Zigabal is an anticonvulsant, or antiepileptic drug. It works by decreasing nerve impulses that cause seizures. Zigabal is used either alone or with other medicines to treat partial seizures. The Zigabal brand of Zigabal is used as a single medicine in adults and children who are at least 4 years old. Zigabal is used with other medicines in adults and children who are at least 2 years old. The Zigabal brand of Zigabal is used with other medicines in adults and children who are at least 6 years old. Zigabal may also be used for purposes not listed in Zigabal guide.
Zigabal side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Zigabal can reduce the sodium in your body to dangerously low levels, which can cause a life-threatening electrolyte imbalance. Call your doctor right away if you have headache, trouble concentrating, memory problems, weakness, loss of appetite, feeling unsteady, confusion, hallucinations, fainting, shallow breathing, and/or increased or more severe seizures. Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, depression, anxiety, or if you feel agitated, hostile, restless, hyperactive, or have thoughts about suicide or hurting yourself. Also call your doctor at once if you have:
increased seizures (or more severe seizures);
sores around your eyes;
painful mouth sores, trouble swallowing;
problems with speech, balance, or walking;
liver problems--nausea, upper stomach pain, itching, tired feeling, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
signs of inflammation in your body--swollen glands, flu symptoms, easy bruising or bleeding, severe tingling or numbness, muscle weakness, upper stomach pain, jaundice (yellowing of the skin or eyes), chest pain, new or worsening cough with fever, trouble breathing; or
severe skin reaction--fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.
Common side effects may include:
dizziness, drowsiness, tired feeling;
headache;
weakness, balance problems;
nausea, vomiting, stomach pain, indigestion;
tremors or shaking;
vision problems, double vision; or
fever, chills, cold or flu symptoms (in children).
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. See also: Side effects (in more detail)
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Zigabal dosing
Usual Adult Dose for Epilepsy:
Monotherapy: Initiation of monotherapy: Immediate-release: Initial dose: 300 mg orally twice a day, increased by increments of 300 mg per day every third day as clinically indicated Maintenance dose: 300 to 1,200 mg orally twice a day Maximum dose: 1,200 mg orally twice a day Conversion to monotherapy: Immediate-release: Initial dose: 300 mg orally twice a day, increased by increments of up to 600 mg per day at approximately weekly intervals as clinically indicated Maintenance dose: 300 to 1,200 mg orally twice a day Maximum dose: 1,200 mg orally twice a day Comments: -When converting to Zigabal monotherapy, concomitant antiepileptics should be completely withdrawn over 3 to 6 weeks, while a maximum dose should be reached in about 2 to 4 weeks. -Patients should be closely observed during the transition from adjunctive to monotherapy with Zigabal. Adjunctive Therapy: Immediate-release: Initial dose: 300 mg orally twice a day, increased by increments of up to 600 mg per day at approximately weekly intervals as clinically indicated Maintenance dose: 300 mg to 1,200 mg orally twice a day Maximum dose: 1,200 mg orally twice a day Extended-release: Initial dose: 600 mg orally once a day for one week, increased by increments of 600 mg per day at weekly intervals as clinically indicated Maintenance dose: 1,200 to 2,400 mg orally once a day Maximum dose: 2,400 mg orally once a day Comments: -Immediate release: Plasma levels of concomitant antiepileptic drugs should be monitored during titration of Zigabal. In controlled trials, most patients were not able to tolerate a dose of 2,400 mg per day, mainly due to CNS effects. -Extended-release: A dose of 2,400 mg per day showed slightly greater efficacy than 1,200 mg per day; however, it was associated with an increased risk of side effects. Use: Monotherapy or adjunctive therapy for the treatment of partial seizures; extended-release oral tablets are only indicated as adjunctive therapy.
