Epilepsy and Seizure Medication
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MONOTHERAPY is a realistic goal - See results from a study showing that more patients achieved seizure control with their first antiepileptic drug monotherapy than with their second  monotherapy. Go

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Patient Assistance Program - visit www.pap.novartis.com

Healthcare Professionals

When writing prescriptions. Protect Your Choice

When AB-rated generic versions of brand-name drugs are available, the choice is up to you

The Food & Drug Administration (FDA) has determined that approved AB-rated generics are bioequivalent and therapeutically equivalent to brand-name drugs1

Substitutions may be made at the pharmacy without your knowledge2

Pharmacists may have the ability to change your prescription to an AB-rated generic without consulting you or the patient
Some states have mandated that the pharmacist fill a prescription with the least expensive available drug
In other states, substitution is not mandatory, but the pharmacist can still substitute a brand-name antiepileptic drug with a generic at his or her discretion
Managed care organizations often encourage generic substitutions

"FDA evaluation of therapeutic equivalence in no way relieves practitioners of their professional responsibilities in prescribing and dispensing such products with due care and with appropriate information to individual patients."1

As the prescribing physician, you know what is best for your patients



Indicate "Dispense as Written" when your choice is brand-name TRILEPTAL

With the availability of generics:
The only way to ensure that your patients receive TRILEPTAL when the goal is control of their partial seizures
The only way to protect the integrity of your choice for TRILEPTAL


Ask your patients to make sure that they receive the TRILEPTAL you prescribed

Patients may be unaware that generic oxcarbazepine may be substituted for their TRILEPTAL prescription without their knowledge
Checking the label to make sure they have received TRILEPTAL before they leave the pharmacy will ensure they get the TRILEPTAL you have prescribed

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For additional information on how to protect your choice, please visit the Resource Center.


References:
1. US DHHS. Approved Drug Products with Therapeutic Equivalence Evaluations (Orange Book). 26th ed. 2006.
2. Epilepsy Foundation. Statement on substitution of generic antiepileptic drugs.
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