Oxtellar Xr Coupons & Prices

An Oxtellar XR coupon from Rx.com can lower the cash price of oxcarbazepine extended-release tablets (150 mg, 300 mg and 600 mg) at pharmacies near you. Oxtellar XR is the once-daily extended-release brand of oxcarbazepine from Supernus Pharmaceuticals, FDA-approved for partial-onset (focal) seizures in adults and children 6 years and older. Prices for this medicine vary a lot from pharmacy to pharmacy, so enter your ZIP code above to see today's price at pharmacies in your area and bring the free coupon with you when you fill your prescription.

What is Oxtellar XR and how does it work?

Oxtellar XR is an extended-release tablet form of oxcarbazepine, an anticonvulsant (antiepileptic) medicine. It is a carboxamide derivative, structurally related to carbamazepine, and it works by blocking voltage-sensitive sodium channels in the brain, which helps calm the abnormal electrical activity that causes seizures.

Oxtellar XR is FDA-approved for the treatment of partial-onset (focal) seizures in patients 6 years of age and older. It is approved both as monotherapy (used alone) and as adjunctive therapy (added to other seizure medicines) in that age group. The extended-release tablets come in 150 mg, 300 mg and 600 mg strengths and are taken once a day on an empty stomach, either 1 hour before or 2 hours after a meal. You may also hear about oxcarbazepine being used for bipolar disorder or nerve pain such as trigeminal neuralgia. Those uses are off-label, are not FDA-approved, and are not supported by the Oxtellar XR label. Only your prescriber can decide what is right for you.

Oxtellar XR cost: manufacturer savings card vs. the Rx.com cash coupon

Supernus, the maker of Oxtellar XR, runs an official co-pay savings program, and information about it is posted on the manufacturer's own Oxtellar XR website. Programs like this are generally limited to people with commercial (non-government) insurance, and the eligibility rules, expiration dates and benefit terms vary, so read the manufacturer's terms carefully. People with Medicare, Medicaid or other government coverage typically do not qualify. Supernus also lists a patient assistance program on its site for patients who cannot afford their medicine, which is worth asking your prescriber's office about.

The Rx.com coupon works differently. It is a free cash-discount coupon, not insurance, so it can be used if you are uninsured, if you have Medicare, or if the manufacturer card is declined at the counter. You cannot combine it with insurance on the same fill, but you can ask the pharmacist to run the cash price with the coupon and compare. Prices differ meaningfully between pharmacies, so enter your ZIP above to see today's price near you.

Is there a generic? Oxtellar XR alternatives

Yes. FDA-approved generic oxcarbazepine extended-release tablets are available in 150 mg, 300 mg and 600 mg (Aurobindo received approval for all three strengths). Asking your pharmacist to fill the generic extended-release tablet is usually the single biggest savings lever on this prescription, and a cash coupon can be applied to the generic as well. Prices still vary by pharmacy, so it is worth comparing.

The immediate-release form of oxcarbazepine is sold as Trileptal (Novartis) and as generic oxcarbazepine tablets, which are taken twice daily rather than once. Other antiepileptic medicines your prescriber may discuss for focal seizures include carbamazepine (Tegretol), lamotrigine (Lamictal), levetiracetam (Keppra) and topiramate. Never switch or stop a seizure medicine on your own; changes should be made only by your prescriber.

Oxtellar XR safety, side effects and interactions

Oxtellar XR does not carry a boxed warning. Its label does include important warnings and precautions. Hyponatremia (low blood sodium) can develop and may need a dose reduction or stopping the drug, so your doctor may check your sodium level, especially if you take other medicines that lower sodium. Rare but serious anaphylaxis and angioedema can involve the lips, eyelids, larynx and glottis and can be fatal; get emergency help and stop the drug if this happens. Serious skin reactions including Stevens-Johnson syndrome and toxic epidermal necrolysis have occurred (median onset about 19 days), and people who carry the HLA-B*1502 allele, more common in people of Han Chinese, Thai, Filipino, Malaysian and some other Asian ancestries, are at higher risk. Genetic testing before starting is recommended for those patients. About 25 to 30 percent of people who are hypersensitive to carbamazepine also react to oxcarbazepine. DRESS (multi-organ hypersensitivity) and rare blood problems such as pancytopenia, agranulocytosis and leukopenia have also been reported.

Like other antiepileptic drugs, oxcarbazepine carries a class risk of suicidal thoughts and behavior (about 1 in 500 patients in pooled trials), so watch for new or worsening depression or mood changes and tell your doctor. Do not stop Oxtellar XR abruptly; it should be tapered gradually to avoid more frequent seizures or status epilepticus. Oxcarbazepine can make hormonal birth control less effective, so an additional non-hormonal method is needed. Drowsiness and dizziness are worse with alcohol and other CNS depressants. Common side effects include dizziness, sleepiness, headache, nausea, vomiting, double vision or other vision changes, unsteadiness (ataxia) and fatigue. This is a summary, not medical advice; talk with your doctor or pharmacist about your full medicine list.