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Tegretol vs. Banzel

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Carbamazepine (Tegretol) and Rufinamide (Banzel) are both antiepileptic medications, but they have different uses and characteristics. Carbamazepine is used to treat various types of seizures, trigeminal neuralgia (a type of facial nerve pain), and bipolar I disorder (Equetro brand only). It comes in many forms, including pills and liquid, and can be taken up to four times a day. Rufinamide, on the other hand, is specifically used as an add-on treatment for seizures linked to Lennox-Gastaut syndrome (LGS) and must be taken with other seizure medications. It is available in both tablet and liquid forms and must be taken with food for full absorption. Additionally, carbamazepine is available as a lower-cost generic, whereas rufinamide is also available as a generic but can still be expensive if not covered by insurance. Both medications can affect hormonal birth control, so you should discuss non-hormonal options with your provider.

Carbamazepine

(Tegretol)

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Rufinamide

(Banzel)

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Summary for Tegretol

Prescription only

Carbamazepine (Tegretol) is an antiseizure medication used to treat different kinds of seizures. It can also help with trigeminal neuralgia, a type of facial nerve pain. Brand name Equetro is the only formulation that's approved to treat bipolar I disorder. Carbamazepine (Tegretol) available as pills and a liquid. Depending on formulation you take and what medical condition you have, carbamazepine (Tegretol) is taken by mouth 1 to 4 times per day. Common side effects include sleepiness, dizziness, and stomach upset.

Indications for Tegretol

Pros and Cons for Tegretol

Pros

  • Works well for different types of seizures and trigeminal neuralgia (facial nerve pain)
  • Helps stabilize mood in people with bipolar disorder (Equetro brand only)
  • Available as a lower-cost generic
  • Comes in many dosage forms (e.g., chewable tablets, oral pills, liquid form) for people who have difficulty swallowing pills

Cons

  • Might need to take the immediate-release form of the medication up to 4 times a day
  • Can cause a lot of side effects
  • Might require routine blood testing while taking the medication to see how it's affecting your body
  • Can make hormonal birth control not work as well

Common Side Effects for Tegretol

  • Dizziness (44%)
  • Sleepiness (32%)
  • Nausea (29%)
  • Vomiting (18%)
  • Difficulty walking or keeping balance (15%)
  • Constipation (10%)
  • Itching (8%)
  • Dry mouth (8%)
  • Weakness (8%)
  • Rash (7%)
  • Blurry vision (6%)
  • Speech problems (6%)

Warnings for Tegretol

  • Severe skin reactions
  • Low blood cell counts
  • Severe allergic reactions
  • Suicidal thoughts or behavior
  • Harm to unborn babies
  • Withdrawal
  • Difficulty with speech, concentration, and movement
  • Liver problems
  • Low sodium levels
  • High eye pressure
  • Heart block (heart rhythm problems)

Summary for Banzel

Prescription only

Rufinamide (Banzel) is an antiepileptic medication that helps control seizures due to a type of epilepsy called Lennox-Gastaut syndrome (LGS). It's approved as add-on treatment to other anti-seizure medications for adults and children 1 year of age and older. Rufinamide (Banzel) is typically taken by mouth twice a day. It comes in tablet and oral suspension form. Rufinamide (Banzel) isn't a controlled substance, but it commonly causes drowsiness and vomiting as side effects.

Indications for Banzel

Pros and Cons for Banzel

Pros

Cons

  • Must take with other anti-seizure medications (not by itself)
  • Only used for seizures from Lennox-Gastaut syndrome; not for other seizure conditions
  • Must take with food to help the body fully absorb the medication
  • Can cause drowsiness

Common Side Effects for Banzel

Children (age 1 to younger than 4 years old)

  • Vomiting (24%)
  • Drowsiness (16%)
  • Bronchitis (12%)
  • Constipation (12%)
  • Cough (12%)
  • Low appetite (12%)
  • Rash (12%)

Children (age 3 to younger than 17 years old)

  • Drowsiness (17%)
  • Vomiting (17%)
  • Headache (16%)
  • Tiredness (9%)
  • Dizziness (8%)
  • Nausea (7%)

Adults

  • Headache (27%)
  • Dizziness (19%)
  • Tiredness (16%)
  • Nausea (12%)
  • Drowsiness (11%)

Warnings for Banzel

  • Suicidal thoughts or behavior
  • Drowsiness, tiredness, and difficulty controlling movements
  • Heart rhythm problems
  • Severe allergic reaction
  • Seizures after stopping the medication too quickly
  • Life-threatening seizure complication (status epilepticus)
  • Low white blood cell counts

Prices with our coupons for Tegretol vs. Banzel

Price Card Drug Icon
Carbamazepine180 tablets / 200mg
$38.31$154.68
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Rufinamide120 tablets / 400mg
$123.27$2,931.23
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