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It is rapidly reduced by cytosolic liver enzymes to its active metabolite, 10-monohydroxy derivative (MHD), which is an enantiometric mixture of S-liscarbazepine and R-liscarbazepine in a ratio of 4:1
Another effect of decreased GI motility is reflux, or GERD
On top of that, the bottle price is only part of the equation
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