CToin 100 Tablet can be used alone or in combination with other medications It can be taken with or without food as directed by your doctor The dosage will be determined by your doctor and may be gradually increased until your condition is stable It is important to take this medicine regularly even if you start feeling better Do not stop taking it unless advised by your doctor as this may lead to more seizures or worsening of bipolar disorder Some common side effects of this medicine include skin rashes headaches nausea difficulty sleeping dizziness and drowsiness Most of these side effects are temporary and will subside on their own However if they persist or become bothersome inform your doctor There may be ways to prevent or reduce these side effects Before taking this medicine inform your doctor about any kidney or liver problems meningitis depression or suicidal thoughts you may have Also let your healthcare team know about all other medications you are currently using as they may interact with or be affected by this medicine This includes contraceptive pills If you are pregnant or breastfeeding CToin 100 Tablet can be taken if absolutely necessary but the dosage may need to be adjusted It is advised to avoid driving or riding a bicycle if this medicine makes you feel drowsy or dizzy Additionally frequent blood tests may be required to monitor your response to this medicine