Medication info
Tegretol Tablet 200 Milligrams (Carbamazepine)

Tegretol Tablet 200 Milligrams (Carbamazepine)

Prescription medicationTabletOral
Ingredient · strength
Carbamazepine›200mg / 1 tablet
Manufacturer / importer
Novartis Korea Ltd.
Appearance
White, round tablets
Packaging
100 tablets (10 tablets/PTP packaging X 10)
Approval status
Active

MFDS item code 200307816 · Notified 2003.03.21 · Insurance code 653601130

Summary

Main use
Treatment of epilepsy, trigeminal neuralgia, and psychiatric disorders (e.g., mania and manic episodes of bipolar disorder)
Who takes it
Adults · Children
Adult dose
1. Epilepsy Start treatment at a low dose and increase it slowly until the optimal effect is achieved. Adjust the dose of this medicine to adequately control seizures in each individual patient. Determining the blood concentration may help achieve the optimal dose. The therapeutic blood concentration of carbamazepine for epilepsy is known to be 4-12 μg/mL (17-50 micromoles/L). 1) Adults: Administer an initial dose of carbamazepine 200-400㎎ per day orally in 1-2 divided doses, and increase it slowly until the optimal effect is achieved (600㎎ per day). The dose may be increased to 1200㎎ per day according to symptoms. 2. Trigeminal neuralgia Adults: The initial dose of this medicine is 200-400㎎ per day, given in divided doses up to 600 mg per day. The dose may be increased to 800mg per day according to symptoms. 3. Mania, manic states in manic-depressive illness, and states of excitement in schizophrenia Adults: Administer an initial dose of this medicine of 200-400㎎ per day in 1-2 divided doses, and increase it slowly until the optimal effect is achieved (600㎎ per day). The dose may be increased to 1200㎎ per day according to symptoms. Adjust the dose according to age and symptoms.
Child dose
2) Children: Administer 100-600㎎ per day in divided doses according to age and symptoms.

Ingredients

Importer
Novartis Korea Ltd.

Efficacy & effects

Treatment of epilepsy, trigeminal neuralgia, and psychiatric disorders (e.g., mania and manic episodes of bipolar disorder)

  • Psychomotor seizures
  • epilepsy personality
  • psychiatric disturbances associated with epilepsy
  • convulsive seizures of epilepsy
  • tonic-clonic seizures
  • trigeminal neuralgia
  • manic states
  • states of agitation in schizophrenia
View approved original text

This medication is used to treat various seizures of epilepsy, particularly psychomotor seizures and tonic-clonic seizures, as well as psychiatric disturbances associated with epilepsy. It also helps relieve neuralgia, such as trigeminal neuralgia. It is effective in states of agitation in schizophrenia or manic states in bipolar disorder. Thus, it is widely used for neurological disorders and psychiatric symptoms.

How to take

Adult dose

1. Epilepsy Start treatment at a low dose and increase it slowly until the optimal effect is achieved. Adjust the dose of this medicine to adequately control seizures in each individual patient. Determining the blood concentration may help achieve the optimal dose. The therapeutic blood concentration of carbamazepine for epilepsy is known to be 4-12 μg/mL (17-50 micromoles/L). 1) Adults: Administer an initial dose of carbamazepine 200-400㎎ per day orally in 1-2 divided doses, and increase it slowly until the optimal effect is achieved (600㎎ per day). The dose may be increased to 1200㎎ per day according to symptoms. 2. Trigeminal neuralgia Adults: The initial dose of this medicine is 200-400㎎ per day, given in divided doses up to 600 mg per day. The dose may be increased to 800mg per day according to symptoms. 3. Mania, manic states in manic-depressive illness, and states of excitement in schizophrenia Adults: Administer an initial dose of this medicine of 200-400㎎ per day in 1-2 divided doses, and increase it slowly until the optimal effect is achieved (600㎎ per day). The dose may be increased to 1200㎎ per day according to symptoms. Adjust the dose according to age and symptoms.

Child dose

2) Children: Administer 100-600㎎ per day in divided doses according to age and symptoms.

