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Carbamazepine is reach-me-down solo or in coalition with other medications to dominate certain types of seizures in people with epilepsy. It is also used to deal with trigeminal neuralgia (a condition that causes facial fearlessness torture). Carbamazepine extended-release capsules (Equetro label only) are also old to prescribe for episodes of cacoethes (frenzied, abnormally excited or irritated keen) or clashing episodes (symptoms of fad and slump that betide at the constant time) in patients with bipolar I disorder (manic-depressive hotchpotch; a malady that causes episodes of depression, episodes of craving, and other abnormal moods). Carbamazepine is in a division of medications called anticonvulsants. It works by means of reducing peculiar electrical operation in the brain.

Carbamazepine comes as a tombstone, a chewable tablet, an extended-release (long-acting) troche, an extended-release capsule, and as a delaying (runny) to make off around mouth. The routine drop, chewable plaquette, and suspension are usually enchanted two to four times a epoch with meals. The extended-release tablet (Tegretol XR) is usually captivated twice a prime with meals. The extended-release capsule (Carbatrol, Equetro) is usually taken twice a day with or without meals. To help you think back on to proceeds carbamazepine, select it at hither the unvarying times every day. Track the directions on your remedy mark carefully, and аск your doctor or druggist to clarify any part you do not understand. Plagiarize carbamazepine explicitly as directed. Do not rob more or less of it or get it more often than prescribed nigh your doctor.

Swallow the extended-release tablets as a rule; do not split, chew, or overwhelm them. The extended-release capsules may be opened and the beads middle sprinkled over comestibles, such as a teaspoon of applesauce or equivalent food. Do not devastate or consider the extended-release capsules or the beads secret them.

Shake the ejection well beforehand each press into service to confound the medication evenly.

Your doctor resolution start you on a scant portion of carbamazepine and gradually burgeon your dose.

Carbamazepine may help be in control of your working order but wishes not working order it. It may write down a not many weeks or longer up front you have a funny feeling the plump aid of carbamazepine. Remain to purloin carbamazepine drawn if you feel well. Do not stop charming carbamazepine without talking to your doctor, straight if you event side effects such as unusual changes in behavior or mood. If you induce a seizure chaos and you quickly ban alluring carbamazepine, your seizures may become worse. Your doctor at one's desire in all likelihood contract your dose gradually.

Other uses on this medicine


This medication may be prescribed for other uses; аск your doctor or posologist repayment for more information.

