Epanutin 30mg/5ml oral suspension

Epanutin suspension is used to treat epilepsy. People with epilepsy are prone to having periods of uncontrolled electrical activity in the brain. These periods of uncontrolled electrical activity may lead to seizures. Epanutin suspension helps to control electrical activity in the brain. This reduces the chances of having seizures. Epanutin suspension can also be used to prevent or treat seizures caused by brain surgery or head injury. It may also be used in addition to other medicines to treat trigeminal neuralgia.

Other information about Epanutin suspension:

Do not share your medicine with other people. It may not be suitable for them and may harm them.

The pharmacy label on your medicine tells you how much medicine you should take. It also tells you how often you should take your medicine. This is the dose that you and your prescriber have agreed you should take. You should not change the dose of your medicine unless you are told to do so by your prescriber.

If you feel that the medicine is making you unwell or you do not think it is working, then talk to your prescriber.

Some medicines work best if they are taken at a specific time of day. Getting the most from your medicine can also be affected by what you eat, when you eat and the times at which you take other medicines.

In the case of Epanutin suspension:

Some medicines have specific instructions about how to take them. This is because they work better when taken correctly. These instructions can include getting the right dose and special instructions for preparing the medicine.

In the case of Epanutin suspension:

If you are having problems taking this medicine, you should talk to your prescriber or pharmacist. They may be able to give you advice on other ways to take your medicine or other medicines that are easier for you to take.

Taking extra doses of some medicines can be harmful. In some cases even one extra dose can cause you problems. If you take extra doses of your medicine, you must get medical advice immediately. You may need a test to assess the effect of taking extra doses. This is because the effects of taking too much medicine are very complex so it is very important that you seek medical advice.

Contact your prescriber, pharmacist, specialist clinic or NHS Direct on 0845 46 47 for advice.

Make sure you take all of your medicine containers with you if you are advised to go to hospital.

If you are not having any problems taking this medicine then do not stop taking it, even if you feel better, unless advised to do so by your prescriber. If, however, you find that this medicine is causing you problems then you should talk to your prescriber about your concerns.

If your medical team decides that it is best that you do not take this medicine any more, they may advise that you do not stop Epanutin suspension abruptly. This is because, in some instances, stopping Epanutin suspension abruptly can cause withdrawal symptoms or cause status epilepticus. Reducing the dose of Epanutin suspension gradually over time may reduce the chances of having these problems.

If you are in any doubt, contact your prescriber, pharmacist, specialist clinic or NHS Direct on 0845 46 47.

The instructions on how you should keep your medicine are on the pharmacy label. You should keep your medicine in the original container. This will help to keep your medicine in the best condition and also allow you to check the instructions. Do not take the medicine if the packaging appears to have been tampered with or if the medicine shows any signs of damage. Make sure that the medicine is out of the sight and reach of children.

In the case of Epanutin suspension:

You must not take the medicine after the expiry date shown on the packaging. If you have any unused medicine, return it to your pharmacist who will dispose of it safely.

Epanutin suspension is not suitable for everyone and some people should never use it. Other people should only use it with special care. It is important that the person prescribing this medicine knows your full medical history.

Your prescriber may only prescribe this medicine with special care or may not prescribe it at all if you:

As part of the process of assessing suitability to take this medicine a prescriber may also arrange tests:

Over time it is possible that Epanutin suspension can become unsuitable for some people, or they may become unsuitable for it. If at any time it appears that Epanutin suspension has become unsuitable, it is important that the prescriber is contacted immediately.

A medicine is only made available to the public if the clinical trials have shown that the benefits of taking the medicine outweigh the risks.

Once a medicine has been licensed, information on the medicine's effects, both intended and unintended, is continuously recorded and updated.

Some side-effects may be serious while others may only be a mild inconvenience.

Everyone's reaction to a medicine is different. It is difficult to predict which side-effects you will have from taking a particular medicine, or whether you will have any side-effects at all. The important thing is to tell your prescriber or pharmacist if you are having problems with your medicine.

