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Doctor insights on: Carbamazepine Free

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I take tegretol (seizure free!) and my dr wants me to switch to topamax (topiramate) to stop side effects. Is topamax (topiramate) as effective in fully preventing seizures?

I take tegretol (seizure free!) and my dr wants me to switch to topamax (topiramate) to stop side effects.  Is topamax (topiramate) as effective in fully preventing seizures?

Yes, but: Both drugs have potential adverse effects, and you should realize that the topamax (topiramate) will be effective, but when meds are switched, there is risk of withdrawal seizures. Also, the side effects include cognitive and speech issues, narrow angle glaucoma, metabolic acidosis, risk of heat stroke, kidney stones, pins and needles parenthesis, drowsiness. ...Read more

Dr. Mohamad Mikati
440 doctors shared insights

Carbamazepine (Definition)

This drug was once the breakthrough product to treat trigeminal neuralgia, and later various forms of epilepsy, and even psychiatric uses ...Read more


Dr. Alan Ali Dr. Ali
2 doctors agreed:
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How safe is Tegretol?

Dr. Alan Ali Dr. Ali
2 doctors agreed:
How safe is Tegretol?

Tegretol: Common are nausea, headache, rash, ataxia, anemia, effect on liver. Safe if monitor blood levels & other metabolic parameters. ...Read more

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Is tegretol a safe medication?

Is tegretol a safe medication?

An old drug: Tegretol has been on the market for many years. It was one of the first antiseizure medications and is still prescribed pretty frequently. It is not without a slight risk for problems, however. Your doctor checks blood counts looking for signs of anemia or bone marrow problems, liver function tests to make sure the liver isn't affected, and a tegretol level to see how much is in your system. ...Read more

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Is tegretol used for dizzyness?

NO: Tegretol(carbamazepine) is a medication used mainly for control of epilepsy, neuralgias and some psychiatric conditions it can actually cause dizziness or balance problem in susceptible individuals. ...Read more

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What would be the peak time of tegretol?

What would be the peak time of tegretol?

Information below: The absorption of carbamazepine in man is relatively slow. When taken in a single oral dose, the carbamazepine tablets and chewable tablets yield peak plasma concentrations of unchanged carbamazepine within 4 to 24 hours. With respect to the quantity of carbamazepine absorbed, there is no clinically relevant difference between the various dosage forms. However, carbamazepine suspension is absorbed somewhat faster than the tablet; peak plasma levels are reached within 2 hours. Following b.i.d. dosage regimens, higher peak levels and lower trough levels are obtained with the suspension than with the tablets. Steady-state plasma levels are comparable for carbamazepine suspension given t.i.d. and carbamazepine tablets given b.i.d., when administered at the same total daily dose. ...Read more

Dr. Paul Grin Dr. Grin
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How do I take Tegretol prolonged release tablets?

Dr. Paul Grin Dr. Grin
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Tegretol XR: Start 100-200mg in two divided doses followed by a slow increase in dosage (every3-7days) until the effect is obtained, often 800-1200mg daily. However, this should only ever be under the supervision of a doctor. ...Read more

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What is the maximum amount of tegretol one can take?

What is the maximum amount of tegretol one can take?

When toxic: Tegretol is difficult to use. Sudden high levels can occur when treated with certain antibiotics. Toxicity can occur from biproducts even if level is okay. Better medications are now available. Most adults can tolerate up to 800 mg per day. ...Read more

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What is the definition or description of: carbamazepine?

Tegretol: This drug was once the breakthrough product to treat trigeminal neuralgia, and later various forms of epilepsy, and even psychiatric uses such as bipolar disorder. ...Read more

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Is it actually true that carbamazepine will let me have kids?

Not sure: Your question is not quite clear. Carbamazepine does not prevent pregnancy nor does it increase the chances of pregnancy. It can be associated with some birth defects; but over 90 % of women who take it during pregnancy without other drugs have a normal outcome. Good luck! ...Read more

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Is tegretol good for trilgemial neurgia ? Is it a safe drug ?

Not my first choice: Tegretol does control the pain of trigeminal neuralgia, but so do other meds, and i would try Lyrica (pregabalin) first, as it has few if any drug-drug interactions, and is, in my experience extremely effective. Tegretol is an older drug with many potential side effects, including liver and bone marrow issues, low sodium, gastrointestinal problems, and elevation of cholesterol. Do not understand why choice. ...Read more

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I would like some advice on tegretol prolonged release tablets?

Tegretol XR: is still the drug of choice for the initial management of paroxysmal neuralgias despite the presence of potentially serious side effects. The specific mechanism of carbamazepine is presumed to be stabilization of neuronal membranes by blocking sodium channels. Hope it helps. ...Read more

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What to do if I have 3000mg of tegretol; 200mg pills. is this lethal enough?

Almost lethal !!!: The lowest known lethal dose: adults, 3200 mg. Regardless, anytime you have taken an overdose or self poisoning, intentional or not, you should get checked out by a doctor and get help immediately. ...Read more

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What is the difference between carbamazepine and carbamazepine 10-11 expoxide?

What is the difference between carbamazepine and carbamazepine 10-11 expoxide?

Active metabolite: When Carbamazepine is metabolized in the body a chemical substance known as a 10, 11 epoxide forms which is the active metabolite that prevents seizures from initiating in the brain. ...Read more

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How long does tegretol prelonged release take to get into your system & start to work?

3-12 hours: Blood levels peak 3-12 hours after ingesting tablets but it may take 3 - 5 weeks to reach a consistent level since the drug induces its own metabolism (autoinduction). The dosage may have to be slowly increased to reach the appropriate blood level. I notice you describe pain - if taking tegretol for that reason it may take 4-6 weeks before you notice an improvement. ...Read more

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I take 600 mg tegretol daily-have level checked every 6 months...sometimes its near 6.0 and sometimes around 11.0..why the difference?

