section name header

Pronunciation ⬇

ox-kar-BAZ-e-peen

Classifications ⬆ ⬇

Therapeutic Classification: anticonvulsants

Pharmacologic Classification: carbamazepine analogues

Indications ⬆ ⬇

BEERS REMS


Unlabeled Use:

Action ⬆ ⬇

  • Blocks sodium channels in neural membranes, stabilizing hyperexcitable states, inhibiting repetitive neuronal firing, and decreasing propagation of synaptic impulses.
Therapeutic effects:
  • Decreased incidence of seizures.

Pharmacokinetics ⬆ ⬇

Absorption: Rapidly absorbed after oral administration and rapidly converted to the active 10-hydroxy metabolite (MHD).

Distribution: Extensively distributed to tissues.

Metabolism/Excretion: Extensively converted to the active metabolite, MHD, which is then primarily excreted by the kidneys.

Half-Life: Oxcarbazepine: 2 hr; MHD: 9 hr.

Time/Action Profile ⬆ ⬇

(plasma concentrations)

ROUTEONSETPEAKDURATION
POPOrapid4.5 hr‡

‡Steady-state levels of MHD are reached after 2–3 days during twice-daily dosing.

Contraind./Precautions ⬆ ⬇

Contraindicated in:

Use Cautiously in:

Exercise Extreme Caution in:

Adv. Reactions/Side Effects ⬆ ⬇

Interactions ⬆ ⬇

Drug-drug:

Route/Dosage ⬆ ⬇

Renal Impairment

Availability ⬆ ⬇

(Generic available)

Assessment ⬆ ⬇

Lab Test Considerations:

Implementation ⬆ ⬇

Patient/Family Teaching ⬆ ⬇

Evaluation/Desired Outcomes ⬆ ⬇

US Brand Names ⬆ ⬇

Oxtellar XR, Trileptal

Code ⬆

NDC Code