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Tegretol is an anticonvulsant medication used to treat partial, tonic-clonic, and mixed seizures. The medication is also used to treat nerve pain like trigeminal neuralgia and glossopharyngeal neuralgia.

Carbamazepine is an antiepileptic drug that enhances sodium-channel inactivation to lower the frequency of repetitive firing action potentials of neurotransmitters in your brain that cause seizures and pain receptors. This action allows Tegretol to treat certain kinds of seizures as well as nerve pain.

This antiepileptic medication is an effective form of treatment for partial and tonic-clonic seizures as well as trigeminal neuralgia and glossopharyngeal neuralgia.

Uses and Dosage

The dose of Tegretol that is prescribed will vary depending on the individual and condition being treated. Follow all your doctor’s instructions and read packaging labels carefully to ensure the best results during treatment.

  • Swallow tablets whole
  • Take with food
  • Adults and children over 12 should take an initial dose of 200mg twice daily
  • Maintenance therapy for epilepsy is usually 800 to 1200mg daily
  • If used with other anticonvulsants, slowly increase the Tegretol dose while maintaining or decreasing other drugs, except for phenytoin which may need to increase
  • For trigeminal neuralgia, adults usually take an initial dose of 100mg twice daily
  • Pain management tends to be achieved with 400 to 800mg daily
  • Adults should not take more than 1200mg for pain
  • Use the smallest dosage needed for beneficial effects
  • Symptoms may take up to 4 weeks to improve, continue using Tegretol as directed
  • Call your doctor right away if Tegretol stops working as well
  • Store at room temperature away from moisture, heat, and light
  • Keep away from children and pets

Side Effects

Tegretol may cause some side effects to develop while inhibiting signals between neurotransmitters that contribute to seizures and send pain signals through your nerves. Speak with your doctor for more specific information regarding any side effects that you may encounter when taking carbamazepine.

Common Tegretol side effects:

  • Dizziness, loss of coordination, trouble walking
  • Nausea, vomiting
  • Drowsiness

Report any new or worsening symptoms that you notice to your doctor including sudden mood or bahaviour changes, depression, anxiety, insomnia, or if you feel agitated, hostile, restless, irritable, or have suicidal thoughts.

Serious Side Effects

Some more serious adverse effects may occur when taking carbamazepine. Stop using Tegretol and call your doctor right away if you develop any of the following symptoms:

  • Skin rash
  • Loss of appetite, right-sided upper stomach pain, dark urine
  • Slow, fast, or pounding heartbeats
  • Anemia or other blood problems (fever, chills, sore throat, mouth sores, bleeding gums, nosebleeds, pale skin, easy bruising, unusual tiredness, feeling light-headed or short of breath)
  • Low sodium levels (headache, confusion, severe weakness, feeling unsteady, increased seizures)

Seek immediate medical attention if you have a serious drug reaction. Symptoms can affect many parts of your body and may include a rash, fever, swollen glands, muscle aches, severe weakness, unusual bruising, or jaundice.

Allergic Reactions

Do not use Tegretol if you are allergic to carbamazepine of an antidepressant such as amitriptyline, desipramine, doxepin, imipramine, or nortriptyline. If you develop signs of an allergic reaction, stop taking this seizure medication and contact your doctor.

Tegretol allergy symptoms may include:

  • Hives
  • Difficulty breathing
  • Swelling of face, lips, tongue, or throat
  • Fever, sore throat
  • Burning eyes, skin pain
  • Red or purple rash that spreads and blisters


Do not take Tegretol if you have a history of bone marrow suppression.

Do not use Tegretol within 14 days of taking an MAO inhibitor such as furazolidone, isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.

Tegretol may cause you to develop serious blood problems or a life-threatening skin rash or allergic reaction. Call your doctor immediately if you notice you have a fever, unusual weakness, bleeding, bruising, or a skin rash that causes blistering and peeling.

Some people have reported suicidal thoughts when taking seizure medications. Monitor changes in your mood or symptoms and report them to your doctor while taking Tegretol.

To ensure your safety when taking this seizure medication, tell your doctor if you have ever had any of the following:

  • Heart problems
  • Liver or kidney disease
  • Glaucoma
  • Porphyria
  • Depression, mood disorder
  • Suicidal thoughts or actions

Do not suddenly stop taking Tegretol without consulting your doctor.

Avoid drinking alcohol while taking Tegretol because it can increase carbamazepine side effects and increase your risk of having a seizure.

Avoid grapefruit products because it may interact with carbamazepine and cause unwanted side effects.

Tegretol may impair your thinking or reactions so you should avoid driving or performing hazardous activities until you know how this medication will affect you.

Carbamazepine may make you burn more easily in the sun. Avoid direct exposure to sunlight or artificial UV rays.

If you are pregnant, do not start or stop taking Tegretol without first consulting with your doctor. Carbamazepine may cause harm to an unborn baby if taken during pregnancy, but controlling seizures is very important during this time.

Carbamazepine can make birth control pills or implants less effective. While taking Tegretol, use a barrier form of birth control to prevent pregnancy.

Do not breastfeed while taking Tegretol.

Some drugs can interact with carbamazepine and cause unwanted side effects. Ask your doctor before using any opioid medication, sleeping pills, muscle relaxants, or medicine for anxiety, depression, or seizures. These medications can worsen Tegretol’s drowsy effects.

To ensure your safety when taking Tegretol, tell your doctor about all the medications that you take, including over the counter medicines, vitamins, and herbal products.

Form and Strength

This seizure medication is available in tablet form.

Tegretol tablet strengths:

  • 100mg
  • 200mg

The 100 and 200mg Tegretol tablet strengths are both available in quantities of 100.


What to avoid when taking Tegretol?

When taking Tegretol, you should avoid ingesting grapefruit products because it can interact with carbamazepine and cause an increase in its effects. You should also avoid drinking alcohol during treatment because it can cause adverse effects and increase your risk of having seizures.

What should I monitor when taking Tegretol?

Some patients who use anticonvulsant medications report having suicidal thoughts during treatment. You should monitor for any changes in your mood or behaviours and report them to your doctor to maintain your health and well-being while using Tegretol.



Additional information

Brand Name:


Scientific Name:


Other Names:

Carbatol, Tegrital, Zeptol


100mg, 200mg

Quantities Available:

100, 200