Usual Geriatric Dose for Epilepsy:
Extended-release: Initial dose: 300 to 450 mg orally once a day, increased by increments of 300 to 450 mg per day at weekly intervals as clinically indicated. Use(s): Extended-release oral tablets are only indicated as adjunctive therapy for the treatment of partial seizures
Usual Pediatric Dose for Epilepsy:
Monotherapy: 4 to 16 years of age: Immediate-release: Initiation of monotherapy: 4 to 5 mg/kg orally twice a day, increased by an increment of 5 mg/kg per day every third day as clinically indicated Conversion to monotherapy: 4 to 5 mg/kg orally twice a day (up to 600 mg per day), increased by an increment of 10 mg/kg per day at approximately weekly intervals as clinically indicated Maintenance dose: Body weight: 20 kg: 300 to 450 mg orally twice a day 25 to 30 kg: 450 to 600 mg orally twice a day 35 to 40 kg: 450 to 750 mg orally twice a day 45 kg: 600 to 750 mg orally twice a day 50 to 55 kg: 600 to 900 mg orally twice a day 60 to 65 kg: 600 to 1,050 mg orally twice a day 70 kg: 750 to 1,050 mg orally twice a day Comments: -When converting to Zigabal monotherapy, concomitant antiepileptics may be completely withdrawn over 3 to 6 weeks. -Patients should be closely observed during the transition phase. Adjunctive therapy: 2 to 4 years of age: Immediate-release: Initial dose: Body weight: 20 kg or more: 4 to 5 mg/kg orally twice a day (up to 600 mg per day) Less than 20 kg: 8 to 10 mg/kg orally twice a day Maximum dose: 30 mg/kg orally twice a day Comments: -The maximum recommended dose should be achieved over 2 to 4 weeks 4 to 16 years of age: Immediate-release: Initial dose: 4 to 5 mg/kg orally twice a day (up to 600 mg per day) Maintenance dose: Body weight: 20 to 29 kg: 900 mg orally per day 29.1 to 39 kg: 1,200 mg orally per day Greater than 39 kg: 1,800 mg orally per day Comments: -The target maintenance dose should be achieved over 2 weeks 6 to 17 years of age: Extended-release: Initial dose: 8 to 10 mg/kg (up to 600 mg) orally once a day, increased by an increment of 8 to 10 mg/kg per day (up to 600 mg) at weekly intervals if clinically indicated Maintenance dose: Body weight: 20 to 29 kg: 900 mg orally once a day 29.1 to 39 kg: 1,200 mg orally once a day Greater than 39 kg: 1,800 mg orally once a day Comments: -Use is not recommended in patients younger than 6 years of age due to tablet size; data are not available in patients younger than 4 years of age. Use(s): Monotherapy for the treatment of partial seizures in children 4 to 16 years; adjunctive therapy for the treatment of partial seizures in children 2 to 16 years; extended-release oral tablets are only indicated as adjunctive therapy.
Dailymed."Oxcarbazepine: dailymed provides trustworthy information about marketed drugs in the united states. dailymed is the official provider of fda label information (package inserts).". https://dailymed.nlm.nih.gov/dailym... (accessed August 28, 2018).
Can Zigabal be stopped immediately or do I have to stop the consumption gradually to ween off?
In some cases, it always advisable to stop the intake of some medicines gradually because of the rebound effect of the medicine.
It's wise to get in touch with your doctor as a professional advice is needed in this case regarding your health, medications and further recommendation to give you a stable health condition.
What other drugs will affect Zigabal?
Taking this medicine with other drugs that make you sleepy can worsen this effect. Ask your doctor before taking Zigabal with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety or depression.
Many other drugs can interact with Zigabal. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Give a list of all your medicines to any healthcare provider who treats you. Not all possible interactions are listed in this medication guide.
How should I take Zigabal?
Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger or smaller amounts or for longer than recommended.
Shake the oral suspension well just before you measure a dose. Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.
Give the liquid directly from the oral syringe, or mix the medicine with a small glass of water. After using the syringe, rinse it with water and allow it to air dry.
You may take the Zigabal oral liquid or regular tablet with or without food.
Take the Zigabal extended-release tablet (Oxtellar XR) on an empty stomach, at least 1 hour before or 2 hours after a meal.
Do not crush, chew, or break an extended-release tablet. Swallow it whole.
Do not stop using Zigabal suddenly, even if you feel fine. Stopping suddenly may cause increased seizures. Get your prescription refilled before you run out of medicine completely.
While using Zigabal, you may need frequent blood tests.
Wear a medical alert tag or carry an ID card stating that you take Zigabal. Any medical care provider who treats you should know that you are using Zigabal.
Seizures are often treated with a combination of drugs. Use all medications as directed by your doctor. Read the medication guide or patient instructions provided with each medication. Do not change your doses or medication schedule without your doctor's advice.
