired liver function.
• Should not be used by patients with a known condition called porphyria.
• Avoid if you have a heart condition, such as heart block or heart failure.
• Do not use Carbamazepine if you have a history of depression or suicidal thoughts.
• Not suitable for individuals with a history of certain eye conditions, such as narrow-angle glaucoma.

The side effects of Carbamazepine 100mg Syrup/Suspension may include:

• Dizziness or lightheadedness
• Nausea and vomiting
• Headache
• Blurred or double vision
• Fatigue or drowsiness
• Skin rashes or itching
• Difficulty in coordination
• Dry mouth

Following are the precautions and warnings for Carbamazepine 100mg Syrup/Suspension:

• Do not start or stop taking this medication without consulting your doctor, as sudden discontinuation can lead to serious health risks.
• Carbamazepine may cause dizziness or drowsiness; patients should avoid driving or operating heavy machinery until they know how the medication affects them.
• Regular blood tests are required to monitor liver and kidney function, as well as blood cell counts, while on this medication.
• Inform your doctor about any history of liver, kidney, or heart disease before starting this medication.
• This medication may cause allergic reactions; seek medical attention if you experience difficulty breathing, rash, or swelling.
• Pregnant or breastfeeding women should consult their healthcare provider, as Carbamazepine may have potential risks for the fetus or infant.
• Avoid alcohol consumption while taking Carbamazepine, as it can increase the risk of side effects and impair your ability to think clearly.

Following are the drug interactions for Carbamazepine 100mg Syrup/Suspension:

• Phenytoin, valproic acid, and phenobarbital may increase Carbamazepine metabolism, leading to lower blood levels and reduced effectiveness.
• Carbamazepine can decrease the effectiveness of hormonal contraceptives, including birth control pills, patches, and implants.
• Benzodiazepines like diazepam and lorazepam may have reduced effects when used with Carbamazepine due to increased metabolism.
• The anticoagulant effect of warfarin can be altered by Carbamazepine, requiring close monitoring of blood clotting parameters.
• Drugs metabolized by the liver, such as certain antidepressants (e.g., SSRIs) and calcium channel blockers, may have decreased effectiveness due to Carbamazepine's enzyme-inducing properties.
• Carbamazepine may increase the levels of some antipsychotic medications, leading to potential side effects.
• Caution is advised when combining Carbamazepine with other medications that lower the seizure threshold, as this may increase the risk of seizures.

Following are the food interactions for Carbamazepine 100mg Syrup/Suspension:

• Grapefruit and grapefruit juice should be consumed with caution as they can affect the metabolism of Carbamazepine, potentially altering its blood levels and increasing the risk of side effects.
• Alcohol intake should be minimized or avoided as it can increase the sedative effects of Carbamazepine, leading to enhanced drowsiness and impaired coordination.
• Avoid high-fat meals as they may decrease the absorption of Carbamazepine, reducing its effectiveness.
• Caffeinated beverages like coffee and tea might interfere with the medication's action, potentially requiring dosage adjustments.
• Avoid sodium-rich foods as Carbamazepine can increase sodium levels in the body, which can be problematic for those with hypertension or heart conditions.
• Limit the consumption of dairy products as they may interact with Carbamazepine, reducing its absorption and effectiveness.
• Inform your healthcare provider about your diet, especially if you follow a specific meal plan, to ensure the medication's optimal performance.
• Always adhere to the dosage and administration instructions provided by your healthcare professional for the best therapeutic outcome.

Carbamazepine 100mg Syrup/Suspension should be stored in a secure location, away from children and pets, at room temperature, ideally between 68°F and 77°F (20°C and 25°C). Protect the medication from light and moisture by keeping it in its original container, tightly sealed. Avoid storing it in the bathroom or kitchen cabinets, as these areas may have high humidity and temperature fluctuations. Pay attention to the expiration date, and do not use the syrup if it has expired. For safe disposal, do not pour it down the drain or flush it; instead, contact your pharmacist or local waste management authority for guidance on how to dispose of it properly, ensuring that it does not contaminate the environment.

Following are the quick tips for Carbamazepine 100mg Syrup/Suspension:

• Consult your doctor for the correct dosage and duration tailored to your medical condition.
• Ensure you understand the prescribed dosage and duration; clarify any doubts with your healthcare provider.
• Take the syrup orally, following the prescribed dosage instructions carefully.
• Measure the dose accurately using a calibrated measuring device, as provided or recommended by your pharmacist.
• Mix the syrup with a small amount of water or juice if you prefer, but ensure you consume the entire mixture.
• Do not stop taking the medication abruptly without consulting your doctor to prevent withdrawal symptoms.
• Regularly monitor your progress and inform your doctor of any unusual symptoms or side effects.