The frequency of these side-effects is unknown

• abnormal eye movements
• abnormal laboratory test results
• abnormal muscle movement
• allergic or hypersensitivity reactions - these may be fatal. These reactions may occur with joint pain
• anaphylactic reactions
• blood and bone marrow problems - these may be fatal
• brain and central nervous system problems this may occur when there are very high levels of this medicine in the blood. Some of these brain and central nervous system problems may lead to permanent brain injury. You or your carer must seek immediate medical advice if you have confusion, delirium or psychosis
• coarsening of facial features
• constipation
• coordination problems
• difficulty sleeping
• Dupuytren's contracture
• feeling dizzy
• feeling drowsy
• feeling nervous
• folic acid deficiency
• hair overgrowth
• headaches
• high blood sugar
• increase in the size of the lips
• inflammation of the lung and breathing problems
• kidney problems
• liver problems
• lupus or lupus-like problem
• lymphadenopathy
• may affect the results for certain tests
• nausea
• neuropathies
• overgrowth of gums
• paraesthesiae
• Peyronie's disease
• polyarteritis nodosa
• polyarthropathy
• problems controlling movement
• skin problems including skin rashes, dermatitis, Stevens-Johnson syndrome or toxic epidermal necrolysis. Some of these may be fatal. Seek immediate medical advice if you have skin rashes, blisters, fever or other signs of hypersensitivity such as itching
• speech problems
• status epilepticus can occur when this medicine is stopped abruptly
• tremors
• twitching
• uncovering symptoms of depression or suicidal tendencies - seek medical advice if you get thoughts of committing suicide or attempt suicide
• vertigo
• vitamin D - low level in the body. This may lead to rickets, other bone problems or certain metabolic problems
• vomiting
• worsening of porphyria

If you feel unwell or if you have concerns about a side-effect, you will need to seek advice. If you feel very ill, get medical help straight away. Contact your prescriber, pharmacist, nurse or call NHS Direct on 0845 46 47.

If you are taking more than one medicine they may interact with each other. At times your prescriber may decide to use medicines that interact, in other cases this may not be appropriate.

The decision to use medicines that interact depends on your specific circumstances. Your prescriber may decide to use medicines that interact, if it is believed that the benefits of taking the medicines together outweigh the risks. In such cases, it may be necessary to alter your dose or monitor you more closely.

Tell your prescriber the names of all the medicines that you are taking so that they can consider all possible interactions. This includes all the medicines which have been prescribed by your GP, hospital doctor, dentist, nurse, health visitor, midwife or pharmacist. You must also tell your prescriber about medicines which you have bought over the counter without prescriptions.

The following medicines may interact with Epanutin suspension:

The following types of medicine may interact with Epanutin suspension:

If you are taking Epanutin suspension and one of the above medicines or types of medicines, make sure your prescriber knows about it.

Medicines can interact with complementary preparations and vitamins.

Make sure you tell your prescriber the names of all the complementary preparations and vitamins that you are taking or are planning to take.

Your prescriber can then decide whether it is appropriate for you to take combinations that are known to interact.

In the case of Epanutin suspension:

If you have been prescribed Epanutin suspension you should only take something on the above list on the specific advice of your prescriber or pharmacist.

When taking any medicine you should be aware that it might interfere with your ability to drive or operate machinery safely.

In the case of Epanutin suspension:

You should see how this medicine affects you before you judge whether you are safe to drive or operate machinery. If you are in any doubt about whether you should drive or operate machinery, talk to your prescriber.

Medicines can interact with certain foods. In some cases, this may be harmful and your prescriber may advise you to avoid certain foods.

In the case of Epanutin suspension:

For more advice speak to your prescriber, nutritionist or pharmacist.

Alcohol can interact with certain medicines.

In the case of Epanutin suspension:

You should seek advice from your prescriber as to whether you may drink alcohol while taking this medicine.

Most medicines, in some way, can affect the development of a baby in the womb. The effect on the baby differs between medicines and also depends on the stage of pregnancy that you have reached when you take the medicine.

In the case of Epanutin suspension:

You need to discuss your specific circumstances with your doctor to weigh up the overall risks and benefits of taking this medicine. You and your doctor can make a decision about whether you are going to take this medicine during pregnancy.

If the decision is that you should not have Epanutin suspension, then you should discuss whether there is an alternative medicine that you could take during pregnancy.

Certain medicines can pass into breast milk and may reach your baby through breast-feeding.

In the case of Epanutin suspension:

Before you have your baby you should discuss breast-feeding with your doctor or midwife. They will help you decide what is best for you and your baby based on the benefits and risks associated with this medicine. If you wish to breast-feed you should discuss with your prescriber whether there are any other medicines you could take which would also allow you to breast-feed. You should not stop this medicine without taking advice from your doctor.

Medicines contain active ingredients. They may also contain other, additional ingredients that help ensure the stability, safety and effectiveness of the medicine. They are also added to improve the medicine's taste and appearance and to make it easier to take. Some may be used to prolong the life of the medicine.

You should check that you are able to take the ingredients in your medicine, especially if you have any allergies.

Epanutin suspension contains:

If you are not able to take any of the ingredients in your medicine, talk to your prescriber or pharmacist to see if they can suggest an alternative medicine. If you have reacted badly to Epanutin suspension before, do not take Epanutin suspension. Talk to your prescriber, pharmacist or nurse as soon as possible.