Epictal Syrup 100 Ml

EPICTAL SYRUP 100 ML by IPCA LABORATORIES LTD.

Epictal Syrup is an antiepileptic medication used for the management of seizures associated with epilepsy. It works by slowing down abnormal electrical activity in the brain, which helps to control seizures and prevent their spread. It reduces the episodes of seizures but does not cure epilepsy.

• Name

  • Brand Name: Epictal Syrup 100 ML
  • Common Name: Levetiracetam Oral Solution
  • Manufacturer: IPCA Laboratories Ltd.

• Composition

  • Active Ingredient: Levetiracetam (100 mg per 5 ml)

• Uses Epictal Syrup is prescribed to treat various types of seizures associated with epilepsy, including:

  • Partial-onset seizures in adults and children (from one month of age).
  • Myoclonic seizures in patients 12 years and older with juvenile myoclonic epilepsy.
  • Primary generalized tonic-clonic seizures in patients 6 years and older with idiopathic generalized epilepsy.
  • It can be used alone (monotherapy) or in combination with other anti-epileptic medications (adjunct therapy) to improve seizure control.

• Dosage and Administration

  • Epictal Syrup should be taken orally, with or without food, usually twice a day, as directed by a healthcare professional.
  • Shake the bottle well before each use.
  • Measure the prescribed dose accurately using the measuring cup, dosing syringe, or dropper provided.
  • It is recommended to take the medicine at the same time each day to maintain consistent levels in the body.
  • Do not stop taking this medicine abruptly without consulting your doctor, as this can worsen seizures or cause withdrawal symptoms.

• Side Effects

  • Common Side Effects: Drowsiness, sleepiness, dizziness, weakness, fatigue, headache, inflammation of the nose and throat (nasopharyngitis), infection, irritability, agitation, decreased appetite, nausea, vomiting, abdominal pain, diarrhea, tremors, vertigo, lethargy, and cough.
  • Serious Side Effects (Seek medical attention): Signs of sudden decrease in kidney function (e.g., low urine volume, swelling in legs), serious mental changes (e.g., confusion, memory loss, abnormal behavior, suicidal thoughts), aggression, severe allergic reactions (anaphylaxis), or severe skin reactions.

• Precautions

  • Driving and Operating Machinery: This medicine may cause drowsiness, dizziness, or visual disturbances. Avoid driving or operating heavy machinery if you experience these effects.
  • Alcohol Consumption: Do not consume alcohol while taking Epictal Syrup, as it may enhance drowsiness and calmness.
  • Pregnancy and Breastfeeding: Consult your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Epictal Syrup should be used with caution during pregnancy if clearly necessary. It is generally not recommended for use in breastfeeding women due to potential risks to the infant.
  • Kidney and Liver Conditions: Inform your doctor if you have a history of kidney disease, as dose adjustments may be necessary. Use with caution in patients with liver disease.
  • Other Medical Conditions: Inform your doctor about any history of lung disease, muscle weakness (myasthenia gravis), difficulty sleeping (sleep apnea), glaucoma, or a history of alcohol or drug abuse.
  • Discontinuation: Do not discontinue Epictal Syrup abruptly without medical advice, as this can lead to withdrawal symptoms or an increase in seizure frequency.
  • Mental Health: Monitor for any sudden changes in mood, behavior, or the development of suicidal thoughts, and report these to your doctor immediately.
  • Allergies: Do not take Epictal Syrup if you are allergic to Levetiracetam or any of its ingredients.

• Storage

  • Store Epictal Syrup in a cool, dry place, away from direct sunlight.
  • Keep it out of the sight and reach of children.
  • Maintain storage temperatures below 30°C (some guidance suggests 10ºC to 25ºC or below 30ºC).
  • Keep the bottle tightly sealed after each use.

Epictal Syrup, containing Levetiracetam, is an anti-epileptic medication used to manage and control seizures. It is important to always follow your doctor's instructions regarding its use.

What is Epictal Syrup used for?

Epictal Syrup is primarily used to treat various types of seizures (fits) associated with epilepsy in both children and adults. It can be used alone or in combination with other anti-epileptic medications to help control partial-onset seizures, myoclonic seizures in juvenile myoclonic epilepsy, and primary generalized tonic-clonic seizures in idiopathic generalized epilepsy.

