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Carbamazepine Coupon - Carbamazepine 200mg tablet

carbamazepine

Generic Tegretol
Used for Epilepsy, Trigeminal Neuralgia

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.

Reviewed by:Last reviewed on July 20, 2023
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What is Carbamazepine (Tegretol)?

What is Carbamazepine (Tegretol) used for?

How Carbamazepine (Tegretol) works

Carbamazepine (Tegretol) is an antiepileptic known as a sodium channel blocker. It's thought to work by blocking the activity of certain nerves in your brain.

Drug facts

Drug ClassAntiepileptic
Controlled Substance ClassificationNot a controlled medication
Generic StatusLower-cost generic available
AvailabilityPrescription only
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Side effects of Carbamazepine (Tegretol)

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • 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%)

Less Common Side Effects

  • Shakiness
  • High blood pressure
  • Burning or prickling sensation
  • Trouble concentrating
  • Twitching

Please note: Side effects listed here were reported by people taking Equetro (carbamazepine) for bipolar I disorder in clinical studies. The side effects you experience from other brands or forms of carbamazepine might differ.

Carbamazepine (Tegretol) serious side effects

Contact your healthcare provider immediately if you experience any of the following.

  • Suicidal behavior or thoughts of self-harm
  • Serious allergic and skin reactions: sore throat, fever, fatigue, rash, hives, painful blisters, skin reddening, skin peeling, swollen lymph nodes
  • Low blood cell counts: fever, trouble breathing, chills weakness, unusual bruising or bleeding, and blood in urine, stools, or gums
  • Liver problems: severe nausea, vomiting, right-sided stomach pain, fatigue, low or no appetite, yellowing of the skin or eyes
  • Low blood sodium levels: nausea, fatigue, headache, confusion, disoriented, hallucinations (seeing things that aren't real), seizures, unconsciousness

Source: DailyMed

The following Carbamazepine (Tegretol) side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

Blurred vision or double vision

continuous back-and-forth eye movements

Less common

Actions that are out of control

behavioral changes (especially in children)

confusion, agitation, or hostility (especially in the elderly)

diarrhea (severe)

discouragement

drooling

fear

feeling of unreality

feeling sad or empty

headache (continuing)

increase in seizures

irritability

lack of appetite

loss of balance control

loss of interest or pleasure

muscle trembling, jerking, or stiffness

nausea (severe)

other problems with muscle control or coordination

sense of detachment from self or body

shakiness and unsteady walk

shuffling walk

stiffness of the arm or leg

sudden, wide mood swings

talking, feeling, and acting with excitement

thoughts or attempts of killing oneself

tiredness

trouble concentrating

trouble sleeping

twisting movements of the body

uncontrolled movements, especially of the face, neck, and back

unusual drowsiness

vomiting (severe)

Rare

Black, tarry stools

blood in the urine or stools

bone or joint pain

chest pain

cough

darkening of the urine

difficulty with speaking or slurred speech

fainting

frequent urination

hoarseness

irregular, pounding, or unusually slow heartbeat

lower back or side pain

mental depression with restlessness and nervousness or other mood or mental changes

muscle or stomach cramps

nosebleeds or other unusual bleeding or bruising

numbness, tingling, pain, or weakness in the hands and feet

pain, tenderness, swelling, or bluish color in the leg or foot

painful or difficult urination

pale stools

pinpoint red spots on the skin

rapid weight gain

rigidity

ringing, buzzing, or other unexplained sounds in the ears

skin rash, hives, or itching

sores, ulcers, or white spots on the lips or in the mouth

swelling of the face, hands, feet, or lower legs

swollen or painful glands

sudden decrease in the amount of urine

tightness in the chest

trembling

troubled breathing

uncontrolled body movements

unusual tiredness or weakness

visual hallucinations (seeing things that are not there)

yellow eyes or skin

Incidence not known

Blistering, peeling, or loosening of the skin

decreased urine output

dilated neck veins

extreme tiredness or weakness

general feeling of discomfort or illness

irregular breathing

irregular heartbeat

joint or muscle pain

red skin lesions, often with a purple center

red, irritated eyes

swelling of the face, fingers, feet, or lower legs

thickening of bronchial secretions

unusual bleeding or bruising

weight gain

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Dizziness (mild)

drowsiness (mild)

lightheadedness

nausea (mild)

vomiting (mild)