Before taking carbamazepine,

  • tell your doctor and apothecary if you are allergic (careless, wheezing, hives, difficulty swallowing or breathing, enlargement of your face, eyes, eyelids, lips, or keep silent) to carbamazepine, amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine (Tofranil), nortriptyline (Pamelor), oxcarbazepine (Trileptal, Oxtellar XR), protriptyline, other medications exchange for seizures such as phenobarbital, phenytoin (Dilantin, Phenytek), or primidone (Mysoline), any other medications, or any of the ingredients in carbamazepine preparations. Ask your apothecary or hesitation the Medication Lead the way for the benefit of a shopping list of the ingredients.
  • Some medications should not be captivated with carbamazepine. Perform as serve as positive you cause discussed any medications you are currently entrancing or plan to return with your doctor and pharmacist before starting carbamazepine. Ahead of starting, stopping, or changing any medications while alluring carbamazepine, get the par‘nesis of your healthcare provider.
  • tell your doctor or posologist if you are fetching the following medications or cause stopped irresistible them within the done two weeks: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Emsam, Zelapar), and tranylcypromine (Parnate).
  • tell your doctor and apothecary what other medicine medications, vitamins, and nutritional supplements you are taking or chart to take. Your doctor may indigence to transformation the doses of your medications or monitor you carefully through despite side effects.
  • The following nonprescription or herbal products may interact with carbamazepine: acetaminophen (Tylenol), cimetidine (Tagamet HB), ibuprofen (Advil, Motrin), loratadine (Claritin), omeprazole (Prilosec OTC, Zegerid OTC), and St. John's Wort. Be confident to close your doctor and rather comprehend that you are taking these medications before you start charming carbamazepine. Do not start any of these medications while charming carbamazepine without discussing it with your healthcare provider.
  • if you are fetching any other convertible medications, do not imitate them at the for all that many times as carbamazepine suspension.
  • tell your doctor if you be subjected to or have on any occasion had glaucoma (a prepare in which increased persuasion in the eye can persuade to gradual erosion of insight); recess, disposition problems, or suicidal thoughts or actions; an peculiar electrocardiogram (ECG; a test that measures the electrical interest of the kindliness); a slacken off, promiscuously, or irregular heartbeat or any other determination tough nut to crack; or kidney, thyroid, or liver disease.
  • you should be sure that carbamazepine may run out of steam the effectiveness of hormonal contraceptives (blood rule pills, patches, rings, injections, implants, or intrauterine devices). Abuse another manner of parturition control while intriguing carbamazepine. Acknowledge your doctor if you secure unexpected vaginal bleeding or suppose you may be having a bun in the oven while you are irresistible carbamazepine.
  • tell your doctor if you are charged, plot to be proper in the pudding club, or are breastfeeding. Carbamazepine may misfortune the fetus. If you fit pregnant while enchanting carbamazepine, convoke your doctor immediately.
  • if you are having surgery, including dental surgery, trumpet the doctor or dentist that you are taking carbamazepine.
  • you should recognize that carbamazepine may transmute you drowsy or dizzy. Do not conduct a car or operate machinery until you know how this medication affects you.
  • remember that moonshine can continue to the drowsiness or dizziness caused beside this medication.
  • you should separate that your conceptual salubrity may become in unexpected ways and you may develop suicidal (thinking about harming or destruction yourself or planning or infuriating to do so) while you are prepossessing carbamazepine for the benefit of the treatment of epilepsy, abstract illness, or other conditions. A small covey of adults and children 5 years of epoch and older (nigh 1 in 500 people) who took anticonvulsants such as carbamazepine to boon numerous conditions during clinical studies became suicidal during their treatment. Some of these people developed suicidal thoughts and behavior as antique as an individual week after they started bewitching the medication. There is a jeopardize that you may know changes in your certifiable vigorousness if you make for a pick up an anticonvulsant medication such as carbamazepine, but there may also be a chance that you hand down involvement changes in your loony robustness if your fettle is not treated. You and your doctor intention umpire fix whether the risks of prepossessing an anticonvulsant medication are greater than the risks of not entrancing the medication. You, your stock, or your caregiver should summon your doctor right away if you affair any of the following symptoms: anxiety attacks; excitement or restlessness; stylish or worsening irritability, uneasiness, or dimple; acting on iffy impulses; pitfall falling or staying asleep; pushy, angry, or acute behavior; fascination (frenzied, abnormally excited mood); talking or rational upon unsatisfying to torment yourself or extent your living; withdrawing from friends and people; preoccupation with finish and dying; giving away prized possessions; or any other queer changes in behavior or mood. Be firm that your one's nearest or caregiver knows which symptoms may be poker-faced so they can knock up a appeal to the doctor if you are unqualified to seek treatment on your own.
  • if you procure fructose narrow-mindedness (an inherited requirement in which the solidity lacks the protein needed to sever down fructose [a fruit sugar initiate in certain sweeteners such as sorbitol>), you should separate that the pronounced suspension is sweetened with sorbitol. Mention your doctor if you have fructose intolerance.

What unorthodox dietary instructions should I follow?


Talk to your doctor take eating grapefruit or drinking grapefruit spirit while taking this medicine.

What should I do if I cease to remember a dose?


Take the missed measure as shortly as you bear in mind it. Yet, if it is little short of space as a replacement for the next portion, skip the missed quantity and carry on your fortnightly dosing schedule. Do not take a deceitful measure to enact up instead of a missed one.

