Some common side effects reported with this medicine include: * Drowsiness, * headache, * ataxia, * vertigo, * fatigue, * diplopia, * dizziness, * nausea, * vomiting, * allergic skin reactions, * edema, * fluid retention, * dry mouth, * leucopenia, * eosinophilia. * Rarely, serious hematologic, hepatic, cardiovascular and dermatologic reactions * Tell your doctor and pharmacist if you are allergic to Epival or any other drugs. * Talk with your physician or pharmacist if you are taking other medications. * tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially other seizure medications, acetaminophen (Tylenol), astemizole (Hismanal), clarithromycin (Biaxin), danazol (Danocrine), diltiazem (Cardiazem), doxycycline (Vibramycin), erythromycin, haloperidol (Haldol), isoniazid (INH), lithium, medications for colds or Allergies such as chlorpheniramine (Chlor-Trimeton), medications for depression such as amitriptyline (Elavil) and fluoxetine (Prozac), oral contraceptives, propoxyphene (Darvon), sedatives such as phenobarbital, terfenadine (Seldane), theophylline (Theo-Dur), verapamil (Calan), and vitamins. Carbamazepine affects the action of other medications, and many medications can affect the action of Epival. Tell your doctor and pharmacist everything you are taking. * do not take Epival liquid at the same time as any other liquid medications. * tell your doctor if you have or have ever had heart, kidney, or liver disease; glaucoma; high blood pressure; or a history of blood clots or blood disorders. * tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking Epival, call your doctor immediately. Epival may harm the fetus. * if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking carbamazepine. * you should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how this drug affects you. * remember that alcohol can add to the drowsiness caused by this drug. * plan to avoid unnecessary or prolonged exposure to sunlight and to wear protective clothing, sunglasses, and sunscreen. Epival may make your skin sensitive to sunlight. Seek medical attention immediately. For non emergencies, contact your local or regional poison control center. Take your next dose as soon as you remember. If it is time for your next dose, skip the missed dose and go back to your regular schedule. Do not take a double dose to make up for a missed one. Keep this medication in the container it came in, tightly closed, and out of the reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication. 200 mg tablets, 100 mg and 200 mg Chewtabs, 200 mg and 400 mg CR (controlled-release) tablets, 100 mg/5mL oral suspension. The above is quoted from the website linked below.
The shelf life of Epival is approximately three years. The more common name for Epival is Depakote, and it is commonly prescribed for bipolar disorder.
If the withdrawal is sudden, and the patient is epileptic and Epival is the only medication used to control the epilepsy, then seizures would certainly re-occur. If the patient is taking Epival for mania and no other mood stablizer is substituted, and the patient is also taking an anti-depressant, mood cycling may occur. If the withdrawal is gradual, no side-effects from it are to be expected, if a substitute medicine is used for the condition of the patient. In case the medication is no longer needed, therefore, the best way to remove Epival is gradually, although some persons have anyway reported symptoms such as tremor, headache, abdominal pain, and hair loss, even upon gradual withdrawal. But these symptoms are related more to Epival use, short-term and long-term.
Epival is used to either treat specific types of seizures and manic depression. Side effects include headache, loss of appetite, and cramps. Those who have blood clotting issues, kidney disease, pregnant or breastfeeding, and problems with the liver should take precautions. Keep in mind it may cause drowsiness and may even result in suicidal thoughts.
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I am not sure, I am trying to figure it out. I take 2000mg of it for BPD.
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