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oxtellar xr

Pharmaranks rates Oxtellar XR 3.6/5 for recall safety — an independent score from its FDA recall history and its manufacturer's record. Oxtellar XR (Oxcarbazepine) is an anti-epileptic agent used to treat Partial Epilepsies.

Oxcarbazepine · by Supernus Pharms

Available as a generic: Oxcarbazepine

72/100Limited · 1 source

Based on 1 source · Recall-safety score from FDA recall history — this product's own recalls and its manufacturer's record. Not an efficacy or quality rating. methodology →

Rated against independent regulatory sources·Last updated October 10, 2026·How we rate
Verified againstopenFDANIH DailyMedRxClass
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This medication~$5.03/30
Cheapest in class · mysoline~$2.89/30
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Key facts

Active ingredient
Oxcarbazepine
Form
Tablet
Strength
Oxcarbazepine 150MG · Oxcarbazepine 300MG · Oxcarbazepine 600MG
Type
Prescription (Rx)
Brand or generic
Brand-name
Manufacturer
Supernus Pharms
Half-life
about 2 hours (immediate-release tablets and oral suspension) (how long it stays in your system)
What the pharmacy pays
~$5.03 for 30 — not your price
FDA application
NDA202810

How long does Oxcarbazepine stay in your body?

The elimination half-life of oxcarbazepine is about 2 hours (immediate-release tablets and oral suspension) — the time it takes the body to clear about half of it. As a rule of thumb, a medicine is mostly gone after roughly 4 to 5 half-lives, though this varies from person to person with age and kidney or liver function. The parent drug's 2-hour half-life is misleading on its own: oxcarbazepine is rapidly converted to its active metabolite MHD (10-monohydroxy derivative), which carries most of the anti-seizure activity and has a half-life of about 9 hours. In severe kidney impairment (creatinine clearance under 30 mL/min) MHD's half-life roughly doubles, to about 19 hours, with a 2-fold increase in exposure. In adults 60 to 82 years old, MHD peak levels and exposure ran 30% to 60% higher than in adults 18 to 32, an effect the label attributes to age-related decline in creatinine clearance rather than age itself. Mild-to-moderate liver impairment did not change the pharmacokinetics of either oxcarbazepine or MHD. The extended-release form differs: in Oxtellar XR studies the elimination half-life of oxcarbazepine was 7 to 11 hours and MHD 9 to 11 hours, reflecting the slower release rather than slower clearance.

This is general information, not medical advice. It doesn’t tell you when a drug test would read negative (tests detect substances for different, often longer, windows) or when it’s safe to take another dose — ask your pharmacist or prescriber. Source: Oxcarbazepine tablets, film coated — FDA prescribing information, Section 12.3 Pharmacokinetics (DailyMed SPL).

Drug class

How this class works, per Seizure Medications — StatPearls, NCBI Bookshelf (NIH).

May treat (source: NIH RxClass)

See how Oxtellar XR ranks — best-rated anti-epileptic agent for:

Dosage forms

Tablet

The forms currently marketed in the U.S., per the FDA National Drug Code Directory.

Ways to save

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Request a 90-day supply

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Use copay cards

Manufacturer copay cards & patient-assistance programs — especially for brand drugs.

