Epilepsy

In Epilepsy Epinote Plus 200mg/87mg Tablet CR slows down electrical signals in the brain which cause seizures (fits). It can also help reduce symptoms such as confusion uncontrollable jerking movements loss of awareness and fear or anxiety. The medicine can allow you to do some activities that you would otherwise be forbidden or scared to do (such as swimming and driving). It can take a few weeks for this medicine to work (because the dose has to be increased slowly) and during this time you may still have seizures. Do not stop using this medicine even if you feel well until your doctor advises you to. Missing doses may trigger a seizure.

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. Epinote Plus 200mg/87mg Tablet CR is to be taken with food.

Epinote Plus 200mg/87mg Tablet CR is a combination of two medicines used to treat epilepsy a neurological disorder in which there are recurrent episodes of seizures or fits. It controls the abnormal activity of the brain relaxes the nerves and hence prevents seizures or fits.Epinote Plus 200mg/87mg Tablet CR should be taken with food. Your doctor will decide the correct dose for you. This may increase gradually until your condition is stable. This medicine may take several weeks to work but it is important to take it regularly to get the benefit. Do not stop taking it even if you feel fine unless your doctor advises you to. You may have more seizures or your bipolar disorder may get worse.The most common side effects of this medicine are nausea and tremor. In some people it may also cause other side effetcs like vomiting headache liver injury and upper abdominal pain. Most side effects wear off but if they bother you or do not go away tell your doctor. There may be ways of preventing or reducing these effects.Before taking this medicine tell your doctor if you have kidney or liver problems meningitis or depression or suicidal thoughts. Also let your doctor know about all other medications you are using as some may affect or be affected by this medicine including contraceptive pills. If you are pregnant or breastfeeding Epinote Plus 200mg/87mg Tablet CR can be taken if it is clearly needed but the dose may be adjusted. You should avoid driving or riding a bicycle if this medicine makes you drowsy or dizzy. You may need frequent blood tests to check how you are responding to this medicine.You should avoid alcohol while taking Epinote Plus 200mg/87mg Tablet CR as it may worsen certain side effects. This medicine can also lead to weight gain eat a healthy balanced diet avoid snacking with high-calorie food and exercise regularly. Inform your doctor if you develop any unusual changes in mood or behavior new or worsening depression or suicidal thoughts or behavior.

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. Epinote Plus 200mg/87mg Tablet CR is to be taken with food.

- Alcohol : UNSAFE <p> It is unsafe to consume alcohol with Epinote Plus 200mg/87mg Tablet CR. | - Pregnancy : CONSULT YOUR DOCTOR <p> Epinote Plus 200mg/87mg Tablet CR is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor. | - Breast feeding : SAFE IF PRESCRIBED <p> Epinote Plus 200mg/87mg Tablet CR is safe to use during breastfeeding. Human studies suggest that the drug does not pass into the breastmilk in a significant amount and is not harmful to the baby. | - Driving : UNSAFE <p> Epinote Plus 200mg/87mg Tablet CR may decrease alertness affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur. | - Kidney : SAFE IF PRESCRIBED <p> Epinote Plus 200mg/87mg Tablet CR is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Epinote Plus 200mg/87mg Tablet CR may not be needed in these patients. Please consult your doctor.However talk to your doctor if you have any underlying kidney disease. | - Liver : CAUTION <p> Epinote Plus 200mg/87mg Tablet CR should be used with caution in patients with liver disease. Dose adjustment of Epinote Plus 200mg/87mg Tablet CR may be needed. Please consult your doctor.Use of Epinote Plus 200mg/87mg Tablet CR is not recommended in patients with severe liver disease and active liver disease.

If you miss a dose of Epinote Plus 200mg/87mg Tablet CR 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.

Habit Forming :: No|Therapeutic Class :: NEURO CNS

Epilepsy

Nausea | Tremors

UNSAFE

CONSULT YOUR DOCTOR

SAFE IF PRESCRIBED

UNSAFE

SAFE IF PRESCRIBED

CAUTION

Q. Can the use of Epinote Plus 200mg/87mg Tablet CR cause sleepiness or drowsiness?::: Yes Epinote Plus 200mg/87mg Tablet CR may make you feel drowsy or sleepy. Avoid driving operating machinery working at heights or participating in potentially dangerous activities. Inform your doctor if you experience such an episode while taking this medicine.| Q. Can I drink alcohol while taking Epinote Plus 200mg/87mg Tablet CR?::: No avoid drinking alcohol while taking Epinote Plus 200mg/87mg Tablet CR. Drinking alcohol will increase the side effects caused by Epinote Plus 200mg/87mg Tablet CR.| Q. Can Epinote Plus 200mg/87mg Tablet CR be stopped when epilepsy symptoms are relieved?::: No Epinote Plus 200mg/87mg Tablet CR should be continued as advised by the doctor. Stopping Epinote Plus 200mg/87mg Tablet CR suddenly may cause the symptoms to reappear that too with increased frequency. If any problems are experienced due to Epinote Plus 200mg/87mg Tablet CR consult the doctor for re-evaluation.| Q. Will a higher than the recommended dose of Epinote Plus 200mg/87mg Tablet CR be more effective?::: No taking a higher than the recommended dose may not be more effective rather it may increase the chances of having serious side effects and toxicity. If the recommended doses do not relieve your symptoms or there is an increased severity of your symptoms please consult your doctor.| Q. What are the instructions for the storage and disposal of Epinote Plus 200mg/87mg Tablet CR?::: Keep this medicine in the container it came in tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets children and other people.