ZEPTOL 200 (200mg Carbamazepine)

Product Information

• Strength: 200 mg tablet
• Class: Antiepileptic medicine (sodium channel blocker)
• Form: Oral tablet
• Active ingredient: Carbamazepine

Why is this Medication Prescribed?

ZEPTOL is prescribed to control seizures in patients with epilepsy. It is also used to relieve severe nerve pain such as trigeminal neuralgia and diabetic neuropathy.

Uses

• Epilepsy / seizures
• Trigeminal neuralgia (nerve pain affecting the face)
• Diabetic nerve pain (diabetic neuropathy)

Benefits

• Reduces the frequency and severity of seizures
• Improves confidence in daily activities by better seizure control
• Relieves severe nerve pain in the face, head, or neck
• Eases diabetic-related nerve pain, improving comfort and quality of life
• Does not cause addiction or dependence, but must not be stopped suddenly

How Should this Medicine be Used?

• Take exactly as prescribed by your doctor
• May be taken with or without food

• Take at the same time each day for maximum benefit
• Swallow tablets whole with water
• Do not stop suddenly; your dose may need to be reduced gradually
• Take regularly, even if you feel well — missing doses can trigger seizures

Other Uses

Carbamazepine may also be prescribed for certain psychiatric or neurological conditions, but only under medical supervision.

⚠️ Suicide & Mental Health Risk Warning

This medicine may increase the risk of mood changes, depression, or suicidal thoughts.

• Monitor for new or worsening mood symptoms
• Report agitation, sadness, or self-harm thoughts immediately to your doctor
• Family or caregivers should watch for changes in mood or behavior

⚠️ Liver Toxicity Warning

This medicine may cause liver damage.

• Your doctor may order blood tests to monitor liver function
• Stop taking the medicine and seek medical care if you develop:
  • Yellowing of the skin or eyes
  • Dark urine
  • Persistent nausea or abdominal pain
• Avoid alcohol, which increases liver risk

⚠️ Blood Disorder Risk Warning

Carbamazepine may rarely cause serious blood problems (including aplastic anemia or agranulocytosis).

• Your doctor may order regular blood tests to monitor blood counts
• Seek medical help immediately if you develop:
  • Unexplained fever or chills
  • Sore throat
  • Mouth ulcers
  • Easy bruising or unusual bleeding
  • Severe fatigue or weakness

Special Precautions

• Inform your doctor if you have:
  • Heart disease
  • Liver or kidney problems
  • Difficulty urinating
  • Depression or other mental illness
• Regular blood tests (including CBC) may be required before and during treatment
• Inform your doctor of all medicines you are taking — carbamazepine interacts with many drugs
• Use caution when driving or operating machinery, as this medicine may cause drowsiness or dizziness
• Not recommended in pregnancy unless clearly necessary — consult your doctor
• Avoid alcohol during treatment

Possible Side Effects

Common side effects:

• Dizziness
• Nausea or vomiting
• Constipation
• Sleepiness or tiredness
• Abnormal movements or unsteadiness
• Dry mouth or itching
• Blurred vision or slurred speech

Serious side effects (seek medical advice immediately):

• Skin rash (may indicate serious allergic reaction)
• Mood changes, depression, or suicidal thoughts
• Sudden worsening of seizures
• Signs of liver problems (yellowing skin/eyes, dark urine, abdominal pain)
• Symptoms of blood disorders (fever, sore throat, mouth ulcers, unexplained bruising)

Storage & Disposal

• Store at room temperature, away from heat, moisture, and sunlight
• Keep out of reach of children
• Do not use after expiry date
• Dispose of unused tablets safely — do not flush into drains

Emergency Guidance

• Call emergency services if you develop:
  • Severe rash or allergic reaction (swelling of face, lips, throat, or difficulty breathing)
  • Severe mood changes or suicidal thoughts
  • Signs of serious blood disorder (fever, sore throat, mouth ulcers, unusual bruising)
  • Severe dizziness, fainting, or seizures despite taking medicine
• If overdose is suspected, go to the nearest emergency department immediately