INTRODUCTION ABOUT ZEPTOL CR 200MG TABLET
ZEPTOL CR 200MG TABLET contains Carbamazepine which belongs to the group of medicines called Anticonvulsants. It is used to manage certain forms of epilepsy (fits or seizures) and trigeminal neuralgia (painful condition of the face). It can also be used to control the symptoms of bipolar disorder if other medicines are not effective. Bipolar disorder (also known as manic depression) is a mental disorder characterized by alternative episodes of mania (sudden unusual extreme sense of happiness) and depression.
Carbamazepine controls seizure (fits) by reducing the abnormal activity of the nerve cells in the brain. It also reduces pain by blocking the transmission of pain signals across the nervous system. It can stabilize your mood by reducing the activation of nerve cells at certain regions of the brain that causes abnormal mood changes. During and prior to the management, your doctor would recommend you several blood tests to understand your existing condition.
Before taking ZEPTOL CR 200MG TABLET inform your doctor if you have any liver or kidney diseases. ZEPTOL CR 200MG TABLET is not recommended for use in patients who have or ever had porphyria (a blood disorder), any heart problems, or problems in bone marrow. Avoid consumption of alcohol or grapefruit juice while taking [GBNKEYWORD as it may lead to unwanted side effects.
ZEPTOL CR 200MG TABLET should be used in pregnant and breastfeeding women only if it is considered necessary by the physician. It is not recommended for use in children aged below 5 years. The most common side effects of taking ZEPTOL CR 200MG TABLET are nausea, vomiting, increased bleeding tendency, headache, weight gain, dizziness, and blurred vision. Consult your doctor if any of the side effect worsen. Also, inform your doctor immediately if your mood becomes excessively depressed along with thoughts of self-harming or killing.
USES OF ZEPTOL CR 200MG TABLET
- Manage certain forms of epilepsy (fits or seizures)
- Manage trigeminal neuralgia (painful condition of the face)
- Controls bipolar disorder if other medicines are not effective
HOW ZEPTOL CR 200MG TABLET WORKS
ZEPTOL CR 200MG TABLET controls seizures by stopping the abnormal build-up of electrical signals within the brain. It acts as a specific analgesic for trigeminal neuralgia, by blocking various pain reflexes caused by stimulation of nerves in the face. It also acts as a mood stabilizer by reducing the activation of nerve cells at certain regions of the brain that causes abnormal mood changes.
DIRECTIONS FOR USE
Take ZEPTOL CR 200MG TABLET as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. It can be taken with or without meals. Your doctor will decide the suitable dose and duration of therapy for you depending upon your age, body weight and disease condition. Do not stop taking ZEPTOL CR 200MG TABLET without consulting your doctor as it may make your symptoms to reappear.
SIDE EFFECTS OF ZEPTOL CR 200MG TABLET
COMMON
- reduced WBC count causing frequent infections
- dizziness, tiredness, losing balance, nausea, or vomiting
- abnormal bleeding and bruising
- fluid retention and swelling
- weight gain
UNCOMMON
- abnormal uncontrollable body movements including tremor or tics
- abnormal eye movements
- diarrhoea and constipation
RARE
- disorders of lymph glands
- increased blood pressure (which may make you feel dizzy, with a flushed face, headache, fatigue, and nervousness)
- hallucinations, confusion, restlessness, depression, anxiety, and loss of appetite
- abnormalities in speech
- numbness and tingling of hands and feet
- muscle weakness
Stop taking ZEPTOL CR 200MG TABLET and contact your doctor immediately if you experience any of the following side effects:
- serious skin reactions such as Stevens-Johnson syndrome or toxic epidermal necrolysis (skin rash with widespread blistering and peeling of the skin, ulcerations in the mouth, throat, nose, genitals, and eyes, fever, flu-like symptoms, headache, and body ache) or lupus erythematosus (rash across the bridge of nose and cheeks with painful joints and muscles)
- suicidal thoughts (thoughts of harming or killing themselves)
- fall due to dizziness, drowsiness, decreased blood pressure and confusion
- signs of severe allergic reactions (such as skin rash, itching, swelling of face especially lips, throat, mouth, and eyes causing difficulty in breathing)
- stomach pain
HOW TO MANAGE SIDE EFFECTS

Constipation
Eat plenty of fibre rich foods such as fresh fruits, vegetables, and cereals. Drink plenty of fluids. Exercise more regularly. Consult your doctor if this side effect bothers you.

Diarrhea
Hydrate yourself by drinking plenty of fluids, such as water or fruit juices. Consuming ORS can also be beneficial. Do not self-manage diarrhea on your own. Consult your doctor if your diarrhea becomes uncontrollable.

Dizziness Or Drowsiness
Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines completely while you are feeling dizzy. Do not consume excessive alcohol, as it could aggravate your dizziness. Consult your doctor if your dizziness worsens.

