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Carbamazepine oral
CARBAMAZEPINE EXTENDED RELEASE TABLETS - ORAL

Important Note

The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

CARBAMAZEPINE EXTENDED RELEASE TABLETS - ORAL

(kar-bam-AZZ-eh-peen)

COMMON BRAND NAME(S): Tegretol XR

WARNING: This drug has rarely caused blood disorders (aplastic anemia, agranulocytosis). Promptly notify your doctor if you experience sore throat, fever, unusual weakness or fatigue, unusual bleeding or bruising. You will be monitored to minimize the possibility of these symptoms occurring.

Uses

This medication is used to treat seizure disorders and certain types of nerve pain.

OTHER

Uses

This drug may also be used for emotional/mental conditions, in certain substance abuse rehabilitation programs and has other uses as well.

How To Use

Take with food to prevent stomach upset. Take twice daily or as directed by your doctor. Do not crush or chew. Tablets must be swallowed whole. Tablets should be inspected for chips and cracks and thrown away and not taken if the tablets are found to be damaged. Do not suddenly stop taking this medication without consulting your doctor. For seizure control, it is important to take all doses on time to keep the level of medication in your blood constant. Take doses at evenly spaced intervals throughout the day and night.

Side Effects

May cause drowsiness, dizziness, nausea and/or vomiting. Unlikely to occur but report to your doctor if you develop any of the following side effects: blurred vision, unusual eye movements, aching joints, loss of appetite, increase in skin sensitivity to the sun, diarrhea, constipation, headache, mood changes, hair loss, unusual sweating, stomach pain, unusual skin eruptions, skin sores or skin ulcers, confusion or hostility, persistent headache, increase in seizures, unusual weakness, fever, sore throat. Very unlikely but report immediately to your doctor if you develop any of the following side effects: swollen glands, shortness of breath, wheezing, white spots on lips/mouth, unusual bleeding or bruising, irregular heartbeat, chest pain, swelling of legs/feet/hands or face, darkening urine, pale stools, yellowing of eyes or skin, unusual change in amount of urination, numbness or tingling in hands or feet. In the unlikely event you have an allergic reaction to this drug, seek medical attention immediately. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions

Tell your doctor your medical history, especially of: glaucoma, high blood pressure, blood clots, blood diseases, heart disease, liver or kidney disease, alcohol or substance abuse, emotional or mental conditions, drug allergies. Carbamazepine may make you dizzy or drowsy so use caution when performing tasks that require alertness such as driving or using machinery. Limit intake of alcoholic beverages. This drug may increase sensitivity to sunlight. Avoid prolonged exposure to the sun. Wear protective clothing and sunscreen. Carbamazepine is not recommended for use during pregnancy. Consult your doctor for details. This drug passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.

Drug Interactions

Tell your doctor of all prescription and nonprescription medication you may use including: other anti- seizure medication, doxycycline, warfarin, danazol, erythromycin- like antibiotics, calcium channel blockers, lithium, haloperidol, certain SSRI antidepressants, cimetidine, isoniazid, propoxyphene, tricyclic antidepressants (e.g., amitriptyline, doxepin), cyclosporine, acetaminophen, nefazodone, narcotic pain medications (e.g., codeine), St John's wort. Tell your doctor if you have taken MAO inhibitors (e.g., furazolidone, linezolid, phenelzine, selegiline, tranylcypromine) within the last two weeks. Carbamazepine may decrease the effectiveness of birth control pills. Consult your doctor to discuss alternative birth control measures. This drug may interfere with certain pregnancy tests. Do not eat grapefruit or drink grapefruit juice unless your doctor instructs you otherwise. Do not start or stop any medicine without doctor or pharmacist approval.

Overdose

If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include nausea, vomiting, deep sleep, tremor, rapid eye movements, fast heartbeat, muscle twitching, large pupils, fainting, and irregular breathing.

Notes

Do not share this medication with others. An empty tablet shell may appear in your stool. This is not harmful.

Missed Dose

If you miss a dose, take as soon as remembered; do not take if it is almost time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up. Call your doctor if you miss more than one dose daily.

Storage

Store at room temperature between 59 and 86 degrees F (between 15 and 30 degrees C) away from moisture and sunlight. Do not store in the bathroom.

Medical Alert

Your condition can cause complications in a medical emergency. For enrollment information call MedicAlert at 1-800-854-1166 (USA), or 1-800-668-1507 (Canada).