Please note: a valid prescription is required for all prescription medication.
Trileptal® Oral Suspension for Focal Seizures
Buy more, save more: Get 20% off when you buy 3 or more of any one product. Use code LESS20 at checkout.
Coupon code cannot be combined with other offers. Sale applies to all products originating from Canada. Maximum allowable quantity equal to a 90 day supply per single order.
$149.99
Secure Encrypted Payments
What Trileptal Is and How It Works
Trileptal® oral suspension is a prescription anticonvulsant used to help control focal seizures in adults and children. This guide explains how it works, who it may suit, and how to access it with US delivery from Canada. Many people also compare options for Trileptal oral suspension without insurance when budgeting for ongoing care.
Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
This medicine contains oxcarbazepine, which is converted to its active metabolite (MHD) after you take it. The active form blocks voltage-sensitive sodium channels, stabilizing overactive nerve membranes and reducing repetitive neuronal firing. By calming these signals, the treatment helps reduce the frequency of focal (partial-onset) seizures. It can be used alone or with other antiseizure medicines, as directed by your prescriber. Learn more about the seizure type it treats in our overview of Focal Seizures, and see related therapies in Neurology.
Who It’s For
This therapy is indicated for the treatment of focal seizures in adults and in pediatric patients when prescribed by a qualified clinician. It may be used as initial monotherapy or as add-on therapy alongside other antiseizure treatments. People with a history of hypersensitivity to oxcarbazepine or to closely related medicines, including eslicarbazepine, should avoid it. Cross-reactive skin reactions can occur in patients previously sensitive to carbamazepine.
Use caution if you have low sodium levels, kidney problems, or a history of serious skin reactions. Genetic risk factors, such as HLA-B*1502 in certain Asian populations, have been associated with higher risk of severe dermatologic reactions. Discuss pregnancy and breastfeeding plans with your prescriber before starting this treatment.
Dosage and Usage
Follow the prescribed schedule exactly as written on your label. This treatment is generally taken twice daily, at about the same times each day. Shake the bottle well before each use. Measure Oxcarbazepine oral suspension with the supplied oral syringe or a calibrated measuring device, not a household spoon.
The suspension can be taken with or without food, but be consistent to help with predictability. Your prescriber may adjust the amount over time based on response and tolerability. Do not change your dose or stop the therapy suddenly, as this may increase seizure risk. If instructions are unclear, consult the official label or speak with your prescriber or pharmacist.
Strengths and Forms
This product is an oral liquid designed for patients who prefer or require a non-tablet form. The commonly available strength is 300 mg/5 mL. Bottle sizes may vary by supplier and market. Availability of specific pack sizes can change, so check current options at the time you place an order.
Because dose needs vary, your prescriber will guide how much to measure with each administration. If a specific measuring device is provided, use it to ensure accuracy. For those who need written references, consult the official prescribing information for the most up-to-date details on strengths and presentations of Oxcarbazepine oral suspension 300 mg/5 mL.
Missed Dose and Timing
If you miss a dose, take it as soon as you remember unless it is almost time for your next scheduled dose. If it is close to the next dose, skip the missed dose and resume your regular schedule. Do not double up to make up for a missed dose. Keeping a dose reminder on your phone or a simple paper schedule can support steady use.
Storage and Travel Basics
Store the bottle at room temperature, away from excessive heat and moisture, and keep the cap tightly closed. Do not freeze the suspension. Once opened, the bottle has a limited in-use period; many labels direct users to discard after a set number of weeks. Check your bottle’s pharmacy label and the official prescribing information for the exact timeframe and follow those directions.
When traveling, pack the bottle in your carry-on with the original label to simplify security checks. Bring a copy of your prescription and dosing instructions. Keep the medicine out of reach of children and avoid prolonged exposure to direct sunlight. Our partners use temperature-controlled handling when required to maintain quality during transit.
Benefits
This treatment can help reduce focal seizure frequency when used as directed. The liquid form allows flexible measurement and may be easier for children or for adults who have difficulty swallowing tablets. Taken twice daily, it fits into a consistent routine. It can be used alone or as an add-on to other antiseizure therapies, allowing clinicians to tailor a plan to individual needs.
