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  1. Home
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  3. Hetram 4Mg Tab 10'S

Hetram 4Mg Tab 10'S, Pack of 10 TABLETS
Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Santoshini Reddy G , M Pharmacy
Non returnable*
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Whats That

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Composition :

PERAMPANEL-4MG

Manufacturer/Marketer :

Hetero Healthcare Pvt Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Hetram 4Mg Tab

Hetram 4Mg Tab belongs to a group of medicines called anticonvulsants or anti-epileptics used to treat epilepsy. Epilepsy is a sudden rush of electricity in the brain. In epilepsy, the brain's electrical rhythms become imbalanced, resulting in recurrent seizures, sometimes leading unconscious state. 

Hetram 4Mg Tab contains 'Perampanel'. It prevents seizures or epilepsy by blocking a receptor in the brain known as the glutamate receptor, thereby suppressing the brain's abnormal and excessive activity of the nerve cells.

In some cases, Hetram 4Mg Tab may cause common side effects such as dizziness, drowsiness, increased or decreased appetite, weight gain, fatigue, and nausea. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

Hetram 4Mg Tab is not recommended during pregnancy and in children below four years. Consult your doctor if you are breastfeeding. Hetram 4Mg Tab may cause drowsiness and dizziness, so drive only if you are alert. Avoid consuming alcohol along with Hetram 4Mg Tab as it could lead to increased dizziness and drowsiness. Consult your doctor immediately if you experience suicidal tendencies. Keep your doctor informed about your health condition and medicines to rule out any side effects.

Uses of Hetram 4Mg Tab

Epilepsy/seizures

Directions for Use

Swallow it as a whole with water; do not crush, break or chew it.

Medicinal Benefits

Hetram 4Mg Tab belongs to a group of medicines called anticonvulsants or anti-epileptics. Hetram 4Mg Tab contains perampanel. It is used to treat epilepsy. Hetram 4Mg Tab prevents seizures or epilepsy by blocking a receptor in the brain known as the glutamate receptor, thereby suppressing the abnormal and excessive activity of the nerve cells in the brain.

Storage

Store in a cool and dry place away from sunlight
Side effects of Hetram 4Mg Tab
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.
  • Avoid driving or operating machinery or activities that require high focus until you know how the medication affects you.
  • Maintain a fixed sleeping schedule, create a relaxing bedtime routine and ensure your sleeping space is comfortable to maximize your sleep quality.
  • Limit alcohol and caffeine as these may worsen drowsiness and disturb sleep patterns.
  • Drink plenty of water as it helps with alertness and keeps you hydrated and for overall well-being.
  • Moderate physical activity can improve energy levels, but avoid intense workouts right before bedtime.
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.
  • 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.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
  • Uncoordinated muscle movements need immediate medical attention.
  • Observe your movements and try to understand and control the particular movement.
  • Regularly do strengthening exercises to improve blood flow throughout the body and avoid involuntary movements.
  • Implement massage techniques to enhance blood flow to organs.
  • Take a balanced diet and quit smoking.
  • Practice yoga and meditation to improve thought processes and reduce uncontrolled and involuntary movements.
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.

Drug Warnings

Do not take Hetram 4Mg Tab if you are allergic to any of its contents. Inform your doctor before taking Hetram 4Mg Tab if you have serious liver problems, moderate or severe kidney problems, alcoholism, or drug dependence. Hetram 4Mg Tab is not recommended during pregnancy and in children below 4 years. Consult your doctor if you are breastfeeding. Hetram 4Mg Tab may cause drowsiness and dizziness, so drive only if you are alert. Avoid consuming alcohol along with Hetram 4Mg Tab as it could lead to increased dizziness and drowsiness. Keep your doctor informed about your health condition and medicines to rule out any side effects.

Drug-Drug Interactions

verifiedApollotooltip
PerampanelSodium oxybate
Severe
PerampanelKetamine
Severe

Drug-Drug Interactions

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PerampanelSodium oxybate
Severe
How does the drug interact with Hetram 4Mg Tab:
Using sodium oxybate together with Hetram 4Mg Tab may increase side effects such as dizziness, drowsiness, confusion, difficulty concentrating

How to manage the interaction:
Although taking Hetram 4Mg Tab and Sodium oxybate together can evidently cause an interaction, it can be taken if your doctor has suggested it. Do not stop using any medications without talking to your doctor.
PerampanelKetamine
Severe
How does the drug interact with Hetram 4Mg Tab:
Using ketamine together with Hetram 4Mg Tab may increase side effects such as dizziness, drowsiness, confusion and difficulty concentrating.

