SKU	777
Generic For	Trileptal
Strength	300mg
Active Ingredient	Oxcarbazepine

Product Description

Oxcarb 300mg (Oxcarbazepine) – Affordable Trileptal Alternative

Oxcarb 300 mg is a medication for treating epilepsy. The FDA approved its active component Ocarbazepine only for the treatment of seizures. The use of a drug for its approved indication is called as labeled use. On the other hand, health care specialists often prescribe medications for unlabeled uses when case reports or other clinical experiences support the safety and efficacy of those treatments. Unlabeled use of Oxcarb includes treatments of panic disorder, agitation, and bipolar disorder. The anticonvulsant medication is also used for treating mood disorders, hence can be called as mood stabilizers.

What is Oxcarb 300 mg used for?

Oxcarb 300mg is used as monotherapy or adjunctive therapy of partial seizures in adults and children four years and older with epilepsy. It is used as adjunctive therapy in patients 2 to 16 years of age with epilepsy. Your health care professional can also prescribe this medicine for the management of trigeminal neuralgia.

How does Oxcarb work?

Oxcarb’s active component Oxcarbazepine works by blocking sodium channels in neural membranes, stabilizes hyperexcitable states, inhibits repetitive neuronal firing, and decreases propagation of synaptic impulses. In this way, it decreased the incidence of seizures.

What does Oxcarb contain?

Oxcarb contains Oxcarbazepine as the active ingredient. It is formulated to treat complex partial tonic-clonic seizures.

Effects of alcohol on Oxcarb

Patients are advised to avoid taking alcohol during the treatment with Oxcarb.

Precautions

What medications interact with Oxcarb?

Patients are instructed to notify health care specialist about all OTC medications, herbal, products, or vitamins being taken and to talk health care professional before taking other medications.

Hormonal contraceptives
Isradipine
Nifedipine
Felodipine
Nimodipine
Cyclosporine
Nicardipine
Antihistamines
Phenytoin
Carbamazepine
Sedative/hypnotics
Opiods
Verapamil
Valprpoic acid
Phenobarbital
Antidepressants

When should Oxcarb not be used?

Oxcarb should not be used in patients with hypersensitivity. Crossed sensitivity with Carbamazepine may occur.
It is not suitable for lactating women.

The medicine should be used carefully in the following conditions:

Renal impairment
Severe hepatic impairment
Pregnancy
Pediatrics (less than 4 years of age)

Dosage Instructions

Side Effects

What are the side effects of Oxcarb?

Gastrointestinal tract disorders- nausea, thirst, abdominal pain, dyspepsia, vomiting
Dermatological issues- urticaria, rash, acne
Neurological issues- tremor, ataxia, gait disturbances
Central nervous system disorders- headache, suicidal thoughts, fatigue, dizziness, drowsiness, vertigo, suicidal thoughts, cognitive symptoms
EENT disorders- nystagmus, abnormal vision, diplopia
Miscellaneous disorders- lymphadenopathy, allergic reactions, hyponatremia, hypersensitivity reactions, including Stevens-Johnson syndrome and multiorgan reactions.

How to Use

How should Oxcarb be used?

Oxcarb should be taken twice daily before or after consuming food. Take the tablet on an empty stomach, at least one hour before or two hours after meals. Taking with food increases risks of adverse effects. You are not allowed to chew, crush or break the tablets. Swallow it whole with a glass of water.
The medicine should be gradually discontinued to prevent seizures. Patients are instructed to carefully go through the prescription guide before starting the treatment.
Oxcarbazepine may cause CNS changes, drowsiness, or dizziness. Patients are advised to avoid driving and other physical activities that require alertness. Do not drive until your health care specialist has told you to do.
Always notify your health care specialist of medication regimen before treatment or surgery.
Tell your health care specialist if thoughts about suicide or dying, new or worse depression, attempts to commit suicide, feeling agitated, being hungry, acting on dangerous impulses, an extreme increase in activity and talking, being violent, new or worse irritability, and other unusual changes in mood and behavior.

How long should Oxcarb be used?

Oxcarb helps to control your epilepsy, but does not cure it. You must take it daily, even if you feel well. Do not stop taking the medicine or lower the dose without checking with your health care specialist. Also, do not run out of Oxcarb tablets over the weekend or on holidays.

Missed dose of Oxcarb

Patients are instructed to take the Oxcarb in equally spaced doses, as directed. Take the missed dose as soon as possible, but not just before next scheduled dose. Also, do not double dose. Inform health care specialist if more than one dose is missed.

How should Oxcarb be stored?

Store the medicine in a cool, dry place, at controlled room temperature
Do not store your medicine in the bathroom or near a sink
Keep it in its original packet

Infographics

FAQ

What is Oxcarb 300mg used for?

Oxcarb 300mg contains oxcarbazepine 300mg, used to control partial seizures in epilepsy for adults and children aged 6 and above. The 300mg strength is commonly used for both dose titration (as an intermediate step) and as a maintenance dose component. Twice daily dosing at 300mg (600mg total per day) is a frequent maintenance dose for many patients with well-controlled partial epilepsy, particularly those who have been started on oxcarbazepine as their primary epilepsy medicine.

Is 600mg per day a typical maintenance dose for oxcarbazepine?

For some patients, particularly those with milder or more easily controlled epilepsy, 600mg per day (300mg twice daily) provides adequate seizure control. For others — especially those with more difficult to control seizures — doses up to 1200–2400mg per day may be needed. The right dose is found by gradually increasing from the starting dose while tracking seizure frequency and tolerability. Your neurologist will assess how well 600mg is working for you at review appointments and decide whether the dose should be adjusted.