Side Effects and Safety
- Dizziness or drowsiness
- Headache
- Nausea or vomiting
- Double vision or visual disturbances
- Balance or coordination issues
- Fatigue
- Skin rash
Serious reactions can occur and require immediate medical attention. These may include severe skin reactions (such as Stevens-Johnson syndrome or toxic epidermal necrolysis), multiorgan hypersensitivity, anaphylaxis or angioedema, and marked hyponatremia. Mood or behavior changes, including suicidal thoughts, have been reported with antiseizure medicines. The risk of low sodium may be higher when used with certain diuretics or in older adults. Seek urgent help for swelling of the face or throat, severe rash, or confusion.
Drug Interactions and Cautions
Oxcarbazepine can affect liver enzymes, which may reduce the effectiveness of some medicines, including certain hormonal contraceptives. It may also increase phenytoin levels at higher doses. Caution is advised with other central nervous system depressants, as combined effects can increase drowsiness. Diuretics and other sodium-lowering drugs can raise the risk of hyponatremia.
Always tell your prescriber and pharmacist about all prescriptions, over-the-counter medicines, and supplements you take. If you manage comorbid neurologic conditions, review options in Seizure Medicines and background education in What Is Epilepsy to prepare for your visit.
What to Expect Over Time
Seizure control typically requires consistent daily use and monitoring by your prescriber. Many patients start on a lower amount and adjust gradually to balance seizure reduction and tolerability. It may take time to find a stable regimen. Keep a seizure diary, note side effects, and share those observations at follow-up appointments. Do not stop abruptly, even if you feel well, as doing so can increase seizure risk. If you need to change therapy, work with your prescriber on a safe plan.
Compare With Alternatives
Several FDA- and Health Canada–approved therapies may be considered if your prescriber recommends an alternative approach. As adjunctive or alternative options for focal seizures, clinicians may consider Banzel® or Aptiom® based on clinical goals and individual history. Other options, such as Diacomit (stiripentol), may be used in specific seizure syndromes. Your prescriber will select a therapy that aligns with your age, seizure type, interactions, and overall treatment plan.
Pricing and Access
We work to provide transparent information so you can compare options and plan your budget. Many patients review Oxcarbazepine suspension price details and consider generic alternatives when appropriate. With Canadian pricing and US shipping from Canada, you can review current options and place an order when ready. Checkout is secure with encrypted processing.
Looking for savings? See available offers on our Promotions page. For condition-focused browsing, explore Focal Seizures or the broader Neurology category.
Availability and Substitutions
Stock status can vary. If the branded product is unavailable, a prescriber may recommend an alternative formulation or a bioequivalent generic. When appropriate, Generic oxcarbazepine oral suspension may be considered. Typical labeling references the strength 300 mg/5 mL, though specific suppliers and pack sizes may differ by market. To learn more about country-of-origin options, see Canada.
Patient Suitability and Cost-Saving Tips
This treatment may suit adults and children who require a liquid formulation for accurate dosing or difficulty swallowing tablets. It may not be appropriate for people with prior serious hypersensitivity reactions to related medicines or for those with persistent low sodium without close monitoring. Patients with complex regimens should review interactions in detail with their prescriber.
To manage out-of-pocket costs, consider multi-month fills if your prescription and stability allow. Plan refills ahead of time so you do not run short. Discuss generics or therapeutic alternatives with your prescriber when clinically appropriate. Keep your dosing consistent and use a reminder system to help maintain steady seizure control and avoid missed doses.
Questions to Ask Your Clinician
- How does this treatment fit with my current seizure plan?
- What signs of low sodium should I watch for at home?
- Could any of my medicines or supplements interact with this therapy?
- What should I do if I experience a rash or swelling?
- How long should I try this before considering adjustments?
- Is a generic option appropriate for my situation?
- How often will labs or follow-ups be needed?
