If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.
Store all forms of this medication at room temperature, away from humidity, and out of reach of children. The chewable tablets and liquid should be protected from light. Do not dispose of medications in wastewater e.
Ask your pharmacist how to dispose of medications that are no longer needed or have expired. Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent. The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor. Many of these side effects can be managed, and some may go away on their own over time.
Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects. Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not check with your doctor or seek medical attention.
Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication. Before you begin taking a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should take this medication. Anemia: Carbamazepine may cause low levels of red blood cells.
If you experience symptoms of reduced red blood cell count anemia , such as shortness of breath, feeling unusually tired or pale skin, contact your doctor as soon as possible. Your doctor will do blood tests regularly to monitor the number of specific types of blood cells, including red blood cells, in your blood. Birth control: Carbamazepine, like other anticonvulsants, may reduce the effectiveness of birth control pills. Women taking carbamazepine should use an alternative, non-hormonal birth control method such as condoms.
If you become pregnant while taking this medication, contact your doctor immediately. Bleeding: Carbamazepine may cause a reduced number of platelets in the blood, which can make it difficult to stop cuts from bleeding. If you notice any signs of bleeding, such as frequent nosebleeds, unexplained bruising, or black and tarry stools, notify your doctor as soon as possible. Your doctor will order routine blood tests to make sure potential problems are caught early.
Bone strength: Long term use of antiepileptics has been associated with a risk of weakened or brittle bones. If you have osteoporosis, are at risk for developing osteoporosis, or have a history of disease affecting your bones, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Cancer: Some studies indicate a possible risk of developing cancer with long term use of carbamazepine. Discuss the potential benefits and possible risks of taking this medication with your doctor. Otherwise, call a poison control center right away. US residents can call their local poison control center at Canada residents can call a provincial poison control center.
Symptoms of overdose may include: slowed breathing, loss of consciousness, muscle twitching, uncontrolled movements, very fast heartbeat. Consult your doctor for more details. If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.
Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so.
Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company. Your condition can cause complications in a medical emergency. Selected from data included with permission and copyright by First DataBank, Inc.
This copyrighted material has been downloaded from a licensed ata provider and is not for distribution, except as may be authorized by the applicable terms of use. Conditions of use: The information in this database is intended to supplement, not substitute for the expertise and judgment of healthcare professionals. The information in not intend to cover all possible uses, directions, precautions, drug interactions or adverse effects nor should it be construed in indicate that use of a particular drug is safe, appropriate or effective for you or anyone else.
A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.
Your use of this information means that you agree to the Terms of Use and Privacy Policy. Learn how we develop our content. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Top of the page. Uses Carbamazepine is used to prevent and control seizures. How To Use Read the Medication Guide provided by your pharmacist before you start taking carbamazepine and each time you get a refill.
Tell your doctor if your condition does not get better or if it gets worse. Side Effects See also Warning section. In the US - Call your doctor for medical advice about side effects.
Precautions Before taking carbamazepine, tell your doctor or pharmacist if you are allergic to it; or to other anti-seizure medications such as fosphenytoin, oxcarbazepine, phenobarbital, phenytoin, primidone or to tricyclic antidepressants such as amitriptyline, desipramine ; or if you have any other allergies.
This medication passes into breast milk. Consult your doctor before breast-feeding. Drug Interactions See also How to Use section. The occurrence of such adverse events may limit the daily dose that can be tolerated and reduce the chances of seizure control for patients requiring higher doses Vojvodic A controlled-release formulation of carbamazepine delivers the same dose over a longer period of time when compared to a standard formulation, thereby reducing post-dose peaks and potentially reducing adverse events associated with peak plasma levels.
Primary outcome measures include seizure frequency, incidence of adverse events, proportions with treatment failure and quality of life measures. Data collection and analysis: The methodological quality of each study was assessed with respect to study design, type of control, method and concealment of allocation, blinding and completeness of follow up, and the presence of blinding for assessment of non-fatal outcomes. All of the studies had at least two groups, one group taking fast-release carbamazepine and one group taking slow-release carbamazepine, and some also had a control group a group of non-epileptic people.
The evidence is current to August Just one of 10 studies found a significant difference between the two carbamazepine types in the number of seizures experienced, with patients prescribed the slow-release carbamazepine experiencing fewer seizures than patients prescribed the fast-release drug. Patients taking slow-release carbamazepine tended to experience fewer side effects. Out of the 10 trials in the review, only one study was judged to be of 'good' quality, and so the evidence in this review was rated as low quality.
It must be stressed that there are not many studies assessing the differences between these two carbamazepine types and more studies are needed before we can make a definitive conclusion about one over the other.
For this update no new eligible studies were identified and the conclusions drawn from the initial review remain unchanged. The included trials were of small size and of poor methodological quality limiting the validity of this conclusion. Carbamazepine CBZ is a commonly used drug for epilepsy that is associated with troublesome adverse events including dizziness, double vision, drowsiness, poor co-ordination and unsteadiness.
These adverse events often occur during peaks in drug plasma concentration. These adverse events may limit the daily dose of CBZ that can be tolerated and reduce the chances of seizure control in patients who require high doses. A controlled-release formulation of CBZ delivers the same dose over a longer period of time when compared to a standard immediate-release formulation, thereby reducing post-dose peaks in CBZ plasma concentration and potentially reducing adverse events.
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