Hetram 4mg Tablet belongs to a class of medicines known as antiepileptics. It is used to treat epilepsy (seizures) in people who have repeated seizures (fits). It helps reduce the frequency of seizures that affect a part or whole of the brain. Hetram 4mg Tablet is taken by mouth with or without food. However, it is advised to take it at the same time each day, preferably before going to bed. Take this medicine in the dose and duration as advised by your doctor as it has a high potential of habit-forming. If you have missed a dose, take it as soon as you remember it. Do not skip any doses and finish the full course of treatment even if you feel better. Do not stop taking it suddenly without talking to your doctor as it may increase seizure frequency. Some common side effects of this medicine include fatigue, anger, nausea, and balance disorder (loss of balance). It may also cause dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. This medicine may cause weight gain and to control it, you should have a balanced diet and exercise regularly. It is important to inform your doctor if you develop any unusual changes in mood or depression as it may lead to suicidal thoughts. Before taking it, you should tell your doctor if you have kidney problems, depression, or suicidal thoughts and if you are pregnant or planning to become pregnant. You should not breastfeed while taking this medicine. Alcohol may increase the risk of seizures and worsen the side effects such as drowsiness and dizziness. Avoid alcohol while taking this medicine. Your kidney function may need to be tested often while taking this medicine.