Store at room temperature away from moisture and heat. Throw away any unused liquid 7 weeks after opening the bottle.
Who should not take Zigabal?
You should not take this medicine if you are allergic to Zigabal.
To make sure Zigabal is safe for you, tell your doctor if you have:
liver disease;
kidney disease;
depression, or a mood disorder;
a history of suicidal thoughts or actions;
if you are allergic to carbamazepine (Carbatrol, Tegretol).
Some young people have thoughts about suicide when first taking an antidepressant. Your doctor will need to check your progress at regular visits while you are using Zigabal. Your family or other caregivers should also be alert to changes in your mood or symptoms.
FDA pregnancy category C. Do not start or stop taking Zigabal during pregnancy without your doctor's advice. Having a seizure during pregnancy could harm both mother and baby. Tell your doctor right away if you become pregnant while taking Zigabal for seizures.
If you are pregnant, your name may be listed on a pregnancy registry. This is to track the outcome of the pregnancy and to evaluate any effects of Zigabal on the baby.
Zigabal can make birth control pills less effective. Ask your doctor about using non hormonal birth control (condom, diaphragm with spermicide) to prevent pregnancy while taking Zigabal.
Zigabal can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are taking Zigabal.
Do not give this medicine to a child without medical advice. There are specific age restrictions for the use of Zigabal in children, depending on the dose form and whether it is used alone or with other medicines.
Can Zigabal be taken or consumed while pregnant?
Please visit your doctor for a recommendation as such case requires special attention.
Can Zigabal be taken for nursing mothers or during breastfeeding?
Kindly explain your state and condition to your doctor and seek medical advice from an expert.
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Reviews
Following the study conducted by gmedication.com on Zigabal, the result is highlighted below. However, it must be clearly stated that the survey and result is based solely on the perception and impression of visitors and users of the website as well as consumers of Zigabal. We, therefore, urge readers not to base their medical judgment strictly on the result of this study but on test/diagnosis duly conducted by a certified medical practitioners or physician.
Patient reports
Patient reported useful
No survey data has been collected yet
One patient reported side effects
Does the Zigabal Have Any Side Effects? Based on the survey report from users of gmedication.com, about No side effects number of people suffered some side effect after consumption of Zigabal. All drugs have a portion of undesirable side effects. These effects could be irritations too insignificant for the patient to even notice. However, the side effects of drugs may be determined by several factors like severity of disease and conditions associated with individual patients. However, one of the biggest factors is the dosage consumed. The higher the quantity taken by an individual, the greater the healing effect and the corresponding side effect. All patients have their different intensity of side effects. Ensure you consult your health care provider immediately you notice an unusual side effect affect the consumption of Zigabal.
Patients
%
No side effects
1
100.0%
Patient reported price estimates
No survey data has been collected yet
Patient reported frequency of use
No survey data has been collected yet
Three patients reported doses
What is the specific doses you have used? Zigabal May come in various doses. In most cases, antibiotics, antihypertensive, pain killers and anti-diabetic drugs available in different doses. Your doctor may prescribe any of the doses based on the severity of the patient's condition. According to our reports, users of gmedication.com used the drugs in the following dosage percentage (Provide dosage percentage). Only a handful of drugs are made in a single or fixed dose. Regular health conditions like fever have similar doses. For instance [acetaminophen, 500mg] was used by the patients surveyed although it comes in different doses.
Patients
%
501mg-1g
2
66.7%
6-10mg
1
33.3%
Two patients reported time for results
How long will I use Zigabal before I begin to notice the effect? According to the report by users of gmedication.com, about > 3 month and a few days was the most common time duration among the participants, before they began to feel relief in their health conditions. It is noteworthy that you may not get the same result with other users within the same time frame. Several factors determine the timeframe; hence we implore you to consult your medical expert to get professional advice on how long you should expect to see improvement while consuming Zigabal. However, if you wish to get the response of other users on the time effectiveness of using Zigabal kindly click here
Patients
%
> 3 month
2
100.0%
Patient reported administration
No survey data has been collected yet
Two patients reported age
Patients
%
30-45
1
50.0%
46-60
1
50.0%
Patient reviews
There are no reviews yet. Be the first to write one!