Zigma CR 200mg Tablet 10’S

INTRODUCTION

ZIGMA CR 200MG contains Carbamazepine which belongs to the group of medicines called Anticonvulsants. It is used to treat certain forms of epilepsy (fits or seizures) and trigeminal neuralgia (painful condition of the face). It can also be used to control the symptoms of bipolar disorder if other medicines are not effective. Bipolar disorder (also known as manic depression) is a mental disorder characterized by alternative episodes of mania (sudden unusual extreme sense of happiness) and depression.

Carbamazepine controls seizure (fits) by reducing the abnormal activity of the nerve cells in the brain. It also reduces pain by blocking the transmission of pain signals across the nervous system. It can stabilize your mood by reducing the activation of nerve cells at certain regions of the brain that causes abnormal mood changes. During and prior to the treatment, your doctor would recommend you several blood tests to understand your existing condition.

Before taking ZIGMA CR 200MG inform your doctor if you have any liver or kidney diseases. ZIGMA CR 200MG is not recommended for use in patients who have or ever had porphyria (a blood disorder), any heart problems, or problems in bone marrow. Avoid consumption of alcohol or grapefruit juice while taking ZIGMA CR 200MG as it may lead to unwanted side effects.

ZIGMA CR 200MG should be used in pregnant and breastfeeding women only if it is considered necessary by the physician. It is not recommended for use in children aged below 5 years. The most common side effects of taking ZIGMA CR 200MG are nausea, vomiting, increased bleeding tendency, headache, weight gain, dizziness, and blurred vision. Consult your doctor if any of the side effect worsen. Also, inform your doctor immediately if your mood becomes excessively depressed along with thoughts of self-harming or killing.

USES OF ZIGMA CR 200MG
Treats certain forms of epilepsy (fits or seizures) and trigeminal neuralgia (painful condition of the face)
Controls bipolar disorder if other medicines are not effective
HOW ZIGMA CR 200MG WORKS

ZIGMA CR 200MG controls seizures by stopping the abnormal build-up of electrical signals within the brain. It acts as a specific analgesic for trigeminal neuralgia, by blocking various pain reflexes caused by stimulation of nerves in the face. It also acts as a mood stabilizer by reducing the activation of nerve cells at certain regions of the brain that causes abnormal mood changes.

DIRECTIONS FOR USE

Take ZIGMA CR 200MG as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. It can be taken with or without meals. Your doctor will decide the suitable dose and duration of therapy for you depending upon your age, body weight and disease condition. Do not stop taking ZIGMA CR 200MG without consulting your doctor as it may make your symptoms to reappear.

SIDE EFFECTS OF ZIGMA CR 200MG
COMMON
Reduced WBC count causing frequent infections
Dizziness, tiredness, losing balance, nausea, or vomiting
Abnormal bleeding and bruising
Fluid retention and swelling
Weight gain
UNCOMMON
Abnormal uncontrollable body movements including tremor or tics
Abnormal eye movements
Diarrhoea and constipation
RARE
Disorders of lymph glands
Increased blood pressure (which may make you feel dizzy, with a flushed face, headache, fatigue, and nervousness)
Hallucinations, confusion, restlessness, depression, anxiety, and loss of appetite
Abnormalities in speech
Numbness and tingling of hands and feet
Muscle weakness

Stop taking ZIGMA CR 200MG and contact your doctor immediately if you experience any of the following side effects:

Serious skin reactions such as Stevens-Johnson syndrome or toxic epidermal necrolysis (skin rash with widespread blistering and peeling of the skin, ulcerations in the mouth, throat, nose, genitals, and eyes, fever, flu-like symptoms, headache, and body ache) or lupus erythematosus (rash across the bridge of nose and cheeks with painful joints and muscles)
Suicidal thoughts (thoughts of harming or killing themselves)
Fall due to dizziness, drowsiness, decreased blood pressure and confusion
Signs of severe allergic reactions (such as skin rash, itching, swelling of face especially lips, throat, mouth, and eyes causing difficulty in breathing)
Stomach pain
HOW TO MANAGE SIDE EFFECTS

Nausea and Vomiting:

Take ZIGMA CR 200MG with or just after meals. Stick to simple meals. Avoid eating oil rich or spicy foods. Consult your doctor if your nausea worsens.

Diarrhea:

Hydrate yourself by drinking plenty of fluids, such as water or fruit juices. Consuming ORS can also be beneficial. Do not self-treat diarrhea on your own. Consult your doctor if your diarrhea becomes uncontrollable.

Headache:  

Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as water or electrolytes. Applying a pain-relieving balm on your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.

Dizziness:

Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines completely while you are feeling dizzy. Do not consume excessive alcohol, as it could aggravate your dizziness. Consult your doctor if your dizziness worsens.

Constipation:

Eat plenty of fibre rich foods such as fresh fruits, vegetables, and cereals. Drink plenty of fluids. Exercise more regularly. Consult your doctor if this side effect bothers you.