How to manage the interaction:
Although there is a possible interaction between Hetram 4Mg Tab and Ketamine, you can take these medicines together if prescribed by your doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without talking to your doctor.
PerampanelBuprenorphine
Severe
How does the drug interact with Hetram 4Mg Tab:
When buprenorphine is used with Hetram 4Mg Tab, it may lead to significant adverse effects.

How to manage the interaction:
Concomitant administration of buprenorphine alongside Hetram 4Mg Tab can result in an interaction, it can be taken if a doctor has advised it. You should avoid driving or operating hazardous machinery until you're aware of how these medications effect you. Consult a doctor if you have any questions or concerns. Do not discontinue any medications without consulting a doctor.
PerampanelEsketamine
Severe
How does the drug interact with Hetram 4Mg Tab:
Co-administration of Hetram 4Mg Tab with esketamine can increase the risk of side effects of Hetram 4Mg Tab.

How to manage the interaction:
There may be a possibility of interaction between Hetram 4Mg Tab and Esketamine, but it can be taken if prescribed by a doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without talking to your doctor.

Drug-Food Interactions

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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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Diet & Lifestyle Advise

  • Meditation and yoga can help lower stress, decrease pain sensitivity and improves coping skills.
  • Exercising regularly helps in maintaining weight and improving overall health.
  • Rest well, and get plenty of sleep.
  • Prepare your living area; small changes may help reduce the risk of physical injury during a seizure.
  • Understand what triggers seizures and try reducing or avoiding them.
  • Please pay attention to overall health, as it can help reduce seizure activity.
  • Have a seizure response plan, and help those around you know what to do.
  • Install an alarm or emergency device to get assistance during a seizure attack.
  • A ketogenic diet (low in carbohydrates and high in fats) is recommended for children with epilepsy. This diet helps utilise fat instead of glucose for the generation of energy.
  • Atkins diet (high fat and controlled carbohydrates) is recommended for adolescents and adults.
  • Avoid smoking and alcohol consumption.

Habit Forming

Yes

Therapeutic Class

ANTICONVULSANT

Hetram 4Mg Tab Substitute

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Author Details

Bayyarapu Mahesh KumarDoctor badge

Written By

Bayyarapu Mahesh Kumar

M Pharmacy

Santoshini Reddy GDoctor badge

Reviewed By

Santoshini Reddy G

M Pharmacy

Last Updated

Jul 8, 2025 | 9:40 AM IST

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Drug-Diseases Interactions

verifiedApollotooltip
No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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FAQs

Hetram 4Mg Tab prevents seizures by blocking a receptor in the brain known as the glutamate receptor, thereby suppressing the abnormal and excessive activity of the nerve cells in the brain.

Hetram 4Mg Tab may cause weight gain, so try to maintain a proper weight by following a healthy diet and exercising regularly.

Do not discontinue Hetram 4Mg Tab without consulting your doctor. To treat your condition effectually, continue taking Hetram 4Mg Tab for as long as prescribed. Do not be reluctant to speak with your doctor if you feel any difficulty while taking Hetram 4Mg Tab ; your doctor will reduce the dose gradually to avoid precipitating seizures.

Avoid conceiving while on treatment with Hetram 4Mg Tab as it is not recommended for use during pregnancy. Use a reliable method of contraception during treatment with Hetram 4Mg Tab and for one month after the last dose of Hetram 4Mg Tab .

Hetram 4Mg Tab might make certain hormonal contraceptives, such as levonorgestrel less effective, affecting contraception. Therefore, you are advised to use other forms of contraception such as coil or condom while on treatment with Hetram 4Mg Tab . Discuss with your doctor if you have any concerns.

Drug-Drug Interactions Checker List

  • ESLICARBAZEPINE ACETATE
  • RUFINAMIDE
  • CLOBAZAM
  • TOPIRAMATE
  • BACLOFEN

Special Advise

  • Close monitoring of lipid profile is recommended during treatment with Hetram 4Mg Tab .
  • Consult your doctor immediately if you experience suicidal tendencies.

Disease/Condition Glossary

Epilepsy: It is a neurological/central nervous system disorder in which the brain's electrical pattern is disrupted by sudden electrical impulses that affect an individual’s consciousness, movements, or sensations. Possible causes include high fever, trauma, genetic disorder, brain injury or stroke.

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