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Felbatol (Generic Felbamate)

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Aplastic anemia is a dangerous blood disorder that can be brought on by felbamate. Aplastic anemia symptoms might appear at any point while you are using felbamate or for some time after you stop. If you currently have or have previously had blood issues, let your doctor know. Most likely, your doctor will advise against taking felbamate. Call your doctor right away if you suffer any of the following symptoms while taking felbamate or after stopping it: fever, sore throat, chills, other infection-related symptoms, bleeding, easily bruising, excessive fatigue, weakness, or loss of energy.

Felbamate may harm the liver. If you have liver illness now or ever had it, let your doctor know. Most likely, your doctor will advise against taking felbamate. Call your doctor right away if you have any of the following symptoms: nausea, unusual bleeding or bruising, excessive exhaustion, a lack of energy, appetite loss, pain in the upper right part of the stomach, yellowing of the skin or eyes, or flu-like symptoms.

Keep all of your appointments with your physician and the lab. To monitor your body’s reaction to felbamate, your doctor will prescribe specific tests before, during, and after therapy.

You should discuss the dangers of using felbamate with your doctor. Before beginning to use felbamate, you will be required to sign an informed consent form.

Whenever you need a prescription refill for felbamate, your doctor or pharmacist will give you the manufacturer’s patient information sheet (Medication Guide). If you have any questions, carefully read the material and contact your doctor or pharmacist. The Medication Guide is also available on the manufacturer’s website or the Food and Drug Administration (FDA) website.

Why is this medication prescribed?

When other medications haven’t been successful in treating certain seizures in adults or kids with epilepsy, felbamate is utilized. Adults with partial seizures may take it by itself or in conjunction with other drugs. It is used in conjunction with other drugs to treat partial and generalized seizures in kids with Lennox-Gastaut syndrome, a condition that results in seizures and developmental delays. Anticonvulsants, which include felbamate, are a group of drugs. It affects brain activity by reducing aberrant brain activity.

How should this medicine be used?

Both a pill and a liquid suspension of felbamate are available for oral use. It is typically taken three or four times per day, with or without food. Take felbamate every day at roughly the same time. Ask your doctor or pharmacist to explain any instructions on your prescription label that you are unsure about following. Administer felbamate exactly as prescribed. Never take it in larger or less amounts or more frequently than directed by your doctor.

Before each use, give the liquid a good shake to evenly distribute the medication.

Initially prescribed a low dose of felbamate, your doctor will likely gradually increase it every one to two weeks.

While not a cure for seizures, felbamate can control them. Even if you feel good, keep taking felbamate. Even if you encounter adverse effects including strange behavioral or emotional changes, do not discontinue taking felbamate without first consulting your doctor. Your seizures can get worse if you abruptly stop using felbamate. Your dose will likely be gradually reduced by your doctor.

Other uses for this medicine

Ask your doctor or pharmacist for more details if you want to use this drug for something else.

What special precautions should I follow?

