C-Toin 300mg Tablet ER is a prescription medicine used to treat and prevent epilepsy (seizures). It controls seizures by decreasing the abnormal and excessive activity of the nerve cells in the brain. C-Toin 300mg Tablet ER can be used alone or in combination with other medicines. It may be taken with or without food. Your doctor will decide the correct dose for you. This may increase gradually until your condition is stable. This medicine may take several weeks to work but it is important to take it regularly to get the benefit. Do not stop taking it, even if you feel fine, unless your doctor advises you to. You may have more seizures, or your bipolar disorder may get worse. The most common side effects of this medicine include skin rashes, headache, feeling or being sick, difficulty sleeping, dizziness, and feeling sleepy or drowsy. Most side effects wear off, but if they bother you or do not go away, tell your doctor. There may be ways of preventing or reducing these effects. Before taking this medicine, tell your doctor if you have kidney or liver problems, meningitis or depression, or suicidal thoughts. Also let your healthcare team know about all other medications you are using as some may affect, or be affected by, this medicine, including contraceptive pills. If you are pregnant or breastfeeding, the dose may be adjusted. You should avoid driving or riding a bicycle if this medicine makes you drowsy or dizzy. You may need frequent blood tests to check how you are responding to this medicine.

• Headache
• Dizziness
• Vomiting
• Nausea
• Slurred speech
• Vertigo
• Confusion
• Nervousness
• Constipation
• Tremors
• Altered walking

If you miss a dose of C-Toin 300mg Tablet ER, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Chemical Class::Hydantoin Derivative|Habit Forming::No|Therapeutic Class::NEURO CNS|Action Class::Sodium channel modulators (AED)

• Q. Q. For how long does C-Toin 300mg Tablet ER stay in your system??
  Ans: On an average, C-Toin 300mg Tablet ER may stay in your system for 5-6 days. This duration varies from person to person. In some cases, it may stay for about 9-10 days.
• Q. Q. What happens if I stop taking C-Toin 300mg Tablet ER??
  Ans: Suddenly stopping C-Toin 300mg Tablet ER may cause non-stop seizures (called status epilepticus), which can endanger life. Do not stop taking the medicine without consulting your doctor. If required, your doctor will slowly reduce the dose before stopping it completely.
• Q. Q. What are the symptoms that occur if I take more than the recommended dose of C-Toin 300mg Tablet ER? Can I die from C-Toin 300mg Tablet ER overdose??
  Ans: Overdose of C-Toin 300mg Tablet ER may cause jerky movements of the eyes (nystagmus), unclear speech, loss of balance, tremor, muscle stiffness or weakness, nausea, vomiting, lightheadedness, fainting, blurred vision, slow and shallow breathing and even coma. C-Toin 300mg Tablet ER overdose can cause very low blood pressure and respiratory problems. As a result of this, the patient can even die.
• Q. Q. Who should avoid taking C-Toin 300mg Tablet ER??
  Ans: You should not take C-Toin 300mg Tablet ER if you have liver disease, especially if you have a history of developing a liver problem due to C-Toin 300mg Tablet ER. Also, patients taking Delavirdine (a medicine used in the treatment of HIV infection) should not take C-Toin 300mg Tablet ER. C-Toin 300mg Tablet ER may reduce the effectiveness of Delavirdine on HIV and the virus may also become resistant to Delavirdine. It is advised that you inform your doctor if you have any existing heart disorder before you receive C-Toin 300mg Tablet ER.
• Q. Q. Can I take C-Toin 300mg Tablet ER with ibuprofen??
  Ans: C-Toin 300mg Tablet ER can be taken with ibuprofen. No drug-drug interactions have been reported between the two. However, interactions can occur. Please consult your doctor before taking the two medicines together.
• Q. Q. What are the effects of C-Toin 300mg Tablet ER on children??
  Ans: The most common side effects related to C-Toin 300mg Tablet ER in children are jerky movements of the eyes (nystagmus) and overgrowth of the gums. In some children, C-Toin 300mg Tablet ER causes problems with thinking or behavior, mood change, slow or clumsy movements, or a loss of energy. Other side effects from high doses include unsteadiness in the feet and hands, sleepiness, and vomiting. These may be avoidable if the dose is increased slowly. These side effects quickly disappear when the dose is reduced.
• Q. Q. Does C-Toin 300mg Tablet ER cause weight gain??
  Ans: C-Toin 300mg Tablet ER has not been reported to cause weight gain. However, weight loss can occur with longer term use of a higher dose of C-Toin 300mg Tablet ER. Please consult your doctor if you experience weight gain after taking C-Toin 300mg Tablet ER.
• Q. Q. Does C-Toin 300mg Tablet ER make you sleepy??
  Ans: C-Toin 300mg Tablet ER can make you feel sleepy (sedation, somnolence, and drowsiness). Please consult your doctor if you feel very sleepy after taking C-Toin 300mg Tablet ER, especially during the first few weeks of treatment or following a dose increase. Talk to your doctor as you may be advised not to drive or use machines until it is established that your ability to perform such activities is not affected.
• Q. Q. Does C-Toin 300mg Tablet ER affect birth control??
  Ans: C-Toin 300mg Tablet ER does affect birth control. C-Toin 300mg Tablet ER can decrease the effect of oral contraceptives (birth control pills) which can make the contraceptive (birth control) effect unreliable. Please talk to your doctor if you are asked to take the two medicines together as you may need to use extra protection for birth control.

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