Epigold 450mg Tablet XR

Prescription Required
SALT COMPOSITION
Storage
Store below 30°C

Product introduction

Epigold 450mg Tablet XR is used to treat and prevent epilepsy (seizures). However, it cannot cure epilepsy and will only work to prevent seizures for as long as you continue to take the medicine.

Epigold 450mg Tablet XR may be used alone or in combination with other medicines. The dose and how often you need to take it will be decided by your doctor so that you get the right amount to control your symptoms. It may be increased gradually. You can take this medicine with or without food but take it at the same time each day to get the most benefit. It usually takes a couple of weeks to work. It is important to take this medicine regularly and for as long as you are advised, even if you feel well. Missing doses may trigger seizures and, if you stop, your condition may get worse. It should never be stopped suddenly.

The most common side effects of this medicine include nausea, vomiting, feeling dizzy, tired or drowsy, unsteadiness, and low sodium levels in blood. Most of these are not serious. Keep taking the medicine but talk to your doctor if these side effects bother you or do not go away. However, if you notice a skin rash or redness, tell your doctor straight away. It could develop into a life-threatening skin condition called Stevens-Johnson syndrome. Long-term treatment with this medicine can cause osteoporosis (reduced bone mass) and increase your risk of breaking a bone. Anticonvulsants like this medicine may cause suicidal thoughts and behaviors. If your mood becomes depressed, tell your doctor.

This medicine may not be suitable for everybody. Before using it, tell your doctor if you have ever had heart problems, kidney or liver disease, difficulty urinating, depression, or suicidal thoughts. Many other medicines can interfere with it and some should not be taken together so tell your doctor all the medicines you are taking to make sure it is safe. If you are pregnant, do not start or stop taking this medicine without asking your doctor. Drinking alcohol should be avoided as it can increase some of the side effects and can also increase your risk of seizures. You may need frequent blood tests to help your doctor make sure you are taking the right dose both before you start and while you are using it.

Benefits of Epigold Tablet XR

In Epilepsy/Seizures

Epigold 450mg Tablet XR is an anticonvulsant (or anti-epileptic) medicine that works by decreasing the nerve impulses which cause the seizures. By controlling the frequency of seizures, it will help you go about your daily activities with more confidence. It helps reduce symptoms such as confusion, uncontrollable jerking movements, loss of awareness, and fear or anxiety.
This medicine is not associated with any physical or psychological dependence (addiction) but it should not be stopped suddenly. It must be taken regularly as prescribed to be effective. Missing doses may trigger a seizure.

Side effects of Epigold Tablet XR

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 Epigold

  • Headache
  • Nausea
  • Vomiting
  • Fatigue
  • Dizziness
  • Nystagmus (involuntary eye movement)
  • Tremors
  • Vertigo
  • Drowsiness
  • Abnormality of voluntary movements
  • Abnormal gait
  • Visual disturbance
  • Increased sodium level in blood

How to use Epigold Tablet XR

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Epigold 450mg Tablet XR may be taken with or without food, but it is better to take it at a fixed time.

How Epigold Tablet XR works

Epigold 450mg Tablet XR 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
Epigold 450mg Tablet XR may cause excessive drowsiness with alcohol.
Pregnancy
CONSULT YOUR DOCTOR
Epigold 450mg Tablet XR may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding
CONSULT YOUR DOCTOR
Epigold 450mg Tablet XR is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Baby should be monitored for excessive sleepiness and weight gain.
Driving
UNSAFE
Epigold 450mg Tablet XR may cause side effects which could affect your ability to drive.
Epigold 450mg Tablet XR may make you feel sleepy or dizzy, or may cause blurred vision, lack of muscle coordination, especially when starting treatment or increasing the dose. This may affect your driving ability.
Kidney
CAUTION
Epigold 450mg Tablet XR should be used with caution in patients with kidney disease. Dose adjustment of Epigold 450mg Tablet XR may be needed. Please consult your doctor.
Liver
CAUTION
Epigold 450mg Tablet XR should be used with caution in patients with severe liver disease. Dose adjustment of Epigold 450mg Tablet XR may be needed. Please consult your doctor.
Dose adjustment is not recommended in patients with mild to moderate liver disease.

What if you forget to take Epigold Tablet XR?

If you miss a dose of Epigold 450mg Tablet XR, 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.\n

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.
Epigold 450mg Tablet XR
₹13.0/Tablet XR
Oxetol XR 450 Tablet
Sun Pharmaceutical Industries Ltd
₹22.2/tablet xr
71% 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.
  • It may increase the risk of low sodium levels in the blood. Inform your doctor if you develop difficulty concentrating, memory problems, confusion, weakness, and unsteadiness.
  • 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.
  • Epigold 450mg Tablet XR helps in the treatment and prevention of seizures.
  • Take it at the same time every day to maintain consistent levels in your body.
  • It may cause dizziness and sleepiness. Do not drive or do anything that requires mental focus until you know how it affects you.
  • Avoid consuming alcohol when taking Epigold 450mg Tablet XR, as it may cause excessive sleepiness or drowsiness.
  • Monitor your weight during treatment with this medicine as it can cause weight gain.
  • Inform your doctor if you develop any unusual changes in mood or behavior, new or worsening depression, or suicidal thoughts or behavior.
  • Do not take Epigold 450mg Tablet XR if you are pregnant or planning to conceive or breastfeeding.
  • Do not stop taking the medication suddenly without talking to your doctor as it may increase the seizure frequency.
  • 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 increase the risk of low sodium levels in the blood. Inform your doctor if you develop difficulty concentrating, memory problems, confusion, weakness, and unsteadiness.
  • Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts.

