Indications 

Carbamazepine is a medication utilized for the prevention and management of seizures, as well as the relief of certain types of nerve pain such as trigeminal neuralgia.  

This drug is classified as an anticonvulsant or anti-epileptic medication that operates by minimizing the spread of seizure activity in the brain and restoring the natural equilibrium of nerve activity. 

Uses and Dosage 

Prior to taking carbamazepine, carefully read the Medication Guide provided by your pharmacist. In case of any queries, seek assistance from your doctor or pharmacist. 

The dosage of this medication is determined based on your medical condition and your response to the treatment. In children, the dosage is based on their weight. In order to reduce the risk of side effects, your doctor may recommend starting this medication at a low dose and gradually increasing the dosage. Carefully follow your doctor’s instructions. 

Take this medication regularly to obtain maximum benefit. To ensure you don’t forget, take it at the same time every day. Even if you feel well, continue taking the medication. 

Do not discontinue taking this medication without consulting your doctor. Suddenly stopping this drug may worsen some conditions such as seizures. It may be necessary to gradually decrease the dose as instructed by your doctor. 

Side Effects 

Allergic Reaction

Seek emergency medical help immediately if you experience signs of an allergic reaction to Tegretol such as: 

• Hives 
• Difficult breathing 
• Swelling in your face or throat 

Severe Side Effects

Seek medical treatment if you experience a serious drug reaction that can affect multiple parts of your body, including: 

• Skin rash 
• Fever 
• Swollen glands 
• Muscle aches 
• Severe weakness 
• Unusual bruising 
• Yellowing of your skin or eyes 

Contact your doctor immediately if you experience new or worsening symptoms such as: 

• Sudden mood or behavior changes 
• Depression 
• Anxiety 
• Insomnia 
• Agitation 
• Hostility 
• Restlessness 
• Irritability 
• Thoughts about suicide or hurting yourself 

Contact your doctor right away if you experience any of the following: 

• Any skin rash, regardless of severity 
• Loss of appetite, right-sided upper stomach pain, dark urine 
• Slow, fast, or pounding heartbeats 
• Anemia or other blood problems – fever, chills, sore throat, mouth sores, bleeding gums, nosebleeds, pale skin, easy bruising, unusual tiredness, feeling light-headed or short of breath 
• Low levels of sodium in the body – headache, confusion, severe weakness, feeling unsteady, increased seizures 

Common Side Effects  

• Dizziness 
• Loss of coordination 
• Problems with walking 
• Nausea 
• Vomiting 
• Drowsiness 

Cautions 

Before initiating carbamazepine therapy, disclose to your healthcare provider or pharmacist any allergies you have, specifically to carbamazepine or other anticonvulsant medications like phenobarbital, phenytoin, primidone, fosphenytoin, oxcarbazepine, and tricyclic antidepressants such as desipramine and amitriptyline. This product may contain inactive constituents, such as sorbitol in the suspension, which can cause allergic reactions or other medical issues. Consult with your pharmacist for further details. 

Prior to using this medication, inform your healthcare provider or pharmacist of your medical history, primarily if you have a history of decreased bone marrow function (bone marrow depression), blood disorders like porphyria or anemia, glaucoma, heart disease, such as coronary artery disease, irregular heartbeat, or heart failure, kidney disease, liver disease, mental/mood disorders like depression, and mineral imbalances such as low levels of sodium or calcium in the blood. 

This medication may cause dizziness or drowsiness. Avoid driving, operating machinery, or performing tasks that require alertness until you can do so safely. Furthermore, alcohol or marijuana (cannabis) can increase the risk of dizziness or drowsiness. Consult your healthcare provider if you are using marijuana (cannabis). 

This medication can increase your sensitivity to the sun. ; Limit your exposure to sunlight, avoid tanning booths and sunlamps, use sunscreen, and wear protective clothing when you are outside. Seek medical assistance right away if you develop sunburn or skin blisters/redness. 

Elderly patients may be more susceptible to the side effects of this drug, especially confusion, unsteadiness, or irregular heartbeat. Confusion and unsteadiness can increase the risk of falling. Older adults may have a higher risk of developing low levels of sodium in the blood (a type of mineral imbalance), especially when taking “water pills” (diuretics). 

During pregnancy, carbamazepine should only be used when deemed necessary by your healthcare provider.