Before taking felbamate,

  • Inform your doctor and pharmacist if you have any allergies to felbamate, any other medications, or carbamate drugs like meprobamate (Miltown), methocarbamol (Robaxin), or rivastigmine (Exelon).
  • Inform your doctor and pharmacist about any vitamins, nutritional supplements, herbal items, and prescription and over-the-counter medicines you are now taking or intend to take. Mention any of the following: oral contraceptives (birth control pills), carbamazepine (Tegretol), clopidogrel (Plavix), phenobarbital (Luminal, Solfoton), phenytoin (Dilantin), and valproate (Depacon). Your doctor might need to adjust your medication doses or keep a close eye out for any negative side effects.
  • If you have kidney illness or any of the problems listed in the IMPORTANT WARNINGS section, let your doctor know right once.
  • Inform your doctor if you are expecting a child or if you intend to do so. Call your physician right away if you get pregnant while taking felbamate.
  • If you are breastfeeding, let your doctor know. While taking felbamate, avoid breastfeeding.
  • Be aware that felbamate could cause you to feel sleepy. Before you know how this medication affects you, do not operate machinery or drive a car.
  • Keep in mind that alcohol can increase the drowsiness this medication causes.
  • You should be aware that when taking felbamate for the treatment of epilepsy, mental illness, or other illnesses, your mental health may change unexpectedly and you may develop suicidal thoughts or behavior (planning to injure or kill oneself, or already thinking about doing so). Approximately 1 in 500 adults and children aged 5 and older who were treated with anticonvulsants like felbamate in clinical studies for a variety of conditions developed suicidal thoughts while on the medication. One week after beginning the medicine, several of these persons started exhibiting suicidal thoughts and actions.
    If you take an anticonvulsant drug like felbamate, there is a chance that you could experience changes in your mental state; but, there is also a chance that if your condition is left untreated, such changes could happen to you as well. If taking an anticonvulsant medicine has more dangers than it is worth, you and your doctor will decide that taking the medication is the better option. If you encounter any of the following symptoms, you, your family, or your caretaker should contact your doctor straight away: panic attacks, irritability or restlessness, new or escalating irritation, anxiety, or melancholy; acting on risky impulses, having trouble sleeping or staying asleep, or displaying aggressive, irate, or violent conduct; Mania (a frantic, unusually excited state of mind); discussing your want to harm yourself or take your own life; giving up valued possessions; withdrawing from friends and family; being preoccupied with death and dying; or displaying any other strange behavioral or emotional changes. In case you are unable to call for help on your own, make sure your family or caretaker is aware of any symptoms that could be serious.

What special dietary instructions should I follow?

Keep eating normally unless your doctor instructs you otherwise.

What should I do if I forget a dose?

If you miss a dosage, take it as soon as you recall. If the next dose is soon due, skip the missed one and carry on with your regular dosing plan. To make up for a missing dose, do not take a second one.

What side effects can this medication cause?

Side effects are possible with felbamate. If any of these symptoms are severe or do not go away, let your doctor know right once:

  • Heartburn
  • Vomiting
  • Constipation
  • Diarrhea
  • Slim down
  • Having trouble falling or staying asleep
  • Nervousness
  • Drowsiness
  • The facial swelling
  • Clogged nose
  • Varying patterns of menstrual bleeding

Some adverse effects can be very harmful. Call your doctor right away if you have any of these signs or any of those in the IMPORTANT WARNING section:

  • Hives
  • Rash
  • Itching
  • Breathing or swallowing challenges
  • Hammering or fast heartbeat

Other negative effects of felbamate could exist. If you experience any strange issues while taking this medicine, contact your doctor right away.

You or your doctor can submit a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting program online at or by phone at 1-800-332-1088 if you have a serious side event.

What should I know about storage and disposal of this medication?

Keep this medication tightly closed in the original container and out of the reach of children. Keep it at room temperature and out of the bathroom and other places with excessive heat and moisture.

As many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and are simple for young children to open, it is crucial to keep all medications out of sight and out of reach of children. Always lock safety caps and promptly stash medication up and away from young children where it is out of their sight and reach to prevent poisoning.

To make sure that pets, kids, and other people cannot take leftover pharmaceuticals, they should be disposed of in a specific manner. You shouldn’t flush this medication down the toilet, though. The best option to get rid of your medication is instead through a medication take-back program. To find out about take-back initiatives in your neighborhood, speak with your pharmacist or get in touch with your city’s waste/recycling department. If you do not have access to a take-back program, you can find more information at the FDA’s Safe Disposal of Medicines website (

In case of emergency/overdose

Call the poison control hotline at 1-800-222-1222 in the event of an overdose. Additionally, information can be found online at Call 911 right once if the person has collapsed, experienced a seizure, is having difficulty breathing, or cannot be roused.

Overdose symptoms could include:

  • Nausea
  • Quick heartbeat

What other information should I know?

No one else should take your medication. Any queries you may have regarding medication refills should be directed to your pharmacist.

You should keep a written record of every medication you take, including any over-the-counter (OTC) items, prescription drugs, and dietary supplements like vitamins and minerals. This list should be brought with you whenever you see a doctor or are admitted to the hospital. You should always have this information with you in case of emergencies.

Brand names

  • Felbatol®
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