How does Epictal Syrup work?

Epictal Syrup contains Levetiracetam, which works by reducing abnormal electrical activity in the brain that causes seizures. It achieves this by binding to a specific protein called synaptic vesicle protein 2A (SV2A) on the surface of nerve cells. This interaction helps to modulate the release of neurotransmitters (chemical messengers) between nerve cells, thereby stabilizing brain activity and preventing the spread of electrical signals that trigger seizures.

What is the usual dosage of Epictal Syrup?

Epictal Syrup should be taken exactly as prescribed by your doctor. It is typically taken twice a day, usually once in the morning and once in the evening, with or without food. The dose will depend on your condition and how you respond to the medicine. It's advisable to take it at the same time each day to maintain a consistent level of medicine in your body. Do not stop taking this medicine without consulting your doctor, as abruptly discontinuing it can worsen seizures. Shake the bottle well before each use and measure the dose with the provided measuring cup or syringe.

What are the possible side effects of Epictal Syrup?

Common side effects of Epictal Syrup include sleepiness, dizziness, headache, general weakness, irritation, aggression, fatigue, decreased appetite, and nasopharyngitis (inflammation of the nose and throat). Some patients may also experience mood swings or disturbed sleep. Most of these side effects are temporary and often resolve over time as your body adjusts to the medication. However, some side effects can be serious, such as suicidal thoughts or actions, severe skin reactions, or signs of decreased kidney function. If you experience any persistent, severe, or concerning side effects, especially changes in mood or behavior, you should contact your doctor immediately.

Is Epictal Syrup safe during pregnancy or breastfeeding?

Pregnancy: If you are pregnant or planning to become pregnant, consult your doctor before taking Epictal Syrup. While it is important to treat epilepsy effectively during pregnancy to prevent harm to both mother and baby, your doctor will assess the benefits and risks. Levetiracetam is generally considered safer during pregnancy compared to some other anti-epileptic drugs, but it should only be used if clearly necessary and under medical supervision. High-dose folic acid (5mg daily) is often recommended before and during early pregnancy if you are taking anti-epileptic medication.

Breastfeeding: Epictal Syrup is generally considered probably safe to use during breastfeeding, but it's important to discuss this with your doctor. Levetiracetam can pass into breast milk, usually in small amounts. Monitor the baby for any signs of side effects such as drowsiness, vomiting, or not feeding well. The benefits of breastfeeding often outweigh any potential risks, but personalized advice from a healthcare professional is crucial.

Can Epictal Syrup be taken with other medications?

Epictal Syrup (Levetiracetam) has relatively few known clinically significant interactions with other medications compared to many other anti-epileptic drugs. However, caution is advised when taken with other medications that affect the central nervous system, such as sedatives or alcohol, as these combinations can increase the risk of side effects like drowsiness. Co-administration with macrogol (a laxative) may decrease the efficacy of levetiracetam, so it's suggested to take macrogol one hour before or after Epictal Syrup. Always inform your doctor about all the medicines, supplements, or herbal products you are currently taking or plan to take to avoid any possible interactions.

What precautions should be taken?

Before taking Epictal Syrup, inform your doctor if you have a history of kidney disease, liver disease, lung disease, muscle weakness, or psychiatric disorders like depression or suicidal thoughts. Epictal Syrup can cause dizziness, drowsiness, and visual disturbances, so avoid driving or operating heavy machinery if you experience these effects. Alcohol consumption should be avoided while taking Epictal Syrup, as it may cause excessive drowsiness and calmness. Do not stop taking Epictal Syrup abruptly, as this can lead to withdrawal symptoms and worsening of seizures.

What happens if a dose is missed?

If you miss a dose of Epictal Syrup, take it 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. Do not take a double dose to make up for a missed one, as this can increase the risk of side effects. Consistency in taking your medication is key to effective seizure control.

How should it be stored?

Epictal Syrup should be stored in a cool, dry place, away from direct sunlight and moisture, ideally at a temperature below 30°C (below 86°F). Keep the bottle tightly sealed after each use and ensure it is out of the sight and reach of children. Always check the expiry date before use and do not consume if it has expired. Remember to shake the bottle well before each use.