Headache
Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as water or electrolytes. Applying a pain-relieving balm on your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.

Nausea And Vomiting
Take ZEPTOL CR 200MG TABLET with or just after meals. Stick to simple meals. Avoid eating oil rich or spicy foods. Consult your doctor if your nausea worsens.
WARNING & PRECAUTIONS

PREGNANCY
Monitoring required
ZEPTOL CR 200MG TABLET should not be used in pregnant women unless considered necessary by the physician. Therefore, consult your doctor before taking. It is also not recommended for use in women who are planning to become pregnant. Women of childbearing potential should use a suitable non-hormonal contraceptive method to avoid pregnancy while undergoing therapy with ZEPTOL CR 200MG TABLET.

BREASTFEEDING
Use with Caution
ZEPTOL CR 200MG TABLET should be used with caution in breastfeeding women, as it may pass through breast milk and cause certain side effects in the breastfeeding infant. Therefore, consult your doctor before taking.

DRIVING AND USING MACHINES
Use with Caution
Do not drive or operate any heavy tools or machines if you experience dizziness, drowsiness or blurred vision after taking ZEPTOL CR 200MG TABLET.

ALCOHOL
Consult your doctor
Do not drive or operate any heavy tools or machines if you experience dizziness, drowsiness or blurred vision after taking ZEPTOL CR 200MG TABLET.

KIDNEY
Use with Caution
ZEPTOL CR 200MG TABLET should be used with caution in patients having kidney diseases associated with low sodium level in the blood. Therefore, consult your doctor before taking it.

LIVER
Use with Caution
ZEPTOL CR 200MG TABLET should be used with caution in patients having liver diseases. Therefore, consult your doctor before taking it.

ALLERGY
Contraindicated
Do not take ZEPTOL CR 200MG TABLET if you are allergic to carbamazepine or similar medicines such as oxcarbazepine, phenytoin, primidone, phenobarbital, or antidepressants (such as amitriptyline or imipramine).

HEART DISEASE
Contraindicated
ZEPTOL CR 200MG TABLET is not recommended for use in patients having heart diseases. Therefore, consult your doctor before taking it.

USE IN PEDIATRICS
Consult your doctor
ZEPTOL CR 200MG TABLET is generally not recommended for use in children aged below 5 years. It should be used with caution in children and adolescents (aged between 5-15 years). Therefore, consult your doctor before taking.

