Please note: a valid prescription is required for all prescription medication.
What Aptiom® Is and How It Works
Aptiom (eslicarbazepine acetate) is an anticonvulsant used for partial-onset seizures in adults and in pediatric patients when prescribed. It is taken by mouth once daily and can be used alone or with other seizure medicines. The active metabolite, eslicarbazepine, blocks voltage-gated sodium channels to help stabilize overactive neurons. This supports steadier seizure control during maintenance therapy. You may review aptiom uses, aptiom dosage options, and aptiom side effects below.
YouDrugstore is a licensed Canadian pharmacy headquartered in Manitoba; licensed pharmacists review prescriptions before dispensing, and you can order online at Canadian prices with live chat during office hours. We also work with licensed, vetted international partner pharmacies to supply authentic brand medications with a broad selection and affordable pricing.
Aptiom tablets are available in multiple strengths, including 400 mg, 600 mg, and 800 mg, with some patients titrated to 1200 mg based on response. The product has received aptiom fda approval, and the aptiom prescribing information guides safe use. The aptiom generic name is eslicarbazepine acetate, and the medicine helps reduce seizure frequency when taken consistently as directed by a clinician.
Dosage and Usage
- Therapy often starts at 400 mg once daily for adjunctive use, then increases to 800 mg once daily after one week if tolerated.
- Some adults may require 1200 mg once daily for additional seizure control. Monotherapy may begin at 800 mg once daily, as guided by the prescriber.
- Tablets are swallowed once daily, with or without food, at about the same time each day.
- If a dose is missed, take it when remembered unless it is close to the next dose; do not double up.
- Do not stop suddenly. Tapering is usually needed to reduce seizure risk from abrupt withdrawal.
- Use caution with alcohol or other sedatives that can increase dizziness or drowsiness.
- Tell the prescriber about all medicines and supplements to manage aptiom drug interactions and aptiom interactions that may affect levels.
- Renal impairment may require lower doses or slower titration under medical supervision.
- Store Aptiom at 20–25 °C (68–77 °F); short excursions 15–30 °C (59–86 °F) are acceptable.
- Keep tablets dry and in the original container with the child-resistant cap.
- For travel, carry enough tablets in hand luggage with a copy of your prescription.
- Avoid heat, moisture, and direct sunlight; do not store in a bathroom.
- If flying across time zones, adjust the dosing time gradually to maintain a once-daily schedule.
Benefits and Savings
Aptiom offers once-daily dosing, which supports adherence. Many patients see improved seizure control after titration to a stable dose. The medicine has a predictable pharmacokinetic profile with low protein binding and a long half-life suited to daily use. Choice of strengths, such as aptiom 400 mg, aptiom 600 mg, and aptiom 800 mg tablet, allows careful dose adjustment.
Ordering from Canada can lower aptiom cost. You can save 60–80 % compared with typical US prices when you buy through YouDrugstore. Multi-month supplies may further reduce the per-month cost, and you can set simple reorder reminders in your account so refills are not missed.
For current deals, see our aptiom coupon.
Side Effects and Safety
- Common effects include dizziness, drowsiness, headache, nausea, vomiting, fatigue, and blurry vision.
- Some patients report tremor, coordination issues, double vision, or vertigo.
- Gastrointestinal upset may occur during titration and often lessens with time.
- Low sodium (hyponatremia) can occur and may cause confusion, headache, or fatigue.
- Skin rash can occur; stop and seek care if a severe rash develops.
- Mood changes and irritability have been reported with antiseizure medicines.
Serious reactions are uncommon but can include severe hyponatremia, suicidal thoughts, angioedema, anaphylaxis, multiorgan hypersensitivity (DRESS), and serious skin reactions such as Stevens–Johnson syndrome. Use caution in patients with a history of hypersensitivity to oxcarbazepine due to possible cross-reactivity. Eslicarbazepine can reduce hormonal contraceptive effectiveness and may interact with carbamazepine, phenytoin, phenobarbital, and other enzyme inducers or inhibitors. Report concerning symptoms promptly.
Onset Time
Some patients notice fewer seizures within 1–2 weeks as the dose increases to 800 mg daily. A fuller response is often assessed after 2–4 weeks at a stable dose. Adjustments to 1200 mg may take another week to evaluate. The timeline varies, and prescribers monitor seizure diaries, tolerability, and labs when indicated, such as serum sodium.
Compare With Alternatives
Oxcarbazepine is a related sodium-channel blocker used for partial-onset seizures. It has twice-daily dosing for many patients and a similar side-effect profile, including hyponatremia. Aptiom is once daily, which some people find simpler, and it is a prodrug that forms eslicarbazepine as the main active metabolite.
