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Doctor insights on: How Long Does Carbamazepine Start Working

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Dr. Mohamad Mikati
433 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


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How long until laduda begins working as lamictal takes forever...also what is its interaction w / tegretol?

How long until laduda begins working as lamictal takes forever...also what is its interaction w / tegretol?

Speak w/ your Dr.: I am not sure what dose of Latuda (lurasidone) you are taking, but it may have to be raised if you are not experiencing a response after an adequate duration of a month or longer. Tegretol speeds up the metabolism of Lamictal and lowers its levels. You may experience more dizziness, blurry or double vision and unsteady gait with the combination. ...Read more

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How do I take Tegretol prolonged release tablets?

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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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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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 have been on 600 mg of tegretol for 5 years-my bloodwork is always ok. At what point should I consider stopping it because of long term problems?

Tegretol: The need to continue tegretol depends very much on the reason it's being prescribed. You haven't volunteered this in your question or additional information. In some cases it could be very dangerous to stop tegretol, as you could have seizures, etc. Please discuss your question with the doctor who's been following you, as s/he will be familiar with your history and medical needs. ...Read more

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I have trilgimal nerugia I'm on gabapintin dilanta just started tegretol 100 chewable. My blood levels on dilanta was 4.5 is it still working?

Combination: The combined use of tegretol and Dilantin is tricky and should be guided by a neurologist who is most used to using two antiseizure medications simultaneously. The usual therapeutic level of Dilantin is 10to20 but it can lower the serum level of tegretol and perhaps you're recommended to take a lower dose because of this effect on tegretol. ...Read more

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If you were to be only on either tegretol or lamictal for life and either would treat your problem...Which is safer for the long haul?

If you were to be only on either tegretol or lamictal for life and either would treat your problem...Which is safer for the long haul?

Long: Tegretol has been around longer, so we know a bit more about the really long term effects. But in head-to-head studies it has more cognitive side effects. If it were my spouse or myself, i'd got worth lamotrigine. There's no "right answer, " of course. ...Read more

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How long after last tegretol pill can you drink a beer?

Tegeretol and Epilep: You should not drink alcohol when you are taking tegretol pill. It increases neurological side effects includs dizziness, imbalance and may decreased efficacy of tegretol. ...Read more

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What are the long term problems with using tegretol to help with bipolar?

What are the long term problems with using tegretol to help with bipolar?

Monitoring: Carbamazepine requires not just monitoring of bipolar symptoms to optimize dose, but also blood level to do so. In addition, blood tests need to be performed regularly to assess blood counts, and liver function. It is true that over the long term the risks of these problems diminish, but nevertheless, continue to require assessment. ...Read more

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Hi! I have sleep seizures and have to take adcal-d3, due to long term use of tegretol. I am off tegretol now. Adcal tastes terrible! Any alternative?

Hi! I have sleep seizures and have to take adcal-d3, due to long term use of tegretol. I am off tegretol now. Adcal tastes terrible! Any alternative?

Vitamin d: Now that you're off tegretol, there isn't a presumable reason to keep taking calcium with vitamin d unless you have checked your levels of vitamin d and proven deficient. Calcium supplementation is no longer generally recommended. Vitamin d supplementation cannot hurt, especially if you don't get enough sunshine where you live. ...Read more

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If carbamazepine isn't working to treat my trigeminal neuralgia, what is a good drug to try next?

If carbamazepine isn't working to treat my trigeminal neuralgia, what is a good drug to try next?

Trileptal: Is reported to be effective for trigeminal neuralgia. Some clinicians now prefer to use oxcarbazepine (Trileptal) as their first line drug for trigeminal neuralgia because of its reduced side effect profile. Unfortunately, about half of TN sufferers eventually become dissatisfied with medical therapy, explore surgical options. ...Read more

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How long would it take for a steady state concentration from 100mg of lamictal to 50 mg--keeping in mind I also take 600 mg of tegretol.

How long would it take for a steady state concentration from 100mg of lamictal to 50 mg--keeping in mind I also take 600 mg of tegretol.

Probably 2-3 days: Since the half-life of Lamictal is ordinarily about 33 hours (presuming normal kidney function) and the elimination half-life is decreased significantly by the presence of tegretol that speeds lamictal's metabolism, I think it should only take 2 to 3 days to reach steady state on 50 mg daily after having previously been on 100 mg daily. ...Read more

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Since being on cymbalta (duloxetine) 60 mg. 2 months very hyper...Also take tegretol -klonopin-lamictal...If I go back to 30 how long til steady state. Is this rare?

Cymbalta (duloxetine) hypo mania: This is not rare at all. We are learning to rely less on antidepressants in bipolar disorder because of this. Antidepressants, especially snri's like Cymbalta and Effexor may cause more mood switching than most. Wellbutrin is said to cause it the least. The issue is not the steady state, but whether this effect will continue even at 30 mg a day. Latuda (lurasidone) is approved for treatment of BP depression. ...Read more

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Does nocturnal temporal lobe epilepsy disappear? I have no seizures since 7 years. The seizures were 40 seconds long. I've always taken carbamazepine.

Does nocturnal temporal lobe epilepsy disappear? I have no seizures since 7 years. The seizures were 40 seconds long. I've always taken carbamazepine.

Can: Most large studies of withdrawing seizure medicines were done at the 2 yr seizure-free mark. Evaluation by a neurologist can help evaluate the risk of tapering off. Eeg and MRI along with the history and exam help determine chances of success. If it's the genetic nocturnal tle, then recurrence would be likely off aeds. ...Read more

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Long term is tegretol or lamictal safer for a cardiac patient? 2 stents in LAD artery.

Both fairly safe,: Yet, I would tend not to use tegretol due to its potential for adverse effects, such as lowering sodium, causing bone marrow anemias, affecting liver function, but also raising cholesterol levels (which indirectly might harm the heart eventually). Big issue with Lamictal is occasional rash, but otherwise, not a bad choice and well tolerated. ...Read more