Fact Box

Chemical Class
Iminostilbene Derivative
Habit Forming
No
Therapeutic Class
NEURO CNS
Action Class
Sodium Channel Modulators- Antiepileptic drugs (AEDs)

Interaction with drugs

Taking Epigold with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Oxcarbazepine may reduce blood levels and efficacy of Sofosbuvir. Do not consume Sofosbuvir with Oxcarbazepine.
Oxcarbazepine may reduce blood levels of Pazopanib. Do not consume Pazopanib with Oxcarbazepine.
Oxcarbazepine may reduce the efficacy of Clozapine. Your doctor may monitor your blood cell count and adjust the doses as per the observations.
Oxcarbazepine may reduce the efficacy of Ulipristal acetate. Do not consume Ulipristal acetate with Oxcarbazepine. If Ulipristal acetate is essential, ensure a gap of At least 4 w... More
Oxcarbazepine may reduce blood levels of Tenofovir Alafenamide. Do not use Tenofovir Alafenamide with Oxcarbazepine. If concurrent use is essential, talk to your doctor.

Patient concerns

arrow
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.
Left side headache while laughing or coughing for 20 seconds only Pls suggest
Dr. Pushkar Mani
Physician
could be trigeminal neuralgia/ TM joint stifness or migrainerefer to ENT doctor and Neurophysician
arrow

User feedback


FAQs

Does the use of Epigold 450mg Tablet XR affect weight?

Yes, Epigold 450mg Tablet XR affects weight and may cause weight gain. However, in some cases, weight loss has also been reported. Consult a dietician and follow a diet plan to maintain your weight.

What are the advantages of Epigold 450mg Tablet XR over carbamazepine?

Epigold 450mg Tablet XR has fewer side effects as compared to carbamazepine. Moreover, Epigold 450mg Tablet XR can be started with a clinically effective dose as against carbamazepine which may require frequent visits to the doctor before an effective dose can be decided based on the patient’s response to the treatment.

How can I watch for early symptoms of suicidal thoughts and actions?

You should pay attention to any changes, especially sudden changes in mood, behaviour, thoughts or feelings. Be aware of common warning signs that might be a signal for risk of suicide. Some of these include talking or thinking about hurting yourself or ending your life, withdrawing from friends and family, becoming depressed or worsening your depression. Keep your appointment with your doctor on schedule, do not miss. Stay connected with the doctor even between visits.

When and how should I take Epigold 450mg Tablet XR?

Take Epigold 450mg Tablet XR exactly as directed by your doctor. It is recommended that you take it twice every day, unless your doctor tells you otherwise. Epigold 450mg Tablet XR can be taken with or without food. Take your medicine at the same time each day to gain maximum benefit. It will also help you remember when to take it.

For how long do I need to take Epigold 450mg Tablet XR. Can I stop taking it on my own?

You should take your medicine for the time and duration prescribed by your doctor. Epigold 450mg Tablet XR helps to control your epilepsy but does not cure it. You must take this medicine every day, even if you feel well. Do not stop taking Epigold 450mg Tablet XR or lower the dose yourself. Stopping your medicine suddenly or lowering the dose may cause seizures. Consult your doctor who may reduce the dose gradually before stopping it completely.

Will the use of Epigold 450mg Tablet XR affect my fertility?

Epigold 450mg Tablet XR is not know to affect fertility in males or females. However, talk to your doctor if you are facing fertility issues while taking this medicine.

Does Epigold 450mg Tablet XR cause hair loss?

Yes, Epigold 450mg Tablet XR causes hair loss as a common side effect. However, it does not affect everyone. If there is substantial hair loss, consult your doctor.

Who should not take Epigold 450mg Tablet XR?

You should not take Epigold 450mg Tablet XR if you are allergic to Epigold 450mg Tablet XR, eslicarbazepine or to any of their components. Also, pregnant women and women who take birth control pills should avoid Epigold 450mg Tablet XR. Along with that, people having severe liver or kidney disease and people with a psychiatric disorder should avoid taking Epigold 450mg Tablet XR.

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Disclaimer:

Tata 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 everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. 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. Stahl SM, editor. Oxcarbazepine. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 497-501.
  2. Porters RJ, Meldrum BS. Antiseizure Drugs. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 406-407.
  3. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1037-38.
  4. Oxcarbazepine. Camberley, Surrey: Novartis Pharmaceuticals UK Ltd.; 2000 [16 Nov. 2018]. [Accessed 22 Jan. 2019] (online) Available from:External Link
  5. Oxcarbazepine. Dublin 13, Ireland: Gerard Laboratories; 2018. [Accessed 17 Jun. 2019] (online) Available from:External Link
  6. Oxcarbazine. Mumbai, India: Sun Pharmaceutical Industries Ltd.; 2007. [Accessed 25 Mar 2019] (online) Available from:External Link
  7. Oxcarbazepine. East Hanover, New Jersey: Novartis Pharmaceuticals Corporation; 2000 [revised Jan. 2019]. [Accessed 17 Jun. 2019] (online) Available from:External Link
  8. Oxcarbazepine. Macquarie Park, New South Wales: Novartis Pharmaceuticals Australia Pty Limited; 2017. [Accessed 17 Jun. 2019] (online) Available from:External Link
  9. Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006. Oxcarbazepine. [Updated 2020 Jan 20]. [Accessed 20 Feb. 2020] (online) Available from:External Link
  10. Drugs.com. Oxcarbazepine. [Accessed 25 Mar 2019] (online) Available from:External Link
  11. Central Drugs Standard Control Organisation (CDSCO). [Accessed 25 Mar. 2019] (online) Available from:External Link

Marketer details

Name: Kivi Labs Ltd
Address: Khasra No. 169 Tanshipur Roorkee (U.K)
Country of origin: India

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130
Inclusive of all taxes
MRP133.71  3% OFF
10.0 tablet xr in 1 strip
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