Incidence not known

Accidental injury

aching joints or muscles

back pain

belching

constipation

diarrhea

dryness of the mouth

headache

heartburn

increased sensitivity of the skin to sunlight (skin rash, itching, redness or other discoloration of the skin, or severe sunburn)

increased sweating

indigestion

irritation or soreness of the tongue or mouth

lack or loss of strength

loss of hair

loss of memory

problems with memory

sexual problems in males

sleepiness

stomach pain, upset, or discomfort

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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Pros and cons of Carbamazepine (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
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Pharmacist tips for Carbamazepine (Tegretol)

pharmacist
  • Make sure to mark your appointments in your calendar to see your provider and get any blood tests done while taking carbamazepine (Tegretol). Your provider will likely order different tests, including a carbamazepine drug level, to make sure the medication is working well for you and you're not having side effects.
  • Carbamazepine (Tegretol) can cause hormonal birth control (e.g., Vienva, Amethyst, Jolessa, etc.) to not work as well, which can lead to unwanted pregnancies. Talk to your provider about which methods of birth control would be the best option and if you need to use a back-up method of protection while taking carbamazepine (Tegretol).
  • Don't change your dose or suddenly stop taking carbamazepine (Tegretol) without talking to your provider first. Doing so can cause your seizures to come back. Follow your provider's instructions to lower your dose slowly over a period of time to stop the medication completely.
  • Most side effects from carbamazepine (Tegretol) are temporary and get better or go away after you've been taking it for a few weeks. They are more likely to happen with higher doses of this medication. These side effects might return if your dose is changed.
  • Carbamazepine (Tegretol) can raise the risk of suicidal thoughts. Contact your provider right away if you or your loved ones notice any new or worsening changes in your behavior or mood while taking the medication.
  • Carbamazepine (Tegretol) can make you sleepy or dizzy. Don't drink alcohol, drive, or do anything that requires concentration until you know how the medication affects you.
  • Carbamazepine (Tegretol) can potentially cause male infertility (unable to have children). Talk to your provider if this concerns you, you might be able to be switched to a different medication.
  • Carbamazepine immediate-release or extended-release tablets and suspension should be taken with food. Carbamazepine capsules can be taken with or without food. If the capsules are hurting your stomach, taking with food might help.
  • Don't crush, break, or chew any extended-release form of carbamazepine. For the capsules, you can open them and sprinkle the beads on applesauce or other soft foods, but don't crush or chew the beads because that will damage the medication.

More tips for the oral suspension (liquid) only:

  • Each 5 mL contains 100 mg of carbamazepine. Ask your pharmacist or provider if you're not sure how many mL of carbamazepine (Tegretol) suspension you need to take.
  • Shake the bottle well for 5 to 10 seconds before each dose. Make sure to only use a medication dose cup or syringe from the pharmacy to measure out your dose. Don't use household spoons because they aren't accurate and might cause you to take the wrong dose.
  • Store the suspension at room temperature in the original bottle it came in from the pharmacy.
faq-icon

Common questions about Carbamazepine (Tegretol)

Like many other antiseizure medications, carbamazepine (Tegretol) can cause weight gain. But this isn't a common side effect of carbamazepine (Tegretol). If you're concerned about weight gain, bring it up with your provider. They can talk with you about how to manage your weight with healthy eating and regular exercise. They can also discuss with you other medication options for your condition that might have less of a risk for weight gain.

No, carbamazepine (Tegretol) is an antiepileptic that's a sodium channel blocker. Benzodiazepines are another class of medications also used to treat seizures, but they work in different parts of the brain than carbamazepine (Tegretol).

The extended-release (ER) forms of carbamazepine (e.g., Tegretol XR, Carbatrol, and generic capsule) shouldn't be crushed, chewed, or broken because they have a special coating that helps the medication release slowly over a long period of time. Crushing the ER pills could damage the coating and cause your blood levels of carbamazepine to quickly rise, which can lead to severe side effects. If you've trouble swallowing, your provider can discuss with you several options, such as carbamazepine (Tegretol) chewable tablets or liquid oral solutions. In addition, carbamazepine (Tegretol) capsules can be opened up and the contents sprinkled over a small amount of soft food (e.g., a teaspoon of applesauce).

Carbamazepine (Tegretol) is FDA-approved for trigeminal neuralgia, a type of nerve pain in the face.Carbamazepine (Tegretol) isn't FDA-approved for other types of nerve pain (e.g., diabetic nerve pain). There are some studies that looked at how well carbamazepine (Tegretol) might work for other types of nerve pain, but more research is needed in this area. If you have nerve pain, ask your provider what treatments might be appropriate for you.

Yes, carbamazepine (Tegretol) can cause erectile dysfunction, among other sexual problems, such as inability to achieve orgasm and low sex drive. This can happen because carbamazepine (Tegretol), as well as other antiseizure medications, can affect the levels of sex hormones to carbamazepine (Tegretol). If you're concerned with your sexual health while taking carbamazepine (Tegretol), talk to your provider. If appropriate, they might be able to recommend natural remedies (e.g., getting regular sleep and exercise), prescribe treatments to help with erectile dysfunction, or switch you to a different medication for your condition.

