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Xcopri
Cenobamate
$660.00
12.5+25mg · 3 × 28 tablets · 3 months supply
BrandBranded medicine· By Dexxon
$220.00 per month
Strength
How long a supply?
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Annual cost
$2860a year at this pack size
Prescription required
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12.5+25mg
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About Xcopri
Overview
Xcopri is a medicine containing cenobamate, supplied as tablets taken by mouth. It is used to treat partial-onset seizures in adults. Its exact effect on seizures is not fully understood, but it reduces repeated nerve cell firing by blocking certain sodium currents and enhances the activity of GABA, a chemical messenger in the brain.
What it treats
Partial-onset seizures in adults.
Safety information
Side effects
Common side effects of Xcopri include sleepiness, dizziness, tiredness, double vision and headache. Serious risks include DRESS, a hypersensitivity reaction that can affect several organs; liver injury; shortening of the QT interval, an electrical timing measurement in the heart; and suicidal thoughts or behaviour. Contact a doctor promptly if you suspect a serious reaction, and seek immediate medical help for suicidal thoughts or behaviour. Liver blood tests are needed before treatment and may be needed during treatment. Do not drive or operate machinery until you know how Xcopri affects you. Alcohol and other medicines that slow brain activity may add to sleepiness and related effects. Medicines that also shorten the QT interval require caution. Do not stop Xcopri suddenly. It should be withdrawn gradually under your prescriber’s guidance to reduce the risk of more frequent seizures.
When to call your doctor
If symptoms are severe or getting worse quickly, seek emergency care rather than waiting.
Before taking this medicine
Do not take Xcopri if you are allergic to cenobamate or any of its inactive ingredients, or if you have familial short QT syndrome. Use requires caution in people with kidney impairment or mild to moderate liver impairment. Xcopri is not recommended for people with severe liver impairment or end-stage kidney disease requiring dialysis. Based on animal studies, it may harm an unborn baby if taken during pregnancy. Xcopri can cause serious hypersensitivity reactions, including DRESS, which may affect multiple organs, and clinically significant liver injury. Liver blood tests are needed before treatment and during treatment when clinically indicated. Treatment should be stopped if liver injury or DRESS occurs and no other cause is found. Caution is needed with other medicines that shorten the QT interval, which is part of the heart’s electrical rhythm. Alcohol and other medicines that slow brain activity may increase sleepiness and fatigue. Do not drive or operate machinery until you know how Xcopri affects you. People taking Xcopri should be monitored for suicidal thoughts or behaviour. Do not stop it suddenly; it should be withdrawn gradually under medical supervision to reduce the risk of more frequent seizures.
Interactions
Xcopri can interact with phenytoin, phenobarbital, clobazam, lamotrigine and carbamazepine. Your prescriber may need to adjust these medicines. Medicines processed by the liver enzymes CYP2B6, CYP3A or CYP2C19 may also need adjustment. Ask your doctor to review your medicines for these interactions. Xcopri may make hormonal oral contraceptives less effective. Use additional or alternative non-hormonal birth control and discuss suitable options with your doctor.
Using Xcopri
Dosing
Dosing is set by your prescriber. Each health care professional may prescribe medication differently according to a patient's medical history and condition, so follow the directions on your prescription label and speak to your doctor or pharmacist before changing anything.
Storage
Store below 25°C in a dry place, in the original pack, away from direct light and moisture. Do not keep it in a bathroom. Keep all medicines out of the sight and reach of children.
Clinical information on this page is summarised from the US FDA label XCOPRI TITRATION PACK (CENOBAMATE) KIT XCOPRI (CENOBAMATE) TABLET, FILM COATED XCOPRI MAINTENANCE PACK (CENOBAMATE) KIT XCOPRI (CENOBAMATE) TABLET [SK LIFE SCIENCE, INC.] (DailyMed, retrieved 19 September 2026).
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