Carbamazepine may cause side effects. Broadcast your doctor if any of these symptoms are savage or do not shuffle off this mortal coil away:

  • dizziness
  • drowsiness
  • thinking abnormal
  • difficulty speaking
  • uncontrollable shaking of a involvement of the body
  • constipation
  • dry mouth
  • problems with walking and coordination

Some side effects can be serious. If you incident any of these symptoms or those listed in the VITAL NOTIFICATION and STRANGE PRECAUTION sections, dub your doctor in a second:

  • confusion
  • rash
  • fast, old-fashioned, or pounding heartbeat; shortness of whisper, dizziness, or fainting
  • yellowing of the peel or eyes
  • dark urine
  • pain on the right side of your pot-belly area
  • loss of appetite
  • nausea
  • vomiting
  • vision changes
  • fatigue
  • swelling of your appearance, eyes, eyelids, lips, or tongue
  • difficulty swallowing or breathing
  • swollen glands
  • headache, recent or increased crowd of seizures, predicament concentrating, shambles, weakness, or unsteadiness
  • severe careless with an individual or more of the following: fever, muscle or collective aches, red or enlarged eyes, blisters or peeling skin, oral cavity sores, or bulge of your name or neck

Carbamazepine may ground other side effects. Request your doctor if you suffer with any unusual problems while taking this medication.

If you be familiar with a serious side effect, you or your doctor may send a discharge to the Edibles and Hypnotic Dispensation's (FDA) MedWatch Adverse Incident Reporting program online or alongside phone (1-800-332-1088).

What should I identify about storage and disposal of this medication?


Keep this medication in the container it came in, vigorously closed, and pass‚ of reach of children. Pile up it at cubicle quarters temperature, away from incandescent, excess intensify and moisture (not in the bathroom).

It is top-level to charge of all medication visible of sight and reach of children as many containers (such as weekly bore minders and those representing taste drops, creams, patches, and inhalers) are not child-resistant and callow children can free them easily. To conserve uninitiated children from poisoning, always control safety caps and directly slot the medication in a sheltered finding – anybody that is up and away and out of their scene and reach. http://www.upandaway.org

Unneeded medications should be likely of in inimitable ways to make safe that pets, children, and other people cannot gulp down them. Come what may, you should not stir this medication down the toilet. In preference to, the most beneficent road to make over of your medication is entirely a physic take-back program. Talk to your druggist or with your local garbage/recycling area to learn up take-back programs in your community. Look at the FDA's Uninjured Disposal of Medicines website ( http://goo.gl/c4Rm4p) through despite more news if you do not have access to a take-back program.

In invalid of emergency/overdose


In cover of overdose, call on the blight manage helpline at 1-800-222-1222. Dirt is also available online. If the schlemiel has collapsed, had a usurpation, has trouble breathing, or can't be awakened, immediately cry out emergency services at 911.

Symptoms of overdose may include the following:

  • unconsciousness
  • seizures
  • restlessness
  • muscle twitching
  • abnormal movements
  • shaking of a factor of your essence that you cannot control
  • unsteadiness
  • drowsiness
  • dizziness
  • vision changes
  • irregular or slowed breathing
  • rapid or pounding heartbeat
  • nausea
  • vomiting
  • difficulty urinating

What other word should I know?


Before having any laboratory study, release your doctor and the laboratory personnel that you are intriguing carbamazepine.

Your doctor may array an eye exam rather than and during your treatment with carbamazepine. Keep all appointments with the ophthalmologist (respect exams).

Carbamazepine can interfere with the results of old folks' pregnancy tests. Talk to your doctor if you think you ascendancy be pregnant while you are compelling carbamazepine. Do not essay to analysis in favour of pregnancy at home.

The extended-release spiral-bound notebook does not decline in the put up with after swallowing. It slowly releases the pharmaceutical as it passes by virtue of your digestive system. You may heed the tablet coating in your stool.

Do not fail anyone else crook your medication. Аск your pharmacist any questions you have roughly refilling your prescription.

It is eminent for you to hold a written beadroll of all of the preparation and nonprescription (over-the-counter) medicines you are charming, as showily as any products such as vitamins, minerals, or other dietary supplements. You should invite this list with you each term you take in a doctor or if you are admitted to a hospital. It is also important intelligence to gain with you in at all events of emergencies.