OXCARBAZEPINE

78/100 · Elevated

Manufactured by Novartis Pharmaceuticals Corporation

Oxcarbazepine Adverse Events: Seizures and Psychiatric Reactions Predominate

60,018 FDA adverse event reports analyzed

Last updated: 2026-05-12

About OXCARBAZEPINE

OXCARBAZEPINE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Novartis Pharmaceuticals Corporation. Based on analysis of 60,018 FDA adverse event reports, OXCARBAZEPINE has a safety score of 78 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for OXCARBAZEPINE include DRUG INEFFECTIVE, SEIZURE, OFF LABEL USE, FATIGUE, DIZZINESS. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for OXCARBAZEPINE.

AI Safety Analysis

Oxcarbazepine has a safety concern score of 78 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 60,018 adverse event reports for this medication, which is primarily manufactured by Novartis Pharmaceuticals Corporation.

The most commonly reported adverse events include Drug Ineffective, Seizure, Off Label Use. Of classified reports, 75.8% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Seizures and psychiatric reactions are the most common adverse events reported.

Serious adverse events, particularly psychiatric issues, are prevalent. Drug interactions and ineffective drug use are also significant concerns.

Patients taking Oxcarbazepine should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Oxcarbazepine can interact with other drugs, and its use in unapproved indications is a concern. Warnings include potential for drug interactions and ineffective treatment. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 78/100

Oxcarbazepine received a safety concern score of 78/100 (high concern). This is based on a 75.8% serious event ratio across 31,344 classified reports. The score accounts for 60,018 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

DRUG INEFFECTIVE2,868 reports
SEIZURE2,805 reports
OFF LABEL USE1,618 reports
FATIGUE1,610 reports
DIZZINESS1,519 reports
CONVULSION1,463 reports
HEADACHE1,435 reports
SOMNOLENCE1,409 reports
NAUSEA1,298 reports
HYPONATRAEMIA1,273 reports
FALL1,182 reports
VOMITING1,119 reports
DRUG INTERACTION1,025 reports
RASH986 reports
ANXIETY966 reports
DEPRESSION940 reports
ASTHENIA927 reports
PAIN912 reports
EPILEPSY888 reports
CONDITION AGGRAVATED842 reports
DIARRHOEA786 reports
WEIGHT INCREASED765 reports
PYREXIA763 reports
INSOMNIA754 reports
DYSPNOEA732 reports
TREMOR723 reports
BALANCE DISORDER715 reports
MALAISE699 reports
MEMORY IMPAIRMENT699 reports
FEELING ABNORMAL626 reports
GAIT DISTURBANCE602 reports
PRURITUS601 reports
CONFUSIONAL STATE580 reports
WEIGHT DECREASED570 reports
CONSTIPATION562 reports
AGGRESSION550 reports
COMPLETED SUICIDE540 reports
PRODUCT USE IN UNAPPROVED INDICATION526 reports
TOXICITY TO VARIOUS AGENTS520 reports
SUICIDAL IDEATION518 reports
OVERDOSE484 reports
COGNITIVE DISORDER475 reports
DEATH472 reports
LOSS OF CONSCIOUSNESS462 reports
PNEUMONIA444 reports
HYPOTENSION425 reports
PRODUCT DOSE OMISSION ISSUE421 reports
DRUG HYPERSENSITIVITY417 reports
HYPERTENSION410 reports
PAIN IN EXTREMITY399 reports
MATERNAL EXPOSURE DURING PREGNANCY397 reports
ARTHRALGIA385 reports
NERVOUSNESS385 reports
AGITATION384 reports
VISUAL IMPAIRMENT384 reports
GENERALISED TONIC CLONIC SEIZURE381 reports
URINARY TRACT INFECTION376 reports
DECREASED APPETITE374 reports
IRRITABILITY366 reports
ABNORMAL BEHAVIOUR352 reports
COUGH351 reports
HYPOAESTHESIA343 reports
VISION BLURRED343 reports
ABDOMINAL PAIN341 reports
BLOOD SODIUM DECREASED337 reports
SUICIDE ATTEMPT335 reports
HYPERSENSITIVITY333 reports
CHEST PAIN330 reports
PRODUCT USE ISSUE329 reports
PRODUCT SUBSTITUTION ISSUE324 reports
SYNCOPE324 reports
PARAESTHESIA321 reports
FOETAL EXPOSURE DURING PREGNANCY318 reports
DIPLOPIA317 reports
STATUS EPILEPTICUS315 reports
SPEECH DISORDER310 reports
FOCAL DYSCOGNITIVE SEIZURES309 reports
MUSCLE SPASMS305 reports
MULTIPLE DRUG RESISTANCE298 reports
BACK PAIN294 reports
DISORIENTATION293 reports
SEDATION293 reports
ERYTHEMA289 reports
PETIT MAL EPILEPSY287 reports
DIABETES MELLITUS286 reports
ABDOMINAL PAIN UPPER284 reports
HALLUCINATION284 reports
DISTURBANCE IN ATTENTION282 reports
DYSPHAGIA280 reports
ABDOMINAL DISCOMFORT272 reports
ABORTION SPONTANEOUS270 reports
AMNESIA267 reports
PSYCHOTIC DISORDER267 reports
PARTIAL SEIZURES265 reports
WRONG TECHNIQUE IN PRODUCT USAGE PROCESS261 reports
GASTROINTESTINAL DISORDER258 reports
HYPERHIDROSIS252 reports
DRUG INEFFECTIVE FOR UNAPPROVED INDICATION248 reports
MUSCULAR WEAKNESS248 reports
MOVEMENT DISORDER246 reports

Key Safety Signals

  • Seizures and convulsions are frequent, with 2805 and 1463 reports respectively.
  • Psychiatric issues like depression, anxiety, and suicidal ideation are common, with 940, 966, and 518 reports respectively.
  • Drug ineffectiveness and off-label use are reported in 2868 and 1618 cases, respectively.

