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What the label lists and what reports show

Eslicarbazepine side effects

Eslicarbazepine's FDA label: “Most common adverse reactions in adult patients receiving APTIOM (≥4% and ≥2% greater than placebo): dizziness, somnolence, nausea, headache, diplopia, vomiting, fatigue, vertigo, ataxia, blurred vision, and tremor.” FAERS holds 3,247 reports naming it through July 30, 2026; the reaction reported most often, leaving out the conditions it is used for, product-use terms and outcomes, is dizziness (222 reports).

  • Generic listed

Check it at the source: the eslicarbazepine FDA label on DailyMed (effective November 10, 2023, Sumitomo Pharma America, Inc.); the FDA FAERS public dashboard.

What does the patient leaflet say about side effects?

From the patient leaflet: What are the possible side effects of APTIOM?

See “ What is the most important information I should know about APTIOM? ” APTIOM may cause other serious side effects including: Nervous system problems. APTIOM may cause problems that can affect your nervous system. Symptoms of nervous system problems include: dizziness trouble concentrating trouble walking or with coordination vision problems feeling sleepy and tired Liver problems. APTIOM may affect your liver. […]

Source: FDA drug label, Sumitomo Pharma America, Inc., effective November 10, 2023 (SPL set 3d0c9554-eaeb-4694-8089-00133fcadce3), via openFDA; the full label on DailyMed

What does the label list?

From the label: adverse reactions

Most common adverse reactions in adult patients receiving APTIOM (≥4% and ≥2% greater than placebo): dizziness, somnolence, nausea, headache, diplopia, vomiting, fatigue, vertigo, ataxia, blurred vision, and tremor.

Table 4: Adverse Reactions Incidence in Pooled Controlled Clinical Trials of Adjunctive Therapy in Adults (Events ≥2% of Patients in the APTIOM 800 mg or 1200 mg Dose Group and More Frequent Than in the Placebo Group)

Reaction(N=426) %(N=415) %(N=410) %
Ear and labyrinth disorders Vertigo<126
Infections and Infestations Urinary tract infections122
Injury, poisoning and procedural complications Fall131
Metabolism and nutrition disorders Hyponatremia<122
Respiratory, thoracic and mediastinal disorders Cough121
Skin and subcutaneous tissue disorders Rash113
Vascular disorders Hypertension112

Rows and numbers as the label prints them, under its own column headings (the first rows of a longer table where it runs on). A reaction in a trial table is not necessarily caused by the medicine, and trials differ from everyday use.

From the label: adverse reactions, continued

The following adverse reactions are described in more detail in the Warnings and Precautions section of the label: Suicidal Behavior and Ideation [see Warnings and Precautions ( 5.1 )] Serious Dermatologic Reactions [see Warnings and Precautions ( 5.2 )] Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS)/Multiorgan Hypersensitivity [see Warnings and Precautions ( 5.3 )] Anaphylactic Reactions and Angioedema [see Warnings and Precautions ( 5.4 )] Hyponatremia [see Warnings and Precautions ( 5.5 )] Neurological Adverse Reactions [see Warnings and Precautions ( 5.6 )] Drug Induced Liver Injury [see Warnings and Precautions ( 5.8 )] Abnormal Thyroid Function Tests [see Warnings and Precautions ( 5.9 )] Pancytopenia, Agranulocytosis, and Leukopenia [see Warnings and Precautions ( 5.10 )] Most common adverse reactions in adult patients receiving APTIOM (≥4% and ≥2% greater than placebo): dizziness, somnolence, nausea, headache, diplopia, vomiting, fatigue, vertigo, ataxia, blurred vision, and tremor. ( 6.1 ) Adverse reactions in pediatric patients are similar to those seen in adult patients. To report SUSPECTED ADVERSE REACTIONS, contact Sumitomo Pharma America, Inc. at 1-877-737-7226 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. …

Source: FDA drug label, Sumitomo Pharma America, Inc., effective November 10, 2023 (SPL set 3d0c9554-eaeb-4694-8089-00133fcadce3), via openFDA; the full label on DailyMed

What do FAERS reports show?

3,247 reports list eslicarbazepine among the medicines taken, each a report of something that happened, not proof the medicine caused it; 94 are coded as a death and 693 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is. Of the 15 reactions below, 10 are named by the same term (in US spelling) in the label's adverse reactions, warnings or patient leaflet; a reaction the label does not name may still be there under another word, and a report does not show that the medicine caused it.

Reports received each year

The 25 most reported reactions

  • Seizure (a use or a product term, not a reaction)1,002
  • Off Label Use (a use or a product term, not a reaction)316
  • Drug Ineffective (a use or a product term, not a reaction)297
  • Dizziness (named in the label)222
  • Somnolence (named in the label)191
  • Hyponatraemia (named in the label)172
  • Fatigue (named in the label)154
  • Headache (named in the label)136
  • Generalised Tonic-Clonic Seizure117
  • Fall116
  • Nausea (named in the label)104
  • Therapy Interrupted (a use or a product term, not a reaction)99
  • Rash (named in the label)98
  • Feeling Abnormal94
  • Condition Aggravated (a use or a product term, not a reaction)92
  • Product Use In Unapproved Indication (a use or a product term, not a reaction)92
  • Memory Impairment (named in the label)91
  • Inappropriate Schedule Of Product Administration (a use or a product term, not a reaction)87
  • Anxiety (named in the label)78
  • Underdose (a use or a product term, not a reaction)77
  • Drug Interaction (a use or a product term, not a reaction)75
  • Vomiting (named in the label)73
  • Depression72
  • Partial Seizures71
  • Product Dose Omission Issue (a use or a product term, not a reaction)69

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026; reactions as MedDRA preferred terms

What next?

Eslicarbazepine: the full record
label, generics, price, shortages, recalls
Side effects hub
the most reported medicines and reactions