Doctor insights on:
How Safe Is Tegretol
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
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
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?
Hello I was wondering if it is safe to take tegretol and Valtrex (valacyclovir) together? I hope it is as I just did and am now worried.
Yes it is safe: The medications can be used togetherGet a more detailed answer ›
Is tegretol a safe medication if prescribed by a professional who does blood work twice yearly..Depakote just put to much weight on me.
Yes: This has a great safety profile over the past half century. ...Read more
No, it is not safe:
Carbamazepine is considered a category d in pregnancy, it may be teratogenic or leads to developmental delay in the baby.
It is advised to be relapced with an other seizure medications during pregnancy.
During nursing babies it should be avoided as it may affects the blood counts in the baby. ...Read more
What is a safer combination latuda (lurasidone) with tegretol or latuda (lurasidone) with lamictal (racing thoughts)?
Hard to say for sure: One has to see what works best for them; that is the only way to really know. Except for the rare possibility of serious rash, i think Lamictal is safer than tegretol. I would prefer the combination of Lamictal and latuda, (lurasidone) but one must try one med first, see how it works for them, and then add the next one if another drug seems necessary. Talk with your doctor and don't obsess about it! ...Read more
Tegretol and Advil (ibuprofen): Yes - there is a minor interaction between Tegretol (carbamazepine) and ibuprofen in the sense that the metabolism of Ibuprofen will be increased so the levels in your system will be lower - meaning you may need to take more Advil. BUT my recommendation - start taking both medications and see if you notice anything. If not - do NOT increase the dose of Ibuprofen (Advil) ...Read more
Is it safe to take passion flower supplement when I'm currently on Tegretol and Zoloft (sertraline)?
Why would you?: I do not think this is a good idea. Most all the side effects of this supplement are neurologic . CAn also cause pancreas problems as well as alter heart conduction. Stop and think about what you are taking . These are important meds and if you are bipolar it can be more concerning. I would not do this. ...Read more
Does lithium work/mix better with tegretol or lamictal for bipolar and which is a more common and safer combination?
Lamictal has less : Lamictal has no noted interactions with lithium, however it has to be titrated slow due to possible severe rash. Tegretol is likely safe too but it will need to be increase slowly due to possible of neurotoxicity in combination with lithium. Start low and go slow. As for which works better, it is hard to say, everyone is different. ...Read more
I have bipolar disorder and am on tegretol and lamictal but am also diabetic are there safer choices than tegretol?
Treating bipolar: If Tegretol and Lamictal are working well to control your bipolar symptoms, then this is a good combo for you. Tegretol shouldn't affect your sugar and is safe enough, if it's working. Your doc will check your liver enzymes and blood counts every few months. If the combo isn't working or you have intolerable side effects, then it would be worthwhile to switch. ...Read more
Is carbamazepine safe for alzheinmers patient who has been recently or seroquel (quetiapine) and is increasingly agitated?
It depends: There are older studies suggesting that Carbamazepine is helpful for agitation and aggression but it is less commonly used now because of drug-drug interactions and concerns about side effects. Seeing a geriatric psychiatrist can be very helpful at finding the right medicines. ...Read more
Take cymbalta (duloxetine) 60, lamictal 100, tegretol 600, klonopin 2.5 for OCD and mood..Is this a safe combination..And is 60 the usual dose for cymbalta (duloxetine)?
Seems fine: These dosages seem to be workable although it is an intense combination of mood stabilizers. The dose of duloxetine at 60 mg is at the usual amount for the treatment of a mood disorder although higher dosages are thought to be potentially helpful for the treatment of chronic pain. Stay safe! ...Read more
Dr. discussing slowly weaning me off 150 lamictal & 600 tegretol for bipolar and replacing with lithium...is lithium a safe replacement?
A safe replacement: Lithium is a widely used and relatively safe drug for the treatment of bipolar disease. It should be used under the guidance of a physician knowledgeable in the use of the drug. It should be used in conjunction with regular blood test to determine the lithium level in your system and adjusted accordingly. The direct answer to your question is Yes, it is a safe replacement. ...Read more
Is the generic of tegretol 200mg the same thing exactly and is it safe to change to? My daughter is on tegretol 3 weeks and is constantly hungry and putting on weight. She hasd a brain tumour surgery and on epilizine and tegretol Please advise.
Brain surgery meds: Please call you daughter's doctor to discuss this, either her neurologist or neurosurgeon.. This is a very specific question ...Read more
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
Are the meds Chlorpromazine,Haloperidol,
phenytoin,valproic acid,&carbamazepine safe to eat to treat frequent hiccups.How long to take?
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
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
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