No, don't take carbamazepine (Tegretol) if you're pregnant because it can cause harm to your unborn baby (e.g., developmental problems or experience seizures at or around birth). If you're pregnant or thinking of becoming pregnant, ask your provider about safer options that can replace carbamazepine (Tegretol).

Ask your provider about the benefits and risks of breastfeeding while taking carbamazepine (Tegretol). This medication is found in breastmilk. Reports show that most breastfed babies exposed to carbamazepine (Tegretol) didn't have side effects. But a few babies experienced some problems, like vomiting or poor weight gain. If your provider says it's okay for you to breastfeed while taking carbamazepine (Tegretol), monitor your baby and contact your provider if you notice sleepiness, weight gain, or development milestone issues.

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Risks and warnings for Carbamazepine (Tegretol)

Carbamazepine (Tegretol) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

Severe skin reactions

  • Risk factors: Asian ancestry | Having a certain gene (HLA-B 1502 gene) that raises your risk of skin or allergic reactions

Warning IconCarbamazepine (Tegretol) can cause serious and life-threatening skin reactions called Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN), especially in Asian people. Most people experienced these reactions within the first few months of starting carbamazepine (Tegretol). If you notice changes in your skin (e.g., sore throat, fever, fatigue, rash, painful blisters, skin reddening, skin peeling) or experience swelling in your face or trouble breathing, stop using carbamazepine (Tegretol) and get medical attention right away.

Low blood cell counts

Warning Icon Although rare, carbamazepine (Tegretol) can lower your blood cell counts. Your provider will likely measure your complete blood count (CBC) before and during treatment to make sure your blood cell counts don't get too low. Contact your provider if you have any symptoms of low blood cell counts (e.g., fever, shortness of breath, chills weakness, unusual bruising or bleeding, and blood in urine, stools, or gums) to your provider right away.

Severe allergic reactions

  • Risk factors: Having a certain gene (HLA-A 3101 gene) that raises your risk of skin or allergic reactions

Severe allergic reactions to carbamazepine (Tegretol) are possible, including life-threatening reactions like facial swelling and anaphylaxis (e.g., closing of the throat). Carbamazepine (Tegretol) can also cause drug reaction with eosinophilia and systemic symptoms (DRESS), which is characterized by fever, rash, and swollen lymph nodes.

Suicidal thoughts or behavior

  • Risk factors: Taking other anti-seizure medications

Carbamazepine (Tegretol) raises our risk of having thoughts of suicide or harming yourself. This risk can appear as early as 1 week after you start taking carbamazepine (Tegretol). If you or anyone around you notices that you have suicidal thoughts or unusual behavior (e.g., anxiety, panic attacks, difficulty sleeping, feeling angry or irritated, restlessness) while taking carbamazepine (Tegretol), get medical help right away.

Harm to unborn babies

Carbamazepine (Tegretol) isn't recommended for pregnant females because there's a risk it can cause severe harm (e.g., developmental problems, seizures) to unborn babies. Make sure to tell your provider if you're pregnant or thinking of becoming pregnant soon before starting carbamazepine (Tegretol). They can talk with you about safer options.

Withdrawal

As with many other seizure medications, stopping carbamazepine (Tegretol) too suddenly can raise the risk of seizures. Don't stop taking carbamazepine (Tegretol) without first talking with your provider. If you need to stop this medication, your provider will help you do so slowly over time to minimize the risk for seizures.

Difficulty with speech, concentration, and movement

  • Risk factors: Taking high doses of carbamazepine (Tegretol) | Drinking alcohol | Taking other medications that can cause sleepiness or dizziness

Because carbamazepine (Tegretol) affects how your brain works, some people have experience side effects such as difficulty concentrating, speech or language problems, and problems with coordination. Additionally, carbamazepine (Tegretol) can cause extreme dizziness and sleepiness, which can lower your ability to think, react, and focus. Your risk might be higher if you're taking other medications that can cause you to feel sleepy or dizzy (e.g., benzodiazepines, muscle relaxants, sleep medications). Make sure you know how this medication affects you before driving a car or doing activities that require your concentration. Talk to your healthcare provider right away if you feel too sleepy from taking carbamazepine (Tegretol).

Liver problems

carbamazepine (Tegretol) can cause liver problems. This is usually mild, but can lead to dangerous liver damage in some rare cases. Your provider will check your liver tests before you start this medication and regularly afterwards to make sure it doesn't become a serious problem. If you notice severe nausea, vomiting, right-sided stomach pain, fatigue, low or no appetite, or yellowing of the skin or eyes, get medical help right away.

