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Oxtellar XR

Oxtellar XR (generic name: oxcarbazepine extended-release) is an anticonvulsant medication primarily used to treat partial seizures in adults and children aged 6 years and older. It can be used as monotherapy or as an adjunctive therapy in combination with other anticonvulsants. Oxtellar XR works by stabilizing electrical activity in the brain, helping to prevent seizure episodes.



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Frequently Asked Questions

How quickly does Oxtellar XR work?
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Patients may begin to notice a reduction in seizure frequency within 1 to 2 weeks, although it may take longer for full therapeutic effects.

Can I take Oxtellar XR with food?
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Yes, Oxtellar XR can be taken with or without food, but consistency in how you take it (either always with food or always without) is advisable.

What should I do if I miss a dose?
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If you miss a dose, take it as soon as you remember. If it’s close to the time for your next dose, skip the missed dose and continue with your regular schedule. Do not double up doses.

Are there any dietary restrictions while using Oxtellar XR?
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There are no specific dietary restrictions while using Oxtellar XR.

Is Oxtellar XR safe during pregnancy or breastfeeding?
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Consult your healthcare provider if you are pregnant or breastfeeding to discuss the risks and benefits of using Oxtellar XR during these periods.

Comprehensive Drug Guide

How Does Oxtellar XR Work?

Oxcarbazepine works by blocking voltage-gated sodium channels, which helps to stabilize neuronal membranes and reduce the firing of excitatory neurotransmitters. This action decreases the likelihood of seizure activity and can also have mood-stabilizing effects.



Common Dosages

  • Extended-Release Tablets: Common strengths include 150 mg, 300 mg, and 600 mg.

Typical Dosing

  • For adults and children aged 6 years and older, the usual starting dose is 600 mg once daily, which may be adjusted based on individual response and tolerability, with a maximum dose typically not exceeding 1200 mg per day.


Typical Dosing

FDA Approved Indications

  • Partial Seizures: for the treatment of partial seizures, either as monotherapy or adjunctive therapy.


Who Shouldn't Take Oxtellar XR?

  • Known hypersensitivity to oxcarbazepine or any component of the formulation.
  • History of hypersensitivity reactions to carbamazepine.


Advice From The Pharmacist

  • Take Oxtellar XR exactly as prescribed, and do not stop taking it abruptly; tapering may be necessary to avoid seizure recurrence.
  • Monitor for side effects, especially during the initial treatment phase or when doses are adjusted.
  • Regular follow-ups may be necessary to evaluate treatment effectiveness and monitor for potential side effects.


Side Effects of Oxtellar XR

Common Side Effects

  • Dizziness or drowsiness
  • Nausea
  • Fatigue
  • Headache
  • Double vision


Uncommon/Severe Side Effects

  • Severe allergic reactions (rash, itching, swelling)
  • Hyponatremia (low sodium levels)
  • Mood changes or worsening depression.


Risks and Warnings of Oxtellar XR

  • Sodium Levels: Regular monitoring of sodium levels is recommended, as oxcarbazepine can cause hyponatremia.
  • Drowsiness: Use caution when driving or operating heavy machinery until you know how the medication affects you.


Interactions with Oxtellar XR

Common Drug Interactions

  • Other Anticonvulsants: Be cautious when used in conjunction with other seizure medications, as interactions may affect serum levels.
  • Hormonal Contraceptives: Oxcarbazepine may reduce the effectiveness of hormonal contraceptives; alternative methods of contraception should be considered.


Alternatives to Oxtellar XR

  • Other Anticonvulsants: Such as lamotrigine or levetiracetam for similar indications.
  • Surgical Options: For refractory seizures not controlled by medication.