USE IN GERIATRICS
Use with Caution
ZEPTOL CR 200MG TABLET should be used with caution in elderly patients. Therefore, consult your doctor before taking.
OTHERS
ZEPTOL CR 200MG TABLET is not recommended for use if you:
- have ever had any bone marrow disorders
- have porphyria (a blood disorder)
Before taking ZEPTOL CR 200MG TABLET, inform your doctor if you:
- have absence seizure (seizure with brief sudden lapses of consciousness)
- have any mental illness
- have any eye conditions such as glaucoma (increased pressure in the eyes)
- have any difficulties in retaining urine
INTERACTIONS
A. Drug – Drug interactions:
Before taking ZEPTOL CR 200MG TABLET, inform your doctor if you are taking any of the following medicines such as:
- hormonal contraceptives Ex. estradiol, dydrogesterone
- hormone replacement therapy (used to manage hormonal imbalances) Ex. oestrogen, progestins
- medicines used to manage depression and anxiety (Ex. viloxazine, citalopram, escitalopram, midazolam, clonazepam, lorazepam)
- corticosteroids (medicines used to manage pain and inflammation) Ex. methylprednisolone, prednisolone, dexamethasone
- anti-coagulants (medicines used to control blood clotting) Ex. heparin, warfarin
- medicine used to manage skin infections (Ex. ciprofloxacin)
- antifungals (medicines used to manage fungal infections) Ex. fluconazole, itraconazole
- medicines used to manage pain (Ex. paracetamol, dextropropoxyphene, tramadol, methadone, buprenorphine)
- other medications used to manage epilepsy (Ex. phenobarbital, phenytoin)
- antihistamines (medicines used to manage allergic reactions) Ex. cetirizine, fexofenadine
- medicines used to manage high blood pressure (Ex. captopril, enalapril)
- diuretics (medicines used to increase urine output) Ex. hydrochlorothiazide and furosemide
- cimetidine and omeprazole (medicines used to manage stomach ulcers)
- isotretinoin (a medicine used to manage acne)
- metoclopramide or aprepitant (medicines used to manage nausea and vomiting)
- acetazolamide (a medicine used to manage glaucoma)
- danazol or gestrinone (medicines used to manage excessive tissue growth in the uterus)
- medicines used to manage asthma (Ex. theophylline or aminophylline)
- immunosuppressants (medicines used to suppress immune system and to manage graft rejection) Ex. ciclosporin, tacrolimus, sirolimus
- medicines used to manage schizophrenia (Ex. paliperidone, aripiprazole)
- medicines used to manage cancer (Ex. temsirolimus, cyclophosphamide, lapatinib)
- mefloquine (a medicine used to manage malaria)
- medicines used to manage HIV infections (Ex. indinavir, ritonavir)
- levothyroxine (a medicine used to manage thyroid deficiency)
- tadalafil (a medicine used to manage infertility in men)
- medicines used to manage worm infections (Ex. albendazole)
- bupropion (a medicine used to quit smoking)
- St John’s Wort (an herbal medicine used to manage depression)
- medicines or other supplements containing vitamin B (Ex. nicotinamide)
B. Drug – Food interaction:
Avoid drinking grapefruit juice while taking ZEPTOL CR 200MG TABLET as it may increase the risk of side effects.
Overdosage:
If you or anyone else accidentally took more ZEPTOL CR 200MG TABLET, consult your doctor immediately or visit the nearby hospital.
SYNOPSIS
Drug | : | Carbamazepine |
Pharmacological Category | : | Anti-convulsant drugs |
Therapeutic Indication | : | Epilepsy, Bipolar disorder, Trigeminal neuralgia |
Dosage Forms | : | Tablet, Syrup |
MORE INFORMATION
- Store at room temperature
- Keep ZEPTOL CR 200MG TABLET out of reach of children
FAQs ABOUT ZEPTOL CR 200MG TABLET
Q: How to take ZEPTOL CR 200MG TABLET?
A: ZEPTOL CR 200MG TABLET can be taken during, between or after meals. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Your doctor will decide the suitable dose for you depending upon your age, body weight and disease condition.
Q: What does ZEPTOL CR 200MG TABLET do to your brain?
A: ZEPTOL CR 200MG TABLET controls seizures by stopping the abnormal build-up of electrical signals within the brain. It acts as a specific analgesic for trigeminal neuralgia, by blocking various pain reflexes caused by stimulation of nerves in the face. It also acts as a mood stabilizer by reducing the activation of nerve cells at certain regions of the brain that causes abnormal mood changes.
Q: What are the common side effects of taking ZEPTOL CR 200MG TABLET?
A: The most common side effects of taking ZEPTOL CR 200MG TABLET are nausea, vomiting, increased bleeding tendency, headache, weight gain, dizziness, and blurred vision. In some people, it may also cause severe depression along with suicidal thoughts. Inform your doctor immediately if you experience any such side effects.
Q: Is ZEPTOL CR 200MG TABLET safe to use in children?
A: ZEPTOL CR 200MG TABLET is not recommended for use in children aged below 5 years. It should be used with caution in children and adolescents (aged between 5-15 years). Therefore, consult your doctor before taking it.
Q: How long should I take ZEPTOL CR 200MG TABLET?
A: You are advised to take ZEPTOL CR 200MG TABLET until your doctor suggests you discontinue the medicine. Do not stop taking ZEPTOL CR 200MG TABLET without consulting your doctor as it may make your symptoms to reappear.
Q: Can ZEPTOL CR 200MG TABLET taken along with alcohol?
A: No. Avoid consumption of alcohol while taking ZEPTOL CR 200MG TABLET as it might make you feel dizzier and may cause accidental injuries.
Q: Can pregnant women take ZEPTOL CR 200MG TABLET?
A: ZEPTOL CR 200MG TABLET should not be used in pregnant women unless considered necessary by the physician. Therefore, consult your doctor before taking. It is also not recommended for use in women who are planning to become pregnant. Women of childbearing potential should use a suitable non-hormonal contraceptive method to avoid pregnancy while undergoing therapy with ZEPTOL CR 200MG TABLET.
Q: Will taking a higher dose of ZEPTOL CR 200MG TABLET be more effective?
A: No. Do not take a higher dose of ZEPTOL CR 200MG TABLET than the prescribed one without consulting your doctor. Taking a higher dose of ZEPTOL CR 200MG TABLET may not be beneficial. Instead, it can cause serious side effects. If the prescribed dose is not effective for you, consult your doctor. Your doctor may prescribe a suitable higher dose or suggest an alternative therapy after evaluating your disease condition.
Q: Can I take painkillers along with ZEPTOL CR 200MG TABLET?
A: No. Avoid concomitant use of any pain killers like paracetamol, tramadol, dextropropoxyphene, methadone, and buprenorphine while taking ZEPTOL CR 200MG TABLET as it may lead to unwanted reactions. Consult your doctor before taking it.
Q: What should I do if I forget to take a dose of ZEPTOL CR 200MG TABLET?
A: If your forgot to take a dose of ZEPTOL CR 200MG TABLET, take it as soon as you remember. However, if it is time to take the next dose, skip the missed one and take the regular dose. Do not take a double dose to compensate the missed dose.
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