Dosage and Administration
Starting Dose: The typical starting dose for adults is 300 mg once daily in the evening. This can be adjusted based on individual response.
Maintenance Dose: The dose may gradually be increased, generally up to 600 mg to 1200 mg per day, depending on the condition being treated.
Administration: The tablet should be taken once daily with or without food. It is important to swallow the tablet whole and not chew or crush to maintain the sustained-release formulation.
Precautions
Hyponatremia (Low Sodium Levels): Oxcarbazepine can cause low sodium levels (hyponatremia), especially in elderly patients. Regular monitoring of sodium levels is recommended during treatment.
Skin Reactions: Although less common than with carbamazepine, severe skin reactions (e.g., Stevens-Johnson syndrome) can still occur. Patients should be monitored for any rash or signs of allergic reactions.
Pregnancy: Oxcarbazepine is classified as a Category C drug during pregnancy, meaning its safety during pregnancy has not been well established. It should only be used if the potential benefit outweighs the risk.
Drug Interactions: Oxcarbazepine may interact with other medications, particularly those that affect liver enzymes or blood pressure. Always inform your healthcare provider about any other medications you are taking.