Felbamate

Why this is used

Felbamate is used to treat certain seizures in adults and children with epilepsy whose seizures have not improved with other treatments. It is used alone or in combination with other medications to treat partial seizures in adults. It is used in combination with other medications to treat partial and generalized seizures in children with Lennox-Gastaut syndrome (a disorder that causes seizures and developmental delays). Felbamate is in a class of medications called anticonvulsants. It works by decreasing abnormal activity in the brain.

How to take it

Felbamate comes as a tablet and a suspension (liquid) to take by mouth. It is usually taken with or without food three or four times a day. Take felbamate at around the same times every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take felbamate exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. Shake the liquid well before each use to mix the medication evenly. Your doctor will probably start you on a low dose of felbamate and gradually increase your dose every one or two weeks. Felbamate controls seizures but does not cure them. Continue to take felbamate even if you feel well. Do not stop taking felbamate without talking to your doctor, even if you experience side effects such as unusual changes in behavior or mood. If you suddenly stop taking felbamate, your seizures may become worse. Your doctor will probably decrease your dose gradually.

Side effects

<p></p> <p></p> <p></p> <p>Felbamate may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

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heartburn</li>
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vomiting</li>
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constipation</li>
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diarrhea</li>
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weight loss</li>
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difficulty falling asleep or staying asleep</li>
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nervousness</li>
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drowsiness</li>
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swelling of the face</li>
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runny nose</li>
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differences in menstrual bleeding</li></ul></p> <p></p> <p>Some side effects can be serious. If you experience any of these symptoms or those listed in the IMPORTANT WARNING section, call your doctor immediately:

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hives</li>
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rash</li>
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itching</li>
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difficulty breathing or swallowing</li>
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rapid or pounding heartbeat</li></ul>Felbamate may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online [at <a href='http://www.fda.gov/Safety/MedWatch'>http://www.fda.gov/Safety/MedWatch</a>] or by phone [1-800-332-1088].</p>

Precautions

Before taking felbamate, tell your doctor and pharmacist if you are allergic to felbamate; carbamate medications such as meprobamate (Miltown), methocarbamol (Robaxin), and rivastigmine (Exelon); or any other medications. tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: carbamazepine (Tegretol), clopidogrel (Plavix); phenobarbital (Luminal, Solfoton), phenytoin (Dilantin), oral contraceptives (birth control pills), and valproate (Depacon). Your doctor may need to change the doses of your medications or monitor you carefully for side effects. tell your doctor if you have or have ever had any of the conditions listed in the IMPORTANT WARNINGS section or kidney disease. you should know that felbamate may make you drowsy. Do not drive a car or operate machinery until you know how this medication affects you. remember that alcohol can add to the drowsiness caused by this medication. you should know that your mental health may change in unexpected ways and you may become suicidal (thinking about harming or killing yourself or planning or trying to do so) while you are taking felbamate for the treatment of epilepsy, mental illness, or other conditions. A small number of adults and children 5 years of age and older (about 1 in 500 people) who took antiepileptics such as felbamate to treat various conditions during clinical studies became suicidal during their treatment. Some of these people developed suicidal thoughts and behavior as early as one week after they started taking the medication. There is a risk that you may experience changes in your mental health if you take an antiepileptic medication such as felbamate, but there may also be a risk that you will experience changes in your mental health if your condition is not treated. You and your doctor will decide whether the risks of taking an antiepileptic medication are greater than the risks of not taking the medication. You, your family, or your caregiver should call your doctor right away if you experience any of the following symptoms: panic attacks; agitation or restlessness; new or worsening irritability, anxiety, or depression; acting on dangerous impulses; difficulty falling or staying asleep; aggressive, angry, or violent behavior; mania (frenzied, abnormally excited mood); talking or thinking about wanting to hurt yourself or end your life; withdrawing from friends and family; preoccupation with death and dying; giving away prized possessions; or any other unusual changes in behavior or mood. Be sure that your family or caregiver knows which symptoms may be serious so they can call the doctor if you are unable to seek treatment on your own.

Overdose

In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911. Symptoms of overdose may include:

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nausea</li>
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rapid heartbeat</li></ul>
Educational reference only — talk to a pharmacist or prescriber about Felbamate.