What is Oxcarbazepine 150 mg used for?

In the pharmaceutical industry, Oxcarbazepine 150 mg is a key Anticonvulsant or antiepileptic drug (AED). As a pharmacist and manufacturer, I classify this as a “keto-derivative” of carbamazepine. While it is structurally similar to carbamazepine, it is metabolized differently, which typically results in fewer drug-to-drug interactions and a better tolerability profile for the patient.

Primary Clinical Uses

  • Partial Seizures (Focal Seizures): It is indicated for use as both monotherapy (on its own) and adjunctive (add-on) therapy in adults and children (aged 4 years and older) with partial-onset seizures.

  • Bipolar Disorder (Off-label): Occasionally used by psychiatrists as a mood stabilizer for patients who do not tolerate Lithium or Valproate well.

  • Trigeminal Neuralgia: Sometimes prescribed to manage the intense nerve pain associated with this condition, similar to its predecessor, Carbamazepine.

Mechanism of Action: Voltage-Gated Sodium Channel Blockade

Oxcarbazepine works by stabilizing hyper-excited nerve membranes.

Metabolic Activation: Oxcarbazepine is a prodrug that is rapidly and almost completely reduced in the liver to its active metabolite, 10-monohydroxy derivative (MHD).

Channel Blockade: MHD blocks voltage-sensitive sodium channels.

Prevention of Seizure Spread: By blocking these channels, the drug prevents the repetitive firing of neurons and stops the electrical “storm” from spreading across the brain, thereby preventing a seizure.

Calcium Modulation: It also modulates high-voltage-activated calcium channels, further stabilizing neuronal activity.

The Manufacturer’s Perspective: Technical & Export

From a production standpoint at your WHO-GMP facility, Oxcarbazepine 150 mg requires specialized pharmaceutical engineering:

  • The 150 mg “Titration Dose”: As a firm owner, you know the 150 mg strength is critical for dose titration. Treatment usually starts low to minimize side effects like dizziness or nausea, then scales up to 300 mg or 600 mg. Highlighting this “starting dose” availability is a great B2B selling point.

  • Solubility & Bioavailability: Oxcarbazepine is a BCS Class II molecule (low solubility). At our Mumbai facility, we utilize micronization and specific binders to ensure the 150 mg tablet meets strict BP/USP/IP dissolution profiles.

  • Hyponatremia Monitoring: A technical detail for your Product Information Leaflet (PIL) is the risk of low sodium levels (hyponatremia). Including this in your documentation shows your firm’s commitment to patient safety and regulatory excellence.

  • Stability & Packaging: We utilize Alu-Alu or high-barrier PVC/PVDC blister packaging to protect the API from moisture, ensuring a 36-month shelf life for export to Zone IVb regions.