✅ Product Benefits
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Extended‑release formula
Sustained delivery reduces peaks and troughs, minimizing nausea and GI upset common with immediate-release forms. -
Broad-spectrum clinical use
Module for various seizure types (e.g. tonic‑clonic, absence, myoclonic), bipolar mania, febrile convulsions, and migraine prophylaxis. -
Flexible dosing regimens
Can be given once or twice daily. Adult titration starts around 600 mg/day (in divided doses), increased to 1–2 g/day based on clinical goals. Pediatric dosing weight-based. -
GABA potentiator
Increases brain GABA levels, helping stabilize neuronal excitability and mood regulation. -
Well‑documented safety monitoring framework
Requires liver function monitoring due to risk of hepatic enzyme rise; rare cases of fatal hepatitis especially under age 2 or with polytherapy.Common and rare side effects
Frequent: nausea, vomiting, sedation, tremor, weight gain, hair loss. Rare: pancreatitis, thrombo‑cytopenia, cognitive effects, Stevens-Johnson syndrome.
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Minimal drug metabolism interactions
Inhibits CYP2C9 and phase II pathways; interacts with phenobarbital, phenytoin, warfarin, and aspirin. -
Contraindications
Not recommended in liver dysfunction, urea cycle disorders, known hypersensitivity, or during pregnancy (high teratogenic risk). -
Affordable & widely available
Priced at about ৳0.80 per tablet (~৳8 per strip of 10); distributed through major Bangladeshi pharmacies.
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