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compositionComposition:BRIVARACETAM-200MG
prescription
Prescription Medicine
info
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Britzilam SR 200 Tablet is used to treat partial-onset seizures (seizures involving only one part of the brain) in people with epilepsy (fits) in patients one month of age and older. It contains Brivaracetam, which decreases the brain's excessive and abnormal nerve activity, thereby controlling seizures. This medicine may cause common side effects such as excessive sleepiness, dizziness, overtiredness, nausea and vomiting. Before starting Britzilam SR 200 Tablet , inform your doctor if you are pregnant, breastfeeding, taking any other medicines or have pre-existing medical conditions.

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Written By Veda Maddala , M Pharmacy
Reviewed By Bayyarapu Mahesh Kumar , M Pharmacy
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More about the Product

Composition :

BRIVARACETAM-200MG

Manufacturer/Marketer :

Torrent Pharmaceuticals Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Britzilam SR 200 Tablet

Britzilam SR 200 Tablet is a prescription tablet used to treat partial-onset seizures in people with epilepsy. It belongs to a group of medicines called anticonvulsants, which help control abnormal brain activity. Your doctor may prescribe it alone or alongside other seizure medications to help manage your condition.

You must take this medicine consistently every day, exactly as prescribed, even if you feel well and do not have seizures. You can take the tablet with or without food, but it is best to take it at the same times each day to keep a steady amount in your body. Getting enough sleep, managing stress, and avoiding seizure triggers can also help support your treatment results.

Some people taking Britzilam SR 200 Tablet may experience mild side effects like sleepiness, dizziness, or feeling tired. If you notice severe changes in your mood, such as unusual anger, anxiety, depression, or thoughts of hurting yourself, contact your doctor immediately. Do not ignore these changes, as they require professional medical evaluation.

Do not take this if you are allergic to any of the ingredients in this tablet. Before starting this medicine, talk to your doctor if you have a history of depression, mood problems, or liver damage, as your dose may need to be carefully monitored or adjusted. This medicine is not suitable for everyone, so your complete medical history is essential.

This medicine can interact with other drugs, especially other seizure medications, which can change how they work or increase side effects. Drinking alcohol is not recommended because it can make drowsiness and dizziness much worse. If you are pregnant, planning to become pregnant, breastfeeding, or are an older adult, consult your doctor to discuss the safety of this medication for your specific situation.

Uses of Britzilam SR 200 Tablet

Britzilam SR 200 Tablet is used to manage certain types of seizures by helping control abnormal electrical activity in the brain. Its main use includes:

  • Partial-onset seizures: Britzilam SR 200 Tablet is prescribed to help control and reduce the frequency of partial-onset (focal) seizures in adults and children with epilepsy.

Key Benefits

Britzilam SR 200 Tablet brings real-world relief to patients by helping them regain control over their daily lives. The primary benefits include:

  • Fewer seizure episodes: By reducing the number of seizures you experience, this medicine helps you carry out daily tasks with more confidence and peace of mind.
  • Flexible daily routine: Because the tablet can be taken with or without food, it easily fits into your existing daily schedule without requiring major adjustments to your meal times.
  • Steady brain support: It is absorbed quickly by the body, helping to stabilise brain activity and prevent sudden, unexpected seizure episodes.
Side effects of Britzilam SR 200 Tablet
Managing Medication-Triggered Anxiety: A Comprehensive Approach:
  • Inform your doctor about your anxiety symptoms so that you doctor may explore potential drug interactions and alter your treatment plan.
  • Work with your doctor to adjust your medication regimen or dosage to minimize anxiety symptoms.
  • Reduce anxiety symptoms by practicing relaxation techniques like meditation, deep breathing, or yoga.
  • Regular self-care activities, such as exercise, healthy food, and adequate sleep, can assist control anxiety.
  • Surround yourself with a supportive network of friends, family, or a support group to help manage anxiety and stay motivated.
  • Regularly track anxiety symptoms and report any changes to your doctor to ensure your treatment plan is effective and adjusted as needed.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
  • Get enough sleep. Maintain a regular sleep cycle.
  • Eat a healthy diet and exercise regularly.
  • Manage stress with yoga or meditation.
  • Limit alcohol and caffeine.
  • Avoid driving or operating machinery unless you are alert.
Here are the steps to Dry Mouth (xerostomia) caused by medication:
  • Inform your doctor about dry mouth symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Drink plenty of water throughout the day to help keep your mouth moist and alleviate dry mouth symptoms.
  • Chew sugar-free gum or candies to increase saliva production and keep your mouth moisturized.
  • Use saliva substitutes, such as mouthwashes or sprays, only if your doctor advises them to help moisturize your mouth and alleviate dry mouth symptoms.
  • Avoid consuming smoking, alcohol, spicy or acidic foods, and other irritants that may aggravate dry mouth symptoms.
  • Schedule regular dental check-ups to keep track of your oral health and handle any dry mouth issues as they arise.
  • Eat potassium-rich foods like avocados, bananas, spinach, and potatoes.
  • Stay hydrated by drinking plenty of water.
  • Exercise regularly and maintain healthy weight.
  • Manage stress.
  • Prioritize 7-9 hours of sleep each night to help your body and mind recharge.
  • Avoid smoking and limit intake of caffeine.
  • Practice stress-reducing activities like meditation, yoga, or deep breathing to help calm your mind and body.
  • Avoid stimulants and illegal drugs.
  • Call your doctor if it worsens.
  • Manage stress by practising deep breathing, yoga or meditation.
  • Get enough sleep. Maintain a regular sleep cycle.
  • Exercise regularly. Try physical activities like walking, running, or dancing.
  • Limit stimulants like tea, coffee and alcohol.
  • Identify triggers and try managing them.
  • Take a break by scheduling time for yourself.
  • Try creative activities like writing, dancing or painting as it helps release tension.

