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Trileptal vs. Banzel

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Trileptal (oxcarbazepine) and rufinamide (Banzel) are both antiepileptic medications, but they are used for different types of seizures. Trileptal is used to treat partial-onset seizures and can be taken alone or with other seizure medications. It’s available in both immediate-release and extended-release forms (Oxtellar XR). The immediate-release form can be used in children as young as 2 years old. On the other hand, rufinamide is specifically used for seizures linked to Lennox-Gastaut syndrome (LGS) and can be given to adults and children as young as 1 year old. Unlike Trileptal, rufinamide must be taken with other seizure medications and with food for full absorption. Both medications can cause dizziness and drowsiness, but rufinamide also has a risk of heart rhythm problems and requires careful monitoring for severe allergic reactions, especially in children under 12. Both medications are available as a low-cost generic.

Oxcarbazepine

(Trileptal)

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Rufinamide

(Banzel)

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Summary for Trileptal

Prescription only

Oxcarbazepine (Trileptal) is used to treat partial-onset seizures (also called focal aware seizures). This antiepileptic is for people 2 years of age and older. It helps calm the brain to keep seizures from happening. Oxcarbazepine (Trileptal) comes as immediate-release tablets and an oral suspension. You take it by mouth twice a day. Some common side effects include dizziness, nausea, and headaches. Immediate-release oxcarbazepine comes in both brand-name and generic versions. You can take it by itself or with other anti-seizure medications.

Indications for Trileptal

Pros and Cons for Trileptal

Pros

  • Okay for children as young as 2 years old with partial-onset seizures to take
  • Available as an oral liquid for people who have trouble swallowing the tablets
  • Dose can be adjusted based on response to the medication

Cons

  • Can make it hard to focus and react quickly
  • Can cause serious skin reactions
  • Interacts with many medications, including some antidepressants and other seizure medications

Common Side Effects for Trileptal

  • Dizziness
  • Sleepiness
  • Tiredness
  • Nausea
  • Vomiting
  • Headache
  • Trouble walking
  • Double vision
  • Other changes in vision
  • Shaky eye movements (nystagmus)

Note: Side effects were reported by people who took oxcarbazepine (Trileptal) either by itself or with other seizure medications.

Warnings for Trileptal

  • Low sodium levels
  • Severe allergic reaction
  • Serious skin reactions
  • Risk of suicidal thoughts and behavior
  • Trouble with concentration, speech, and movement
  • Higher risk of having new seizures
  • Withdrawal seizures

Summary for Banzel

Prescription only

Rufinamide (Banzel) is an antiepileptic medication that helps control seizures due to a type of epilepsy called Lennox-Gastaut syndrome (LGS). It's approved as add-on treatment to other anti-seizure medications for adults and children 1 year of age and older. Rufinamide (Banzel) is typically taken by mouth twice a day. It comes in tablet and oral suspension form. Rufinamide (Banzel) isn't a controlled substance, but it commonly causes drowsiness and vomiting as side effects.

Indications for Banzel

Pros and Cons for Banzel

Pros

Cons

  • Must take with other anti-seizure medications (not by itself)
  • Only used for seizures from Lennox-Gastaut syndrome; not for other seizure conditions
  • Must take with food to help the body fully absorb the medication
  • Can cause drowsiness

Common Side Effects for Banzel

Children (age 1 to younger than 4 years old)

  • Vomiting (24%)
  • Drowsiness (16%)
  • Bronchitis (12%)
  • Constipation (12%)
  • Cough (12%)
  • Low appetite (12%)
  • Rash (12%)

Children (age 3 to younger than 17 years old)

  • Drowsiness (17%)
  • Vomiting (17%)
  • Headache (16%)
  • Tiredness (9%)
  • Dizziness (8%)
  • Nausea (7%)

Adults

  • Headache (27%)
  • Dizziness (19%)
  • Tiredness (16%)
  • Nausea (12%)
  • Drowsiness (11%)

Warnings for Banzel

  • Suicidal thoughts or behavior
  • Drowsiness, tiredness, and difficulty controlling movements
  • Heart rhythm problems
  • Severe allergic reaction
  • Seizures after stopping the medication too quickly
  • Life-threatening seizure complication (status epilepticus)
  • Low white blood cell counts

Prices with our coupons for Trileptal vs. Banzel

Price Card Drug Icon
Oxcarbazepine60 tablets / 300mg
$9.00$9.00
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Rufinamide120 tablets / 400mg
$123.27$2,932.43
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