Low sodium levels

  • Risk factors: Age 65 years or older | Dehydration | Taking diuretics (water pills)

Carbamazepine (Tegretol) can cause low sodium levels in the blood. This is more likely to happen if you're over 65 years old or also take diuretic medications ("water pills"). If your sodium goes too low, it can be dangerous and lead to comas or even death. Let your provider know if you notice severe headaches, trouble concentrating, forgetfulness, confusion, weakness, and unsteadiness at any point while taking this medication. Seek immediate medical help if you experience more serious symptoms, such as hallucinations, more seizures than usual, or fainting.

High eye pressure

  • Risk factors: History of angle-closure glaucoma

Although rare, carbamazepine (Tegretol) can lead to or worsen glaucoma. You might need to see your optometrist regularly and get eye exams to check your eyes and make sure your vision isn't worsening. Contact your provider if you notice changes in your vision after starting carbamazepine (Tegretol).

Heart block (heart rhythm problems)

  • Risk factors: History of heart rhythm problems

Although rare, carbamazepine (Tegretol) can cause or worsen heart block, which is when your heart beat is slowed down. Contact your provider if you notice symptoms, such as dizziness, chest pain, chest palpitations, or fatigue.

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Carbamazepine (Tegretol) dosage

The average cost for 180 tablets of 200mg of Carbamazepine (Tegretol) is $31.83 with a free GoodRx coupon. This is 76.98% off the average retail price of $138.28.
chewable tabletChewable tablet
DosageQuantityPrice as low asPrice per unit
100mg60 chewable tablets$16.64$0.28
200mg60 chewable tablets$31.82$0.53
ml of oral suspensionMl of oral suspension
DosageQuantityPrice as low asPrice per unit
100mg/5ml450 ml$31.02$0.07
tabletTablet
DosageQuantityPrice as low asPrice per unit
200mg180 tablets$31.83$0.18

Typical dosage for Carbamazepine (Tegretol)

Carbamazepine comes in many different formulations. Some examples include, immediate-release (IR) tablets, IR chewable tablets, IR oral suspensions, and extended-release (XR) tablets. Dosing for different formulations can differ, so follow the directions your provider gave you for your particular medication.


Seizures

  • All IR forms and the XR tablet:
    • Ages 12 years and older: The typical starting dose is 200 mg by mouth twice per day (for the IR/XR tablets) or 100 mg (1 teaspoon) by mouth four times per day (for the suspension). The maximum dose is 1,000 mg per day for children ages 12-15 years and 1,200 mg per day for people ages 15 years and older.
    • Ages 6 to under 12 years: The typical starting dose is 100 mg by mouth twice per day (for the IR/XR tablets) or 50 mg (half a teaspoon) by mouth four times per day (for the suspension). The maximum dose is 1,000 mg per day.
    • Ages under 6 years Your child's provider will determine the dose based on your child's body weight. The typical starting dose is 10-20 mg/kg of body weight per day. The dose is given in divided doses by mouth two or three times per day (for the tablets) or four times per day (for the suspension). The maximum dose is 35 mg/kg per day.
  • XR capsules (Carbatrol, Equetro):
    • Ages 12 years and older: The typical starting dose is 200 mg by mouth twice per day. The maximum dose ranges from 500 mg to 800 mg twice daily, depending on age.
    • Ages under 12 years: Your child's provider will calculate the dose based on your child's weight and if they were taking IR forms of carbamazepine before. The maximum dose is typically 35 mg/kg by mouth per day.

Trigeminal neuralgia

  • All IR forms and the XR tablet:
    • The typical starting dose is 100 mg by mouth twice per day (for the IR/XR tablets) or 50 mg (half a teaspoon) by mouth four times per day (for the suspension). The typical maintenance dose ranges from 400 mg to 800 mg daily.
  • XR capsules:
    • The typical starting dose is 200 mg by mouth once per day. The typical maintenance dose ranges from 400 mg to 800 mg daily.

Bipolar I disorder

  • Equetro only: The recommended starting dose is 200 mg by mouth twice daily. The dose can be raised every day by 200 mg until the ideal effects are reached. The maximum daily dose is 1,600 mg.
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Interactions between Carbamazepine (Tegretol) and other drugs

Carbamazepine (Tegretol) may interact with certain medications or supplements. Always let your doctor and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking. The list below does not include all possible drug interactions with Carbamazepine (Tegretol). Please note that only the generic name of each medication is listed below.

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

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Carbamazepine (Tegretol) contraindications

Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Carbamazepine (Tegretol) will not be safe for you to take.

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What are alternatives to Carbamazepine (Tegretol)?

There are a number of medications that your doctor can prescribe in place of Carbamazepine (Tegretol). Compare a few possible alternatives below.
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