Directions for Use

  • Take Britzilam SR 200 Tablet with or without food or as advised by a doctor.
  • Adhere to your doctor's guidance regarding the dosage and timing of this medication for optimal effectiveness.
  • Swallow it as a whole with a glass of water.
  • Do not crush, chew, or break it.

How Britzilam SR 200 Tablet Works

Britzilam SR 200 Tablet contains brivaracetam, which works by binding to a specific protein in the brain called synaptic vesicle protein 2A (SV2A). Inside the brain, nerve cells communicate through electrical signals. During a seizure, these signals become hyperactive, disorganised, and fire too quickly. By attaching to this protein, Britzilam SR 200 Tablet helps slow down the release of chemical messengers that trigger abnormal electrical storms, restoring a calmer and more stable state in your brain.
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Alcohol

Unsafe

It is unsafe to consume alcohol since it may worsen the side effects like dizziness and sleepiness.

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Pregnancy

Caution

There are no adequate and well-controlled studies on pregnant women. Inform your doctor before receiving Britzilam SR 200 Tablet if you are pregnant or planning to become pregnant. Your doctor will prescribe only if the benefits outweigh the risks.

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Breast Feeding

Caution

There has been no significant research on using Britzilam SR 200 Tablet in breastfeeding/nursing moms. So, let your doctor know if you are a nursing mother before taking Britzilam SR 200 Tablet ; your doctor will decide whether breastfeeding mothers can take Britzilam SR 200 Tablet .

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Driving

Unsafe

Britzilam SR 200 Tablet may cause somnolence (excess sleepiness) and fatigue (feeling overtired). These symptoms impact daily activities; hence, avoid driving in such situations. Seek medical attention if the symptoms persist longer.

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Liver

Caution

Dose adjustments may be needed. So inform your doctor before receiving Britzilam SR 200 Tablet if you have a history of liver impairments.

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Kidney

Caution

Britzilam SR 200 Tablet is not recommended for use in end-stage renal disease patients undergoing dialysis. If you have a history of kidney diseases/conditions, inform your doctor before receiving Britzilam SR 200 Tablet .

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Children

Safe if prescribed

Britzilam SR 200 Tablet is safe for use in children if prescribed by your doctor. Please consult your doctor if you have any concerns.

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Heart

Safe if prescribed

Britzilam SR 200 Tablet is safe for use in heart patients if prescribed by the physician. However, caution should be exercised.

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Geriatrics

Safe if prescribed

Britzilam SR 200 Tablet is safe for use in elderly patients if prescribed by the physician.

What if I have taken an overdose of Britzilam SR 200 Tablet

If you take more than your prescribed dose, seek emergency medical care or call a poison control centre immediately. Signs of taking too much may include extreme sleepiness, severe dizziness, or loss of balance.