WARNING & PRECAUTIONS
PREGNANCY

ZIGMA CR 200MG should not be used in pregnant women unless considered necessary by the physician. Therefore, consult your doctor before taking. It is also not recommended for use in women who are planning to become pregnant. Women of childbearing potential should use a suitable non-hormonal contraceptive method to avoid pregnancy while undergoing therapy with ZIGMA CR 200MG.

BREASTFEEDING

ZIGMA CR 200MG should be used with caution in breastfeeding women, as it may pass through breast milk and cause certain side effects in the breastfeeding infant. Therefore, consult your doctor before taking.

DRIVING AND USING MACHINES

Do not drive or operate any heavy tools or machines if you experience dizziness, drowsiness or blurred vision after taking ZIGMA CR 200MG.

ALCOHOL

Avoid consumption of alcohol while taking ZIGMA CR 200MG as it might make you feel dizzier.

KIDNEY

ZIGMA CR 200MG should be used with caution in patients having kidney diseases associated with low sodium level in the blood. Therefore, consult your doctor before taking it.

LIVER

ZIGMA CR 200MG should be used with caution in patients having liver diseases. Therefore, consult your doctor before taking it.

ALLERGY

Do not take ZIGMA CR 200MG if you are allergic to carbamazepine or similar medicines such as oxcarbazepine, phenytoin, primidone, phenobarbital, or antidepressants (such as amitriptyline or imipramine).

HEART DISEASE

ZIGMA CR 200MG is not recommended for use in patients having heart diseases. Therefore, consult your doctor before taking it.

OTHERS

ZIGMA CR 200MG is not recommended for use if you:

 Have ever had any bone marrow disorders
 Have porphyria (a blood disorder)

Before taking ZIGMA CR 200MG, inform your doctor if you:

Have absence seizure (seizure with brief sudden lapses of consciousness)
Have any mental illness
Have any eye conditions such as glaucoma (increased pressure in the eyes)
Have any difficulties in retaining urine

Use in pediatrics:

ZIGMA CR 200MG is generally not recommended for use in children aged below 5 years. It should be used with caution in children and adolescents (aged between 5-15 years). Therefore, consult your doctor before taking.

Use in geriatrics:

ZIGMA CR 200MG should be used with caution in elderly patients. Therefore, consult your doctor before taking.

INTERACTIONS

A. Drug-Drug Interactions:

Before taking ZIGMA CR 200MG, inform your doctor if you are taking any of the following:

Hormonal contraceptives Ex. estradiol, dydrogesterone
Hormone replacement therapy (used to treat hormonal imbalances) Ex. oestrogen, progestins
Medicines used to treat depression and anxiety (Ex. viloxazine, citalopram, escitalopram, midazolam, clonazepam, lorazepam)
Corticosteroids (medicines used to treat pain and inflammation) Ex. methylprednisolone, prednisolone, dexamethasone
Anti-coagulants (medicines used to control blood clotting) Ex. heparin, warfarin
Medicine used to treat skin infections (Ex. ciprofloxacin)
Antifungals (medicines used to treat fungal infections) Ex. fluconazole, itraconazole
Medicines used to treat pain (Ex. paracetamol, dextropropoxyphene, tramadol, methadone, buprenorphine)
Other medications used to treat epilepsy (Ex. phenobarbital, phenytoin)
Antihistamines (medicines used to treat allergic reactions) Ex. cetirizine, fexofenadine
Medicines used to treat high blood pressure (Ex. captopril, enalapril)
Diuretics (medicines used to increase urine output) Ex. hydrochlorothiazide and furosemide
Cimetidine and omeprazole (medicines used to treat stomach ulcers)
Isotretinoin (a medicine used to treat acne)
Metoclopramide or aprepitant (medicines used to treat nausea and vomiting)
Acetazolamide (a medicine used to treat glaucoma)
Danazol or gestrinone (medicines used to treat excessive tissue growth in the uterus)
Medicines used to treat asthma (Ex. theophylline or aminophylline)
Immunosuppressants (medicines used to suppress immune system and to prevent graft rejection) Ex. ciclosporin, tacrolimus, sirolimus
Medicines used to treat schizophrenia (Ex. paliperidone, aripiprazole)
Medicines used to treat cancer (Ex. temsirolimus, cyclophosphamide, lapatinib)
Mefloquine (a medicine used to treat malaria)
Medicines used to treat HIV infections (Ex. indinavir, ritonavir)
Levothyroxine (a medicine used to treat thyroid deficiency)
Tadalafil (a medicine used to treat infertility in men)
Medicines used to treat worm infections (Ex. albendazole)
Bupropion (a medicine used to quit smoking)
St John’s Wort (an herbal medicine used to treat depression)
Medicines or other supplements containing vitamin B (Ex. nicotinamide)

B. Drug-Food Interactions: 

Avoid drinking grapefruit juice while taking ZIGMA CR 200MG as it may increase the risk of side effects.