How does oxcarbazepine 300mg compare to a 300mg dose of carbamazepine?

Although the numbers are the same, oxcarbazepine and carbamazepine are not equivalent in strength. Approximately 300mg of oxcarbazepine is equivalent to about 200mg of carbamazepine in terms of anti-seizure effect. When switching from carbamazepine to oxcarbazepine, your neurologist will adjust the dose accordingly — typically multiplying the carbamazepine dose by 1.5 to get the approximate oxcarbazepine equivalent. This conversion is important to avoid losing seizure control during the switch between medicines.

Can Oxcarb 300mg be taken once daily?

Oxcarbazepine is designed to be taken twice daily — in the morning and evening — because it is active in the body for about 12 hours. Taking it once daily would leave too large a gap where drug levels drop, potentially reducing seizure protection. Some neurologists use a once-daily extended-release formulation of oxcarbazepine for certain patients, but standard immediate-release Oxcarb 300mg tablets are intended for twice-daily dosing. Always follow your neurologist's prescribed schedule and do not change to once-daily dosing without their guidance.

What blood tests are needed while taking oxcarbazepine 300mg?

Your doctor will check your Sodiumium level in the blood before starting oxcarbazepine and regularly during treatment — particularly in the first 3 months. Low Sodiumium (hyponatraemia) is more common with oxcarbazepine than with carbamazepine. A full blood count and liver function may also be checked periodically. Blood levels of oxcarbazepine's active metabolite (monohydroxide derivative, MHD) can be measured if there are concerns about toxicity or poor control. More frequent monitoring is done during dose changes or if new medicines are added.

Can oxcarbazepine be used for trigeminal neuralgia?

Yes — like carbamazepine, oxcarbazepine can be used for trigeminal neuralgia (severe face pain from nerve irritation), especially for patients who could not tolerate carbamazepine. It works by blocking Sodiumium channels in the overactive pain nerves. While it has an official licence only for epilepsy in most countries, its use for trigeminal neuralgia is well-established and widely practised off-label. A neurologist or specialist in facial pain will manage this treatment and adjust doses to control pain with minimal side effects.

Does oxcarbazepine interact with other epilepsy medicines?

Yes, oxcarbazepine has some interactions but far fewer than carbamazepine. At higher doses (above 1200mg per day), oxcarbazepine can induce liver enzymes and increase the metabolism of some other medicines. It can reduce phenytoin levels significantly, and phenytoin can reduce oxcarbazepine's active metabolite (MHD) levels. Valproate and lamotrigine interactions are generally less significant. The contraceptive pill is significantly affected at all doses. Always inform your neurologist and pharmacist of every medicine you take whenever a change is made.

How quickly does oxcarbazepine work for seizures?

Once oxcarbazepine reaches its maintenance dose, it typically begins providing seizure protection within days. However, the dose build-up process takes several weeks to months. As each dose increase is made (usually weekly), the added protection against seizures gradually builds. Most people notice improvement in seizure frequency and severity as the dose approaches the therapeutic maintenance level. Your neurologist will assess the speed of titration based on the urgency of seizure control and how well you are tolerating the dose increases.

What are the side effects of oxcarbazepine 300mg?

At 300mg (and in the titration process through this dose), oxcarbazepine commonly causes dizziness, headache, drowsiness, double vision, and nausea. Low Sodiumium in the blood (hyponatraemia) can cause fatigue, headache, and confusion — this is monitored with blood tests. A skin rash occurs in some patients, most commonly in the first 3 months. People of Han Chinese or Thai descent should be tested for the HLA-B*1502 gene before starting, due to higher risk of severe skin reactions. Cognitive side effects are generally milder than with older epilepsy medicines.

Can oxcarbazepine make other Sodiumium-lowering medicines more risky?

Yes — oxcarbazepine itself lowers Sodiumium levels in the blood, so combining it with other medicines that also lower Sodiumium increases the risk significantly. Diuretics (water tablets), particularly thiazide diuretics, are the most common concern. Certain antidepressants (SSRIs like fluoxetine and sertraline) also lower Sodiumium. If you take any of these alongside oxcarbazepine, your doctor will monitor your Sodiumium level more frequently. Symptoms of low Sodiumium — unusual confusion, headache, vomiting, seizures — should be reported to your doctor immediately.

Can I buy Oxcarb 300mg online from PremiumRxDrugs?

Yes, Oxcarb 300mg (oxcarbazepine) is available at PremiumRxDrugs.com. PremiumRxDrugs is a licensed pharmacy with over 10 years of experience providing genuine, manufacturer-sourced epilepsy medicines worldwide. Reliable supply of anti-epileptic medicines is essential for people managing ongoing seizure conditions, and that is what PremiumRxDrugs delivers consistently. Enjoy worldwide shipping, discreet packaging, and free shipping on qualifying orders.

How long will I need to take oxcarbazepine?

Most people with epilepsy take their anti-epileptic medicine for many years — often indefinitely. Epilepsy treatment is a long-term commitment, and stopping oxcarbazepine without guidance from your neurologist risks breakthrough seizures. After a period of good seizure control (usually 2 or more years), some people — depending on their epilepsy type and personal circumstances — may consider slowly reducing and stopping their medicine under specialist supervision. This decision is made carefully, weighing the individual's risk of seizure recurrence against the benefits of being medicine-free.

Oxcarb 300mg