The Epsotoin Tablet can be used alone or in combination with other medications It can be taken with or without food Your doctor will determine the appropriate dosage for you which may increase gradually until your condition is stable While it may take several weeks for the medicine to take effect it is important to take it regularly to derive its benefits Unless advised by your doctor do not discontinue taking the medication even if you feel well Stopping the medication abruptly may lead to an increase in seizures or worsening of your bipolar disorder The most common side effects of this medicine include skin rashes headaches nausea difficulty sleeping dizziness and drowsiness Most side effects are temporary and will fade away However if they persist or bother you inform your doctor There may be ways to prevent or reduce these effects Before taking this medicine inform your doctor if you have kidney or liver problems meningitis depression or suicidal thoughts Also let your healthcare team know about all other medications you are currently using as some may interact with or be affected by this medicine including contraceptive pills If you are pregnant or breastfeeding Epsotoin Tablet can be taken if absolutely necessary but the dosage may be adjusted If the medicine makes you drowsy or dizzy it is advisable to avoid driving or riding a bicycle You may require frequent blood tests to monitor your response to this medicine