Diet & Lifestyle Advise

  • Stick to a regular sleep schedule: Lack of sleep is a common trigger for seizures. Aim for 7 to 9 hours of quality rest every night.
  • Avoid alcohol completely: Alcohol can make side effects like drowsiness and dizziness much worse, and it can also increase your risk of having a seizure.
  • Keep a detailed seizure diary: Track when your seizures occur, what you were doing at the time, and if you missed any doses. Share this information with your doctor during check-ups.
  • Stay hydrated and eat balanced meals: Dehydration and extreme shifts in blood sugar can impact brain health, so try to maintain regular eating and drinking habits.
health query

Have a query?

How Soon It Starts Working

The time required for Britzilam SR 200 Tablet to start to work: The time required for Britzilam SR 200 Tablet to show its action is clinically not established.

The time for which the effects of Britzilam SR 200 Tablet last: The duration of action for Britzilam SR 200 Tablet is unknown.

What if you forget to take Britzilam SR 200 Tablet

Take the missed tablet as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed one and take your next tablet at your regular time. Do not take two doses at the same time to make up for a missed tablet.

Storage

• Store the tablets at room temperature, between 20°C and 25°C (68°F to 77°F).

Drug Warnings

  • Do not stop therapy abruptly: Stopping Britzilam SR 200 Tablet suddenly can trigger continuous, life-threatening seizures. Your doctor must help you slowly reduce your dose.
  • Monitor your mood changes closely: Let your family members or caregivers know you are taking this medicine so they can help you watch for signs of depression, anger, or suicidal thoughts.
  • Avoid driving initially: Do not drive, ride a bicycle, or operate machinery until you are sure how this medicine affects your coordination and alertness.
  • Check your supply regularly: Always order your refills a few days before you run out so that you do not miss any doses.

Drug-Drug Interactions

verifiedApollotooltip

The following medicines may interact with Britzilam SR 200 Tablet and require closer monitoring or dose adjustments:

  • Medicines That Cause Drowsiness: Sleep medicines, muscle relaxants, anxiety medicines, strong pain relievers, and other sedating drugs may increase drowsiness, dizziness, poor coordination, or slowed breathing when taken with Britzilam SR 200 Tablet .
  • Rifampicin: Rifampicin may lower the amount of Britzilam SR 200 Tablet in the blood, which could reduce its effectiveness in controlling seizures.
  • Other Anti-Seizure Medicines: Britzilam SR 200 Tablet may interact with certain anti-seizure medicines. For example, it may increase levels of carbamazepine epoxide, an active breakdown product of carbamazepine, which can increase side effects. Interactions with phenytoin may also require monitoring.
BrivaracetamEsketamine
Severe
BrivaracetamKetamine
Severe

Drug-Drug Interactions

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BrivaracetamEsketamine
Severe
How does the drug interact with Britzilam SR 200 Tablet:
Co-administration of Britzilam SR 200 Tablet with Esketamine may increase side effects such as drowsiness, difficulty concentrating, confusion, and impairment in thinking, judgment, reaction speed, and motor coordination.

How to manage the interaction:
Although there is an interaction, Britzilam SR 200 Tablet can be taken with Esketamine if prescribed by the doctor. Consult the prescriber if you notice drowsiness, difficulty concentrating, confusion, and impairment in thinking, judgment, reaction speed, and motor coordination. Do not discontinue the medication without consulting a doctor
BrivaracetamKetamine
Severe
How does the drug interact with Britzilam SR 200 Tablet:
Co-administration of Britzilam SR 200 Tablet with Ketamine may increase side effects such as drowsiness, difficulty concentrating, confusion, and impairment in thinking, judgment, reaction speed, and motor coordination.

How to manage the interaction:
Although there is a possible interaction between Britzilam SR 200 Tablet and Ketamine, you can take these medicines together if prescribed by a doctor. If you notice any of these signs - feeling dizzy, sleepy, confused, having trouble focusing, feeling too relaxed, or having trouble breathing - make sure to contact adoctor right away. Do not stop using any medications without talking to a doctor.