Patient Demographics

Adverse event reports by sex: Female: 16,765, Male: 11,696, Unknown: 103. The most frequently reported age groups are age 54 (345 reports), age 45 (341 reports), age 52 (340 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 31,344 classified reports for OXCARBAZEPINE:

  • Serious: 23,772 reports (75.8%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 7,572 reports (24.2%)
Serious 75.8%Non-Serious 24.2%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female16,765 (58.7%)
Male11,696 (40.9%)
Unknown103 (0.4%)

Reports by Age

Age 54345 reports
Age 45341 reports
Age 52340 reports
Age 60328 reports
Age 51320 reports
Age 40313 reports
Age 32308 reports
Age 53308 reports
Age 6306 reports
Age 16306 reports
Age 19302 reports
Age 47302 reports
Age 34298 reports
Age 38291 reports
Age 10290 reports
Age 24286 reports
Age 42286 reports
Age 50286 reports
Age 44284 reports
Age 35283 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Oxcarbazepine can interact with other drugs, and its use in unapproved indications is a concern. Warnings include potential for drug interactions and ineffective treatment.

What You Should Know

If you are taking Oxcarbazepine, here are important things to know. The most commonly reported side effects include drug ineffective, seizure, off label use, fatigue, dizziness. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Patients should report any new or worsening psychiatric symptoms or seizures to their healthcare provider immediately. Follow prescribed dosages and do not alter the medication without consulting a healthcare professional. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA closely monitors adverse events for Oxcarbazepine, and healthcare providers should be vigilant about potential serious reactions, especially psychiatric issues and seizures. Regular monitoring is advised.

Frequently Asked Questions

How many adverse event reports has the FDA received for Oxcarbazepine?

The FDA has received approximately 60,018 adverse event reports associated with Oxcarbazepine. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Oxcarbazepine?

The most frequently reported adverse events for Oxcarbazepine include Drug Ineffective, Seizure, Off Label Use, Fatigue, Dizziness. By volume, the top reported reactions are: Drug Ineffective (2,868 reports), Seizure (2,805 reports), Off Label Use (1,618 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Oxcarbazepine.

What percentage of Oxcarbazepine adverse event reports are serious?

Out of 31,344 classified reports, 23,772 (75.8%) were classified as serious and 7,572 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Oxcarbazepine (by sex)?

Adverse event reports for Oxcarbazepine break down by patient sex as follows: Female: 16,765, Male: 11,696, Unknown: 103. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Oxcarbazepine?

The most frequently reported age groups for Oxcarbazepine adverse events are: age 54: 345 reports, age 45: 341 reports, age 52: 340 reports, age 60: 328 reports, age 51: 320 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Oxcarbazepine?

The primary manufacturer associated with Oxcarbazepine adverse event reports is Novartis Pharmaceuticals Corporation. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Oxcarbazepine?

Beyond the most common reactions, other reported adverse events for Oxcarbazepine include: Convulsion, Headache, Somnolence, Nausea, Hyponatraemia. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Oxcarbazepine?

You can report adverse events from Oxcarbazepine to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Oxcarbazepine's safety score and what does it mean?

Oxcarbazepine has a safety concern score of 78 out of 100 (high concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Seizures and psychiatric reactions are the most common adverse events reported.

What are the key safety signals for Oxcarbazepine?

Key safety signals identified in Oxcarbazepine's adverse event data include: Seizures and convulsions are frequent, with 2805 and 1463 reports respectively.. Psychiatric issues like depression, anxiety, and suicidal ideation are common, with 940, 966, and 518 reports respectively.. Drug ineffectiveness and off-label use are reported in 2868 and 1618 cases, respectively.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Oxcarbazepine interact with other drugs?

Oxcarbazepine can interact with other drugs, and its use in unapproved indications is a concern. Warnings include potential for drug interactions and ineffective treatment. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Oxcarbazepine.

What should patients know before taking Oxcarbazepine?

Patients should report any new or worsening psychiatric symptoms or seizures to their healthcare provider immediately. Follow prescribed dosages and do not alter the medication without consulting a healthcare professional.

Are Oxcarbazepine side effects well-documented?

Oxcarbazepine has 60,018 adverse event reports on file with the FDA. Serious adverse events, particularly psychiatric issues, are prevalent. The volume of reports for Oxcarbazepine reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Oxcarbazepine?

The FDA closely monitors adverse events for Oxcarbazepine, and healthcare providers should be vigilant about potential serious reactions, especially psychiatric issues and seizures. Regular monitoring is advised. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to OXCARBAZEPINE based on therapeutic use, drug class, or shared indications:

CarbamazepineValproatePhenytoinLamotrigineLevetiracetam
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.