Indication
Adjunctive therapy with valproate, Adjunctive therapy without valproate, Bipolar disorders, Epilepsy, Epilepsy (monotherapy), Partial seizures, Seizures, Tonic-clonic seizures, Generalised epilepsy with absence seizures.
Contra Indication
Renal failure, Hepatic failure, Hypersensitivity, History of allergy, children below 16 years of age.
Caution
Closely monitor patient. Monitor children's body wt. Advise patient to report any hypersensitivity reaction. Avoid abrupt withdrawal unless severe skin reactions have developed. May impair ability to drive or operate machinery. Pregnancy and lactation.
Side Effect
Ataxia, Thrombocytopenia, Aplastic anemia, Stevens johnson syndrome, Epidermal necrolysis, Lymphadenopathy, Angioedema, Leucopenia, Neutropenia, Nystagmus, Extrapyramidal symptoms, Pancytopenia, Tremors, Hepatic failure, Facial edema, Choreoathetosis. Dizziness, Headache, Drowsiness, Irritability, Nausea, Fever, Anxiety, Insomnia, Blurred vision, Maculopapular rash, Rashes, Sedation, Depression, Tremor, Diplopia, Arthralgia, SomnolenceX, Agitation, Anemia, Liver dysfunction, Aggression.