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Some individuals taking this medication might experience dizziness, drowsiness, fatigue, nausea, vomiting, or headaches. These effects are generally mild, but if they persist or worsen, consult your healthcare provider. Most people do not encounter serious side effects from this medication.

However, a few may experience mental health changes, such as depression or suicidal thoughts, especially those taking anticonvulsants for conditions like seizures or bipolar disorder. It is crucial to seek medical attention if you or someone close to you notices any sudden mood or behavior changes.

Serious side effects can include loss of coordination, vision changes, uncontrollable eye movements, tremors, or unusual bruising. Immediate medical assistance is necessary if you experience symptoms of infection like fever or sore throat, or signs of low sodium such as severe nausea or confusion.

Rarely, oxcarbazepine can cause severe skin reactions, especially in certain ethnic groups. If a skin rash, blisters, or swelling occurs, seek urgent medical care. Severe allergic reactions are uncommon but require immediate attention if symptoms like rash, facial swelling, or breathing difficulties arise. This list is not exhaustive, so report any unusual effects to your healthcare provider.

Certain medications can interact with this drug, potentially altering how they function. For instance, Orlistat may have an interaction. This drug might affect the body's ability to process other medications, either speeding up or slowing down their removal. This can impact medications like cabotegravir, cobicistat, elvitegravir, sofosbuvir, and rilpivirine, among others.

Additionally, this drug may reduce the effectiveness of hormonal birth control methods such as pills, patches, or rings, which could lead to unintended pregnancy. It is important to discuss with your doctor or pharmacist whether you should use an additional reliable method of birth control while taking this medication. If you experience new spotting or breakthrough bleeding, inform your doctor as these symptoms may indicate that your birth control is not working effectively.

Inform your healthcare provider if you are taking other substances that may cause drowsiness, including alcohol, cannabis, antihistamines (like Cetirizine or diphenhydramine), sleep or anxiety medications (such as Alprazolam, Diazepam, or Zolpidem), muscle relaxants (such as Carisoprodol or Cyclobenzaprine), and opioid pain relievers (such as codeine or hydrocodone).

Be sure to check the labels of all your medications, including those for allergies or colds, as they might contain ingredients that cause drowsiness. Consult your pharmacist on how to use these products safely.

Lastly, do not take medications containing eslicarbazepine while using Oxcarbazepine, as they are very similar.