Shitol 200mg Tablets

• If you are allergic to carbamazepine or any other ingredient of Shitol Tablet.
• If you are allergic to tricyclic antidepressants such as clomipramine, imipramine, amitriptyline, nortriptyline, doxepin. Ask your doctor what these medicines are if you are not sure.
• If you have a type of heart block known as an atrioventricular block (AV block).
• If you have had a history of bone marrow depression (decreased number of those cells in the bone marrow that can develop into all types of blood cells).
• If you have a history of hepatic porphyrias (acute intermittent porphyria, variegate porphyria, porphyria, cutanea tarda).
• Shitol Tablet is contraindicated to be used along with monoamine oxidase inhibitors (MAO's like selegiline, rasagiline, phenelzine, tranylcypromine).

• Nausea
• Vomiting
• Red itchy skin bumps
• Dizziness
• Swelling

Other General Warnings

• You have a history of bone marrow depression.
• You have or have a history of any kind of liver or kidney disease.
• You have any kind of heart disease.
• You have thyroid disorders and take medicines for them.
• You have taken medicines called monoamine oxidase inhibitors (MAOIs) within the last 14 days.
• If you develop symptoms like skin rashes, itchy bumps, mouth sores, blistering or peeling of the skin, yellowing of the skin and eyes, severe weakness, severe muscle pain, unusual bruising or bleeding, frequent infections that do not go away, fever, trouble swallowing or breathing, tiny pinpoint red to purple spots on your skin. These may indicate serious problems in your liver or blood cells.
• You develop signs and symptoms of an allergic reaction to the medicine (fever, rashes, weakness, red itchy skin bumps, nausea, vomiting, dizziness, sleepiness, impaired coordination, swelling, decrease in white blood cells count).
• You are pregnant or planning on becoming pregnant soon.
• You are a woman and do not use an effective method of contraception or use oral hormonal contraceptives.
• You experience an increase in the frequency of seizures after taking Shitol Tablet.

• Take Shitol Tablet as a whole with sufficient water.
• Always take this medicine exactly as prescribed by your doctor.
• Do not consume more than the prescribed dose.
• Do not discontinue the medicine on your own without consulting your doctor.

• Store Shitol Tablets in a cool and dry place below 30°C away from direct sunlight.
• Keep it out of reach of children and pets.

Overdose

Missed a Dose

How Does It Work?

Interactions with other medicines

• Some medicines can affect the way Shitol Tablet works or this Tablet itself can reduce the effectiveness of other medicines taken at the same time.
• Tell your doctor about all medicines, supplements or herbals you are currently taking or might take to avoid any possible interaction.
• Care should be taken when Shitol Tablet is given along with CYP3A4 inhibitors (erythromycin, clarithromycin, ketoconazole, itraconazole, verapamil, diltiazem, ritonavir, grapefruit juice), CYP3A4 inducers (rifampicin, barbiturates, anti-epileptic medicines) or inhibitors of epoxide hydrolase. The dose of Shitol should be adjusted accordingly.
• This Tablet may reduce the effect of oral hormonal contraceptives and lead to failure of contraception. Women of childbearing potential (women who have not yet reached menopause and are capable of becoming pregnant) should be advised to use other effective methods of contraception.
• This medicine interacts with monoamine oxidase inhibitors (MAO inhibitors like selegiline, rasagiline, isocarboxazid, phenelzine, tranylcypromine) and are not to be taken together.
• Special attention must be paid to combinations of Shitol Tablet with levetiracetam, isoniazid, lithium, diuretics (hydrochlorothiazide, furosemide) and direct-acting anti-coagulants (rivaroxaban, dabigatran, apixaban, edoxaban).