ZEN Retard 200 Tablet (Carbamazepine)

ZEN Retard 200 Tablet

Zen Retard-200 Tablet is an anticonvulsant that is used to control seizures and trigeminal neuralgia. Take this medicine at the same time regularly. Do not take this medicine if you have are suffering from impaired liver function and low WBC count.

Side effects

Major & minor side effects for Zen Retard-200 Tablet
Blurred vision
Diarrhea
Nausea or Vomiting
stiffness of limbs
Headache
Drowsiness
Frequent urination
Weight gain
Yellow colored eyes or skin
Dry mouth
Increased sweating
Skin Rash

Uses of Zen Retard-200 Tablet

What is it prescribed for?
Epilepsy
Zen Retard-200 Tablet is used in the treatment of Epilepsy which is a brain disorder that causes repeated seizures. Uncontrolled jerking movements and loss of consciousness are some of the symptoms of Epilepsy.
Trigeminal Neuralgia
Zen Retard-200 Tablet is used in the treatment of trigeminal neuralgia which is a condition that affects the nerve that carries sensations from face to the brain characterized by chronic pain

Dosage

ZEN 100 Tablet
ZEN 200 Tablet
ZEN Retard 200 Tablet
ZEN Retard 300 Tablet
ZEN Retard 400 Tablet

When not to use?

Allergy
Avoid if you have a known history of allergy to Zen Retard-200 Tablet.
Bone marrow suppression
Do not use this medicine if you have a history of bone marrow suppression or any blood disorder.

Warnings

Warnings for special population
Pregnancy
This medicine is not recommended for pregnant women.
Breast-feeding
This medicine is recommended only if clearly needed when no safer alternative is available. Monitoring of undesired effects like discoloration of eyes and skin is necessary, drowsiness, and weight gain is necessary.
General warnings
Suicidal thoughts
Use of Zen Retard-200 Tablet may increase the risk of suicidal thoughts or depression. Therefore this medicine should be used with caution and prescription size should be limited in patients with depression or suicidal tendencies.
Skin reactions
Zen Retard-200 Tablet may cause severe skin reactions like stevens-johnson syndrome and toxic epidermal necrolysis. Inform the doctor if any symptoms appear and discontinue the treatment as early as possible.
Blood cell count
Zen Retard-200 Tablet may cause agranulocytosis and aplastic anemia. Frequent monitoring of blood cell count is necessary.
Withdrawal symptoms
Zen Retard-200 Tablet should not be stopped immediately without informing the doctor due to the risk of withdrawal symptoms like convulsions, behavioral disorder, tremor, and anxiety. Gradual dose reduction should be made based on the outcomes in the patient.
Impaired liver function
Zen Retard-200 Tablet should be used with caution in the patients with mild to moderate liver injury. Lowest possible doses should be initiated and increase the dose based on the patient’s response. This medicine is not recommended in the patients with severe liver injury.
Impaired kidney function
Use with caution in the patients with the kidney injury. Half of the usual starting dose should be administered if CrCl is less than 50 ml/min.

Dosage

Missed Dose
If you miss a dose of Zen Retard-200 Tablet, take the missed dose as soon as you remember. If it’s almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose.
Overdose
Seek emergency medical treatment or contact the doctor in case of an overdose.

Interactions

All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol
Description
Use of Anticonvulsants with alcohol will increase the central nervous system and respiratory system depression.
Instructions
Consumption of alcohol with this medicine is not recommended as it increases the risk of side effects like dizziness, difficulty in concentration. Do not perform activities that require mental alertness like driving or operating machinery.
Interaction with Medicine
Diltiazem
Ethinyl Estradiol
Azole antifungal agents
Disease interactions
Depression
Zen Retard-200 Tablet should be given with caution in the patients with depression and suicidal thoughts. Frequent monitoring of depression symptoms is necessary. Dose adjustments are to be made based on the outcomes in the patient.
Liver Disease
Zen Retard-200 Tablet should be used with caution in the patients with the mild to moderate liver disease. Frequent monitoring of liver function tests is necessary. Suitable dose adjustments or an alternate medicine should be considered based on the clinical condition.
Food interactions
Information not available.
Lab interactions
Information not available.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.

General Instructions

Take Zen Retard-200 Tablet with or without food. Do not take in larger amounts than advised. Consult the doctor if you experience any undesirable effects. Do not stop taking the medicine without consulting your doctor as it may cause seizures.