Overdosage:

If you or anyone else accidentally took more ZIGMA CR 200MG, consult your doctor immediately or visit the nearby hospital.

SYNOPSIS
Drug :   Carbamazepine
Pharmacological Category :   Anti-convulsant drugs
Therapeutic Indication :  

Epilepsy, Bipolar disorder, Trigeminal neuralgia

Dosage Forms :   Tablet, Syrup
MORE INFORMATION
Keep ZIGMA CR 200MG out of reach of children
Store at room temperature
FAQs ABOUT ZIGMA CR 200MG

How to take ZIGMA CR 200MG?

ZIGMA CR 200MG can be taken during, between or after meals. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Your doctor will decide the suitable dose for you depending upon your age, body weight and disease condition.

What does ZIGMA CR 200MG do to your brain?

ZIGMA CR 200MG controls seizures by stopping the abnormal build-up of electrical signals within the brain. It acts as a specific analgesic for trigeminal neuralgia, by blocking various pain reflexes caused by stimulation of nerves in the face. It also acts as a mood stabilizer by reducing the activation of nerve cells at certain regions of the brain that causes abnormal mood changes.

What are the common side effects of taking ZIGMA CR 200MG?

The most common side effects of taking ZIGMA CR 200MG are nausea, vomiting, increased bleeding tendency, headache, weight gain, dizziness, and blurred vision. In some people, it may also cause severe depression along with suicidal thoughts. Inform your doctor immediately if you experience any such side effects.

Is ZIGMA CR 200MG safe to use in children?

ZIGMA CR 200MG is not recommended for use in children aged below 5 years. It should be used with caution in children and adolescents (aged between 5-15 years). Therefore, consult your doctor before taking it.

How long should I take ZIGMA CR 200MG?

You are advised to take ZIGMA CR 200MG until your doctor suggests you discontinue the medicine. Do not stop taking ZIGMA CR 200MG without consulting your doctor as it may make your symptoms to reappear.

Can ZIGMA CR 200MG taken along with alcohol?

No. Avoid consumption of alcohol while taking ZIGMA CR 200MG as it might make you feel dizzier and may cause accidental injuries.

Can pregnant women take ZIGMA CR 200MG?

ZIGMA CR 200MG should not be used in pregnant women unless considered necessary by the physician. Therefore, consult your doctor before taking. It is also not recommended for use in women who are planning to become pregnant. Women of childbearing potential should use a suitable non-hormonal contraceptive method to avoid pregnancy while undergoing therapy with ZIGMA CR 200MG.

Will taking a higher dose of ZIGMA CR 200MG be more effective?

No. Do not take a higher dose of ZIGMA CR 200MG than the prescribed one without consulting your doctor. Taking a higher dose of ZIGMA CR 200MG may not be beneficial. Instead, it can cause serious side effects. If the prescribed dose is not effective for you, consult your doctor. Your doctor may prescribe a suitable higher dose or suggest an alternative therapy after evaluating your disease condition.

Can I take painkillers along with ZIGMA CR 200MG?

No. Avoid concomitant use of any pain killers like paracetamol, tramadol, dextropropoxyphene, methadone, and buprenorphine while taking ZIGMA CR 200MG as it may lead to unwanted reactions. Consult your doctor before taking it.

What should I do if I forget to take a dose of ZIGMA CR 200MG?

If your forgot to take a dose of ZIGMA CR 200MG, take it as soon as you remember. However, if it is time to take the next dose, skip the missed one and take the regular dose. Do not take a double dose to compensate the missed dose.

REFERENCES

1. James O. McNamara. Pharmacotherapy of the Epilepsies. Goodman & Gilman’s: The Pharmacological basics of Therapeutics. 12th Edition. New York McGraw Hill Medical 2011. Page – 594-596.

2. Jasdave S. Maan; Truc vi H. Duong, Abdolreza Saadabadi Carbamazepine. NIH National Library of Medicine, National center for biotechnology information. [Revised on 2nd May 2022] [Accessed on 10th May 2022] https://www.ncbi.nlm.nih.gov/books/NBK482455/

3. Philip J Wiffen, Sheena Derry, R Andrew Moore, and Henry J McQuay. Carbamazepine for acute and chronic pain in adults. NIH National Library of Medicine, National centre for biotechnology information. PubMed Central. September 2014. [Accessed on 10th May 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4160789/

4. Novartis Pharmaceuticals UK Limited. Electronic Medicines Compendium (EMC). [Revised in November 2020] [Accessed on 10th May 2022] https://www.medicines.org.uk/emc/files/pil.1040.pdf

USEFUL DIAGNOSTIC TESTS
Glycosylated Haemoglobin
Net Qty
1 N
Item Weight
17.5 g
Ingredient
CARBAMAZEPINE 200MG
Hsn Code
30049099
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