Drug-Food Interactions

verifiedApollotooltip

Certain foods or drinks may affect the safety or tolerability of Britzilam SR 200 Tablet . Important interactions include:

  • Alcohol: Avoid drinking alcohol while taking Britzilam SR 200 Tablet , as it may worsen drowsiness, dizziness, balance problems, poor coordination, and reduced alertness.
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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All Substitutes & Brand Comparisons

Habit Forming

Yes

Therapeutic Class

[ANTICONVULSANT]

FAQs

Britzilam SR 200 Tablet is used for treating partial-onset seizures (seizures involving only one part of the brain) in people with epilepsy (fits).
Britzilam SR 200 Tablet contains Brivaracetam, which reduces the electrical impulses and abnormal nerve activity. Thereby, it helps control seizures.
No, Britzilam SR 200 Tablet should not be stopped even if you start feeling better. Suddenly stopping the Britzilam SR 200 Tablet may cause continuous seizures, which can be difficult to control. To treat your condition effectually, continue taking Britzilam SR 200 Tablet for as long as prescribed. Do not be reluctant to speak with your doctor if you feel any difficulty while taking Britzilam SR 200 Tablet ; your doctor will gradually reduce the dose to avoid precipitating seizures.
Britzilam SR 200 Tablet may cause suicidal thoughts, such as killing or harming yourself. People taking Britzilam SR 200 Tablet should be closely monitored for suicidal thoughts or behaviour. Speak with your doctor immediately if you need to.
Pay close attention to any changes in mood, behaviour, thoughts, or feelings, especially if they are sudden.
In rare cases, Britzilam SR 200 Tablet may cause behavioural reactions, including psychotic symptoms, irritability, depression, aggressive behaviour, and anxiety. If you experience such symptoms, report to the doctor immediately.
Consult the doctor if you do not see an improvement. Do not discontinue Britzilam SR 200 Tablet without consulting your doctor as stopping the medicine may cause your seizures to return or occur more often.
Britzilam SR 200 Tablet should be avoided by people who are allergic to any of its components.
Britzilam SR 200 Tablet should be swallowed as a whole with water; do not crush or chew it.
Side effects of Britzilam SR 200 Tablet are somnolence (excess sleepiness), dizziness, fatigue (feeling overtired), nausea and vomiting. Talk to your doctor if you experience these side effects persistently.
No. You must keep taking Britzilam SR 200 Tablet even if you feel completely fine. Stopping suddenly can cause your seizures to return or become much worse. Talk to your doctor if you have concerns about your treatment.
Yes, sleepiness and fatigue are common side effects of Britzilam SR 200 Tablet , especially when you first start taking the medicine. Be cautious and avoid driving until you know how it affects you.
It is best to avoid alcohol completely. Alcohol can increase side effects like dizziness and sleepiness, and it can also trigger seizures, making your medication less effective.
If you are pregnant or planning to become pregnant, talk to your doctor. They will help you weigh the benefits of controlling your seizures against any potential risks to your baby.
Take the missed dose as soon as you remember. If your next scheduled dose is only a few hours away, skip the missed dose and resume your regular schedule. Do not take a double dose.
Yes, this medicine can cause mood changes like irritability, anxiety, or depression in some people. If you or your family notice any unusual behavioural changes, contact your doctor right away.
Yes, you can take Britzilam SR 200 Tablet tablets with or without food. Taking it at the same times every day is the most important step for consistent seizure control.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Reference

  1. U.S. Food and Drug Administration (FDA). 205836S009,205837S007,205838S006Lbl [FDA Prescribing Information]. Silver Spring, MD: FDA; 2024. [Accessed on 02 Jun. 2026]Check here
  2. Drugs.com Clinical Review Team. Levetiracetam Drug Interactions Reference. Auckland, NZ: Drugs.com; 2026. [Accessed on 02 Jun. 2026]Check here
  3. National Health Service (NHS). Brivaracetam Prescribing Information Nov 17 - NHS Medicines Reference Guide. London, UK: NHS; 2025. [Accessed on 02 Jun. 2026]Check here
  4. Brivaracetam Brivaracetam. 2016. [Accessed on 20 Mar. 2019]Check here
  5. Drugs and Lactation Database (LactMed) [Internet]. 2006. [Accessed on 19 Feb. 2020]Check here
  6. Briviact 100 mg Film-coated Tablets - Summary of Product Characteristics (SmPC) - (emc) [Internet]. Medicines.org.uk. 2022 [Accessed on 27 July 2022]Check here
  7. DailyMed - BRIVIACT- brivaracetam tablet, film coatedBRIVIACT- brivaracetam solutionBRIVIACT- brivaracetam injection, suspension [Internet]. Dailymed.nlm.nih.gov. 2022 [Accessed on 27 July 2022]Check here

Country of origin

India

Manufacturer/Marketer address

Off. Ashram Road, Ahmedabad - 380 009., Gujarat, India
Other Info - BRI0762

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