Oxcarbazepine: clinical use

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Oxcarbazepine: clinical use. Oxcarbazepine is a sodium channel inhibitor. It is the keto analogue of Carbamazepine. Fully referenced neurology checklist.

Mechanism of action

  • Oxcarbazepine is a sodium channel inhibitor
  • It is the keto analogue of Carbamazepine
  • It has less side effects than Carbamazepine

Dosing

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Indications

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Precautions

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Dermatological side effect: skin eruption

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Dermatological side effect: DRESS syndrome: features

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Neurological side effects

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Hyponatraemia

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Genitourinary side effects

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Systemic side effects

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References

  1. Shorvon S. Oxcarbazepine: a review. Seizure 2000; 9:75-79. 
  2. Goldenberg MM. Overview of drugs used for epilepsy and seizures: etiology, diagnosis, and treatment. P T 2010; 35:392-415.
  3. Smith PE; UK Oxcarbazepine Advisory Board. Clinical recommendations for oxcarbazepine. Seizure 2001; 10:87-91.
  4. Barcs G, Walker EB, Elger CE, et al. Oxcarbazepine placebo-controlled, dose-ranging trial in refractory partial epilepsy. Epilepsia 2000; 41:1597-1607.
  5. Gelisse P, Genton P, Kuate C, Pesenti A, Baldy-Moulinier M, Crespel A. Worsening of seizures by oxcarbazepine in juvenile idiopathic generalized epilepsies. Epilepsia 2004; 45:1282-1286.
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