Authoritative Sources
For complete, up-to-date prescribing information and safety details, consult these official references:
- FDA DailyMed: Oxcarbazepine Prescribing Information
- Novartis: Product and Safety Information
- Health Canada Drug Product Database
Ready to proceed? Order oxcarbazepine suspension online with prompt, express shipping. Ships from Canada to US. Prescription required; always follow your prescriber’s directions. This page is educational and is not a substitute for professional medical advice.
Express Shipping - from $25.00
Shipping with this method takes 3-5 days
Prices:
- Dry-Packed Products $25.00
- Cold-Packed Products $35.00
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
Standard Shipping - $15.00
Shipping with this method takes 5-10 days
Prices:
- Dry-Packed Products $15.00
- Not available for Cold-Packed products
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
How is Trileptal oral liquid different from tablets?
Both forms contain oxcarbazepine and work the same way. The oral suspension allows measured dosing for people who prefer a liquid or have difficulty swallowing tablets, including many pediatric patients. It is typically taken twice daily. Your prescriber will choose the form that suits your needs, medical history, and dosing flexibility. Use only the measuring device provided or a calibrated syringe for accuracy.
Can I mix the suspension with food or drinks?
You may take the suspension with or without food. Stay consistent to help with tolerability. The label generally recommends shaking well and measuring with a supplied oral syringe. If you plan to mix with a small amount of water, do so only as directed by your pharmacist or in line with the official labeling. Avoid mixing into large volumes or hot liquids, which can affect dosing accuracy.
What serious side effects require immediate care?
Seek urgent care for signs of severe skin reactions (peeling rash, blisters), swelling of the face or throat, trouble breathing, or symptoms of very low sodium (confusion, severe headache, seizures). Report new or worsening mood or behavior changes right away. These events are uncommon but important. Review the Medication Guide and talk with your prescriber about your specific risks and warning signs.
Will it affect birth control effectiveness?
Oxcarbazepine can reduce the effectiveness of certain hormonal contraceptives by inducing metabolizing enzymes. Your prescriber may recommend a nonhormonal method or an additional barrier method while taking this medicine. Discuss all contraceptive options and any planned changes before starting therapy. Do not stop or adjust treatments on your own without clinical guidance.
How long does it take to see seizure control?
Response varies. Clinicians often start at a lower amount and adjust gradually over time. Many people need steady, daily use and follow-up visits to assess benefit and tolerability. Keep a seizure diary and share it during appointments to guide decisions. Avoid abrupt discontinuation, as it may raise seizure risk. Your prescriber will outline a plan tailored to your situation.
What if I miss a dose of the suspension?
Take the missed dose when you remember unless it is almost time for the next dose. If it is close, skip the missed dose and resume your usual schedule. Do not double doses. Setting reminders or using a weekly chart can help prevent missed doses. Ask your pharmacist for help if the dosing schedule feels complicated or if you need a clearer measuring device.
How should I store the bottle after opening?
Store at room temperature and keep the cap tightly closed. Protect from excessive heat, moisture, and freezing. Most labels specify a limited in-use period after opening; check your bottle and the official prescribing information for the exact timeframe, then discard any remaining suspension after that period. Keep out of reach of children and bring it in original packaging when traveling.
Rewards Program
Earn points on birthdays, product orders, reviews, friend referrals, and more! Enjoy your medication at unparalleled discounts while reaping rewards for every step you take with us.
You can read more about rewards here.
POINT VALUE
How to earn points
- 1Create an account and start earning.
- 2Earn points every time you shop or perform certain actions.
- 3Redeem points for exclusive discounts.
How to book an appointment
- 1Create Begin by completing a profile or log into your existing account. This step ensures we have the necessary information to provide you with a service that's tailored to your needs. account and start earning.
- 2Scheduling an appointment with our online booking system is easy. Pick a day and time that suits you. You’ll receive an immediate confirmation, without the wait.
- 3Discuss your concerns and symptoms and receive a thorough diagnosis from one of our licensed doctors during a confidential video appointment.
- 4If you've been prescribed medication, your Rx is sent directly to one of our licensed pharmacies and delivered right to your door.
Get Started
To book an online doctor appointment, register for an account or login. After doing so, you can book your visit on this page.