Lacosamide (Vimpat) also treats focal seizures but uses a different sodium-channel mechanism that enhances slow inactivation. It is usually dosed twice daily for tablets or solution. Some patients transition between agents or use them together based on response and tolerability.
Levetiracetam is another common option with a different mechanism involving synaptic vesicle protein 2A. It is often used as adjunctive therapy. Behavioral side effects can occur, so clinicians tailor choices to each patient’s profile and prior treatment history.
Combination Therapy
- Adjunctive use with levetiracetam, lamotrigine, or topiramate is common when additional seizure control is needed.
- When combined with carbamazepine or phenytoin, clinicians may adjust doses due to pharmacokinetic interactions and additive side effects.
- Hormonal contraceptives may be less effective; prescribers may recommend non-hormonal or backup contraception.
- Monitor for additive CNS effects when used with sedatives, alcohol, or other medicines causing dizziness or somnolence.
Patient Suitability and Cost-Saving Tips
Aptiom may be considered for adults and eligible pediatric patients with partial-onset seizures who need once-daily dosing. It may not be suitable for people with prior serious hypersensitivity to eslicarbazepine, oxcarbazepine, or carbamazepine. Caution is advised in renal impairment, with careful dosing, and in patients at risk for hyponatremia.
Those who are pregnant, planning pregnancy, or breastfeeding should discuss risks and benefits with their clinician. Mood changes or suicidal thoughts should be monitored during therapy. People who operate machinery or drive should assess how the medicine affects alertness, especially during initiation and dose changes.
To manage aptiom cost, consider ordering a 2–3 month supply to lower the per-month price when possible. You can set reorder reminders in your YouDrugstore account so therapy stays continuous. Our team can also help you compare aptiom 800 mg, aptiom 600 mg, and aptiom 400 mg options when you upload your prescription for review.
Authoritative Sources
Aptiom official US product site
DailyMed: Aptiom prescribing information and Medication Guide
Health Canada Drug Product Database: Aptiom
Order Aptiom® from YouDrugstore: add to cart, upload your prescription, and we ship with prompt, express, cold-chain handling.
This page is educational and is not a substitute for professional medical advice, diagnosis, or treatment. Always follow your prescriber’s instructions and the product labeling.
Express Shipping - from $25.00
Shipping with this method takes 3-5 days
Prices:
- Dry-Packed Products $25.00
- Cold-Packed Products $35.00
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
Standard Shipping - $15.00
Shipping with this method takes 5-10 days
Prices:
- Dry-Packed Products $15.00
- Not available for Cold-Packed products
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
What is Aptiom and how does it work?
Aptiom is eslicarbazepine acetate, an oral antiseizure medicine for partial-onset seizures. It is converted to eslicarbazepine, which blocks voltage-gated sodium channels to stabilize neuronal firing. It can be used alone or with other therapies and is taken once daily for steady blood levels and convenient dosing.
How long does Aptiom take to start working?
Many patients see changes within 1–2 weeks during dose titration, with a clearer response after 2–4 weeks at a stable daily dose. Some need adjustments up to 1200 mg. Clinicians monitor seizure frequency, side effects, and labs, such as sodium, to guide further changes.
What are common Aptiom side effects?
Common effects include dizziness, drowsiness, headache, nausea, vomiting, blurred or double vision, and fatigue. Some notice tremor or balance issues. Serious reactions are rare but include severe rash, hyponatremia, multiorgan hypersensitivity, or suicidal thoughts. Report concerning symptoms promptly to a healthcare professional.
What is the usual Aptiom dosage for adults?
Adjunctive therapy often starts at 400 mg once daily and increases to 800 mg after one week if tolerated. Some patients may need 1200 mg once daily. Monotherapy may begin at 800 mg daily. The dose is individualized based on seizure control, tolerability, and kidney function.
Can Aptiom be taken with other seizure medications?
Yes, it is frequently used with other antiseizure drugs like levetiracetam, lamotrigine, or topiramate. It can interact with carbamazepine, phenytoin, and phenobarbital, and may reduce hormonal contraceptive effectiveness. Clinicians adjust doses and monitor for additive dizziness or drowsiness.
What affects the aptiom price and how can I save?
Aptiom cost varies by strength, supply length, and pharmacy sourcing. Ordering from a Canadian pharmacy can reduce costs by 60–80% versus typical US pricing. Larger multi-month fills may lower the per-month price. You can also watch for promotions when planning refills.
Is there an aptiom 800 mg tablet available?
Yes. Aptiom tablets come in multiple strengths, including 400 mg, 600 mg, and 800 mg. Prescribers select a starting dose and titrate based on response and tolerability. Some patients may reach 1200 mg daily. Always follow the prescribed regimen and do not change doses without guidance.