Timing is everything: This may be related to when you took your dose in relation to the blood draw, was it an hour after you took med (peak)or 12 hours after (trough). ...Read more

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I use tegretol for decades. Yesterday there was a sticker on it for the first time, that warned against the use of grapefruit and tegretol. Why?

Tegretol: Grapefruit juice might increase how much carbamazepine (Tegretol) the body absorbs. Drinking grapefruit juice while taking carbamazepine might increase the effects and side effects of carbamazepine. ...Read more

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Can tegretol cause anxiety?

Can tegretol cause anxiety?

Possibly: Theoretically yes as it does have central nervous system effects. More notable side effects include sedation, dizziness, confusion, unsteadiness, nausea, and even headache - all of which can contribute to a feeling of anxiety as well. ...Read more

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Can carbamazepine cause glaucoma?

Can carbamazepine cause glaucoma?

Maybe: Tegretol is an anti-cholinergic medication and may cause acute pressure increases in those with narrow anatomical drainage angles (closed angle glaucoma). It is generally safe in patients with open-angle glaucoma but should be observed closely. ...Read more

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Do all ssri's raise tegretol levels?

Yes: So the short answer is yes, but different SSRIs inhibit different parts of the bodies drug breakdown mechanism. Thus, some will increase the levels more than others. Also everyone is a bit different. It is like that lexapro (escitalopram) has the least interactions in this way. ...Read more

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Does carbamazepine intreract with milk?

No: there is no data to suggest that milk affects the absorption of bioavailability of carbamazepine ...Read more

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What are the side effects of carbamazepine?

Many: We see drowsiness, dizziness, nausea, even occas vomiting, blurry vision, general fatigue, and rarely, liver toxicity, bone marrow suppression with anemia, poor blood clotting, and even elevation of cholesterol. ...Read more

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Side effects of tegretol over several years?

Side effects of tegretol over several years?

Tegretol: It can lower thyroid function, increase anti-diuretic hormone, rarely rashes or absence seizures or low blood count. ...Read more

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Is tegretol that bad concerning side effects?

Depends: Everyone has a different response to it. Usually the reason you take it is that the good effects outweigh the bad ones. ...Read more

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Can tegretol change when I should get my cycle?

Can tegretol change when I should get my cycle?

Yes, it may: If you're on oral contraceptives, the tegretol may interfere with how well they work, causing breakthrough bleeding or increasing the risk of pregnancy. Tegretol also affects sex hormone binding proteins and decreases estrogen production. There are many reports of tegretol stopping periods (secondary amenorrhea). Discuss these problems with your doctor. ...Read more

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Can you take mybulen with tegretol 200mg tablets?

Can you take mybulen with tegretol 200mg tablets?

W/ close monitoring: Prescribing carbamazepine (CBZ) with almost anything can be challenging as it induces all CYP450 pathways. Mybulen contains 3 separate drugs, which can all be affected by CBZ. CBZ can lead to accumulation of acetaminophen's toxic metabolite NAPQI & also generally ? risk of liver damage. It can ? levels of morphine (a more potent 2° metabolite of codeine) & ? levels of ibuprofen. ...Read more

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Who would need a blood carbamazepine measurement?

Who would   need a blood carbamazepine measurement?

Many: This drug has a narrow therapeutic index, meaning that the level needed to control seizures is close to the level that would cause toxicity. Someone with epilepsy should have drug levels. Levels are also useful to confirm if someone is taking their medication reliably. ...Read more

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What are the side effects of tegretol; anything serious?

Many : Among the serious adverse reactions, stevens-jonson syndrome, hypersensitivity rxn, aplastic anemia, pancytopenia, liver failure and suicidality are a few. More commonly seen reactions include dizziness, incoordination, blurred vision, rash, low serum sodium, photosensitivity, ataxia and unsteadiness, drowsiness and nausea/vomiting. There are more in both categories. ...Read more

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I'm curious as to what are the side effects of tegretol ?

Plenty: Include drowsiness, dizziness, upset stomach, nausea, toxicity to liver and/or bone marrow, with rare severe anemias, low sodium levels, elevated cholesterol, and of course, allergic reactions. This is a very old drug and used very rarely by most clinical neurologists. Far safer and effective drugs are currently available. ...Read more

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What is the definition or description of: Tegretol overdose?

What is the definition or description of: Tegretol overdose?

So many concerns?: I cannot help but notice that you are asking about allergies, side effects as well as "definitions" and descriptions of a very large and varied number of mostly psychotrophic medications. This suggests that you may have a fear, anxiety or even a phobia of medications that are used to treat mental disorders. Discussions of these concerns with a psychiatrist may be very helpful to you. ...Read more

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Why is tegretol sometimes used for headaches but not always?

Depends on diagnosis: Tegretol or Carbamazepine is a good option for face pains called neuralgias. Neuralgias can be very intense, sharp pains that can occur with something as little as water hitting the face. On the other hand, for primary headache disorders such as migraine, Carbamazepine would likely provide very little if any benefit. ...Read more

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Could you get tipsy from alcohol in food when taking tegretol?

Could you get tipsy from alcohol in food when taking tegretol?

Tegretol: It is not a good idea to mix alcohol with tegretol, as the combination can make you light-headed and drowsy. ...Read more

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How to take tegretol 100mg and side effects of taking over dose?

Instructions?: How was it prescribed? Lightheadedness, disequilibrium are large features of toxicity. If this is your concern then please call the doctor that prescribed it to you ...Read more