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Frequently asked questions

What does Oxtellar XR treat?
Oxtellar XR (Oxcarbazepine) may be used to treat partial epilepsies, based on NIH RxClass drug-classification data (conditions a drug may treat — not a verbatim copy of the FDA-approved label). This is general reference, not medical advice.
How does Oxtellar XR work?
Oxtellar XR is a anti-epileptic agent. Anti-epileptic (anticonvulsant) drugs calm the abnormal, excessive electrical activity that triggers seizures. They do this by stabilizing overactive sodium or calcium channels in nerve cells, boosting the brain's natural calming chemical GABA, or dampening excitatory signals, which makes nerves less likely to fire uncontrollably.
How is Oxtellar XR rated?
pharmaranks gives Oxtellar XR a composite score of 3.6 out of 5, currently based on 1 weighted source (FDA regulatory recall-safety data weighted highest). See our methodology at /how-we-rate.
How much does Oxtellar XR cost?
Nobody can tell you what you will pay — your price is set by your insurer's formulary, your deductible and the pharmacy's markup, and none of those are published. What IS published is what the pharmacy paid to acquire it: about $5.03 for 30, per the CMS NADAC survey. Treat that as the floor, not the quote — ask the pharmacist for the cash price as well as your copay, because for cheap generics the cash price often wins. Pharmacies pay less for a same-class option, Mysoline — about $2.89 on the same basis.
Is there a coupon or discount for Oxtellar XR?
pharmaranks is an independent ratings site, not a pharmacy — we don't issue coupons or sell Oxtellar XR. To pay less, ask your prescriber or pharmacist whether a generic equivalent exists, check the manufacturer's copay/savings card and patient-assistance program, and compare a pharmacy discount card against your insurance copay. Prices vary by pharmacy, insurance, and location, so always confirm at the counter. This is general reference, not medical or financial advice.
Who makes Oxtellar XR?
Oxtellar XR is marketed by Supernus Pharms. You can see Supernus Pharms's full profile, rating, and other products on pharmaranks.
Is Oxtellar XR a brand-name or generic drug?
Oxtellar XR is a brand-name product with the active ingredient Oxcarbazepine. Lower-cost generic equivalents containing Oxcarbazepine are available — ask your pharmacist.
Is Oxtellar XR available over the counter?
No. Oxtellar XR is a prescription (Rx) medication in the US — you need a prescription from a licensed clinician (in person or via telehealth); it isn't sold over the counter. For some conditions there are OTC alternatives — ask your pharmacist.
What forms does Oxtellar XR come in?
Oxtellar XR is currently marketed as tablet, per the FDA's National Drug Code Directory.
What class of drug is Oxtellar XR?
Oxtellar XR is classified as anti-epileptic agent, per the FDA's Established Pharmacologic Class.
Is Oxtellar XR FDA-registered?
Oxtellar XR is on record with the U.S. FDA under application number NDA202810. You can verify this on its official FDA label.
Has Oxtellar XR been recalled by the FDA?
Oxtellar XR has no FDA recalls recorded under its own application in the openFDA enforcement database. Its recall-safety score reflects its manufacturer's overall recall record. This is general reference, not medical advice — check the FDA recall database for the latest alerts.
Is Oxtellar XR safe?
There's no single safe-or-not verdict. pharmaranks gives Oxtellar XR a recall-safety score of 72/100, based on its FDA recall history (no recalls under its own FDA application) — not an efficacy or side-effect rating. Review its FDA-label side effects and warnings before use, and always consult a licensed professional.

Information is sourced from public FDA regulatory data. Provided for general reference only — not medical advice. Always consult a licensed professional and the current prescribing information.

What people report to the FDA about OXCARBAZEPINE

The FDA Adverse Event Reporting System (FAERS) collects reports from patients and clinicians. It holds 15,806 reports naming OXCARBAZEPINE — the active ingredient in Oxtellar XR, and the FDA flagged 78% of those reports as serious. The effects reported most often — leaving out reports about overdose, misuse or the condition being treated, which dominate the raw list for common medicines:

  • seizure1,309 reports
  • dizziness709 reports
  • fatigue685 reports
  • fall609 reports
  • hyponatraemia592 reports
  • somnolence579 reports
  • nausea576 reports
  • headache554 reports

Read these as a signal, not a rate. A report does not mean OXCARBAZEPINE caused the effect — anyone can file one, and many describe people taking several medicines for several conditions. Crucially there is no denominator: FAERS does not record how many people took the drug, so these counts cannot be turned into “X% of patients” — a bigger number often just means a more widely used or more talked-about drug. Duplicates exist, and publicity drives reporting. For what is actually established, read the FDA label.

Source: openFDA drug/event (FAERS), retrieved September 25, 2026.

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oxtellar xr

72/100