Without a Prescription
Tegretol is prescribed for:
- Treatment of acute manic episodes in bipolar affective disorder;
- Severe pain in the lips, gums, cheek, chin or eye caused by a disorder of the nerves in the face;
- Partial seizures;
- Mood stabiliser to prevent episodes of high and low mood in bipolar affective disorder;
- Generalised tonic-clonic seizures;
Tegretol is prescribed for trigeminal neuralgia (severe pain in the jaws) and pain in the tongue and throat.
Tegretol is prescribed in the treatment of seizure disorders, including certain types of epilepsy.
Tegretol is contraindicated if you have any of the following conditions:
- if you have a history of bone marrow depression (reduced function);
- If you have a history of heart, liver, or kidney damage;
- if you have a sensitivity to Tegretol;
- if you have a sensitivity to tricyclic antidepressant drugs such as amitriptyline (Elavil);
- If you have an adverse blood reaction to any drug, glaucoma, or serious reactions to other drugs;
Do not take Tegretol with any of the following drugs:
- The Useof the antiseizure medications phenobarbital, phenytoin (Dilantin), or primidone (Mysoline) may reduce the effectiveness of Tegretol Take other anticonvulsants along with Tegretol only if your doctor advises it The use of Tegretol with other anticonvulsants may change thyroid gland function;
- An Oral contraceptive and Tegretol,;
- Azithromycin (Zithromax), cimetidine (Tagamet), clarithromycin (Biaxin), danazol (Danocrine), diltiazem (Cardizem), erythromycin (E-Mycin), fluoxetine (Prozac), isoniazid (Nydrazid), itraconazole (Sporanox), ketoconazole (Nizoral), loratadine (Claritin), niacinamide, nicotinamide, propoxyphene (Darvon), troleandomycin (Tao), valproate (Depakene), and calcium channel blockers such as Calan;
- Liquid medications such as Thorazine solution or Mellaril liquid,;
- Lithium (Eskalith);
- Tegretol may increase the effectiveness of clomipramine HCl (Anafranil), phenytoin, or primidone if the drugs are taken together;
- The Effectiveness of acetaminophen (Tylenol), alprazolam (Xanax), clonazepam (Klonopin), clozapine (Clozaril), dicumarol, doxycycline (Doryx), ethosuximide (Zarontin), haloperidol (Haldol), lamotrigine (Lamictal), methsuximide (Celontin), oral contraceptives, phensuximide (Milontin), phenytoin (Dilantin), theophylline (Theo-Dur), tiagabine (Gabitril), topiramate (Topamax), valproic acid (Depakene), and warfarin (Coumadin),;
- The Following drugs may also reduce the effectiveness of Tegretol: cisplatin (Platinol), doxorubicin HCl (Adriamycin), felbamate (Felbatol), rifampin (Rifadin), and theophylline (Theo-Dur);
Tegretol side effects that you should report to your health care professional or doctor as soon as possible:
- Abdominal pain;
- Abnormal heartbeat and rhythm;
- Abnormal involuntary movements;
- Abnormal sensitivity to sound;
- Aching joints and muscles;
- Allergic skin reactions;
- Alteration in results of liver function tests;
- Blood clots;
- Blood disorders;
- Blurred vision;
- Congestive heart failure;
- Disturbances of the gut such as diarrhoea, constipation, nausea, vomiting or abdominal pain;
- Double vision;
- Dry mouth and throat;
- Dry mouth;
- Fainting and collapse;
- False perceptions of things that are not really there;
- Fluid retention;
- Frequent urination;
- Hair loss;
- Inability to urinate;
- Inflamed eyes;
- Inflammation of the mouth and tongue;
- Involuntary movements of the eyeball;
- Kidney failure;
- Labored breathing;
- Leg cramps;
- Liver disorders;
- Liver or kidney disorders;
- Loss of appetite;
- Loss of coordination;
- Low blood pressure;
- Pancreatitis (inflammation of the pancreas);
- Reddened skin;
- Reddish or purplish spots on the skin;
- Reduced urine volume;
- Retention of water in the body tissues;
- Ringing in the ears;
- Sensitivity to light;
- Severe blistering skin reaction affecting the tissues of the eyes, mouth, throat and genitals;
- Shaky movements and unsteady walk;
- Skin inflammation and scaling;
- Skin peeling;
- Skin pigmentation changes;
- Skin rashes;
- Speech difficulties;
- Stomach problems;
- Weight gain;
Reported Tegretol overdose symptoms are:
- Absence or low production of urine;
- Inability to urinate;
- Involuntary rapid eye movements;
- Irregular or reduced breathing;
- Lack of coordination;
- Low or high blood pressure;
- Muscular twitching;
- Pupil dilation;
- Rapid heartbeat;
- Severe muscle spasm;
- Writhing movements;
Your doctor may increase the dose at weekly intervals by adding 100 milligrams twice a day for Tegretol-XR, 3 or 4 times a day for the other forms.
The usual dose for children 6 to 12 years old is 100 milligrams twice daily or one-half teaspoon 4 times a day.
The usual daily dosage range for maintenance is 400 to 800 milligrams.
Total daily dosage should generally not exceed 1,000 milligrams.
The usual daily starting dose for children under 6 years of age is 10 to 20 milligrams per 2.2 pounds of body weight.
Daily dosage should not exceed 35 milligrams per 2.2 pounds.
The total daily dose is divided into smaller doses taken 2 or 3 times a day for tablets or 4 times a day for suspension.
Your doctor may increase this dose using increments of 100 milligrams every 12 hours or one-half teaspoonful 4 times daily only as needed to achieve freedom from pain.
The usual dose is 100 milligrams (1 chewable or extended-release tablet) twice or one-half teaspoon 4 times on the first day.
Doses should not exceed 1,200 milligrams daily and are usually in the range of 400 to 800 milligrams a day for maintenance.
Your doctor may increase the dose at weekly intervals by adding 200-milligram doses twice a day for Tegretol-XR or 3 or 4 times per day for the other forms.
The usual dose for adults and children over 12 years of age is 200 milligrams (1 tablet or 2 chewable or extended-release tablets) taken twice daily or 1 teaspoon 4 times a day.
The usual daily maintenance dosage range is 800 to 1,200 milligrams.
Dosage should generally not exceed 1,000 milligrams daily in children 12 to 15 years old and 1,200 milligrams daily for adults and children over 15.
To help determine the ideal dosage, your doctor may decide to periodically check the level of Tegretol in your blood.