Precautions

This medication may increase the risk of suicidal thoughts or behaviors, so mood changes or abnormal behaviors should be carefully monitored during treatment. There is a risk of serious skin reactions such as Stevens-Johnson syndrome or toxic epidermal necrolysis while taking this medication, so if skin rash, blisters, or mucosal damage occur, discontinue use immediately and consult a healthcare professional. This medication can cause congenital malformations or growth abnormalities in the fetus during pregnancy, so women who are pregnant or planning to become pregnant should consult a doctor and use effective contraception during treatment. If there are allergic reactions or severe blood disorders, heart disease, or liver or kidney diseases, this medication should not be taken or should be used with caution, and a healthcare professional should be consulted before use. In the initial stages of treatment, central nervous system side effects such as dizziness, drowsiness, and motor control disorders may commonly occur, so caution is needed when driving or operating dangerous machinery. This medication may affect liver and kidney function, so regular blood tests and liver function tests are necessary, and attention should be paid to changes in blood cell counts. There may be interactions with other medications taken with this drug, so inform healthcare professionals of all medications being taken, especially when combined with antidepressants, antibiotics, antifungals, and contraceptives. It is advisable to avoid alcohol during treatment, and sudden discontinuation of use may worsen seizures, so doses should be gradually reduced under a doctor's guidance. In case of overdose, severe central nervous system and cardiovascular symptoms may appear, requiring immediate emergency treatment; there is no specific antidote, so appropriate care must be received at a hospital. This medication should be kept out of reach of children and stored in its original container to prevent misuse or deterioration of quality.

Side effects

Suicidal thoughts, suicidal behavior, depression, abnormal changes in mood and behavior, Stevens-Johnson syndrome, toxic epidermal necrolysis, dizziness, headache, ataxia, drowsiness, fatigue, diplopia, nausea, vomiting, allergic skin reactions, leukopenia, thrombocytopenia, eosinophilia, leukocytosis, lymphadenopathy, agranulocytosis, aplastic anemia, hypoproliferative anemia, pure red cell aplasia, anemia, macrocytic anemia, reticulocytosis, hemolytic anemia, fever, rash, vasculitis, lymphangioleiomyomatosis, arthralgia, hepatic splenomegaly, abnormal liver function tests, cholestatic syndrome, angioedema, hypogammaglobulinemia, anaphylactic reaction, edema, fluid retention, weight gain, hyponatremia, somnolence, confusion, galactorrhea, gynecomastia, folate deficiency, decreased appetite, acute intermittent porphyria, mixed porphyria, delayed skin porphyria, hyperammonemia, visual hallucinations, auditory hallucinations, aggressive behavior, agitation, restlessness, psychosis activation, diplopia, dysregulation, tremor, fixed posture inability, dystonia, facial spasm, nystagmus, oral-facial movement disorder, eye movement disorder, speech disorder, chorea, peripheral neuropathy, sensory disturbances, incomplete paralysis, taste disturbances, neuroleptic malignant syndrome, myoclonic jerks, aseptic meningitis, lens opacities, conjunctivitis, increased intraocular pressure, hearing impairment, hyperacusis, hearing loss, auditory distortions, electrocardiogram abnormalities, bradycardia, arrhythmia, syncope, worsening of coronary artery disease, congestive heart failure, precurosis, lymphadenopathy, myocardial infarction, hypertension, hypotension, circulatory collapse, embolism, thrombophlebitis, PIE syndrome, hypersensitivity pneumonitis, thirst, constipation, diarrhea, abdominal pain, pancreatitis, glossitis, stomatitis, cholestatic hepatitis, hepatocellular hepatitis, mixed hepatitis, jaundice, severe hepatitis, granulomatous hepatitis, liver failure, urticaria, allergic dermatitis, exfoliative dermatitis, erythema multiforme, systemic lupus erythematosus symptoms, pruritus, Stevens-Johnson syndrome, toxic epidermal necrolysis, photosensitivity, erythema nodosum, skin pigmentation abnormalities, purpura, acne, hyperhidrosis, alopecia, hirsutism, muscle weakness, osteomalacia, osteoporosis, arthralgia, myalgia, muscle cramps, tubulointerstitial nephritis, renal failure, renal dysfunction, urinary retention, increased frequency of urination, sexual dysfunction, erectile dysfunction, abnormal spermatogenesis, fatigue, raised γ-GTP, elevated alkaline phosphatase, elevated transaminases, increased intraocular pressure, elevated cholesterol, increased high-density lipoprotein, increased triglycerides, abnormal thyroid function tests, raised prolactin, reactivation of herpes virus 6 infection, bone marrow failure, sedation, memory impairment, colitis, drug rash with eosinophilia and systemic symptoms, acute generalized pustular eruption, lichen planus, nail loss, fracture, decreased bone density, falls, blister rash, pustular rash, mucosal rash, sleep disturbances, oral edema

Not everyone experiences these, and they can vary from person to person.

Storage

This medication may be sensitive to air or moisture, so it should be stored in a tightly sealed container. Additionally, it should be kept in a cool place below 25 degrees Celsius to maintain its efficacy.

Appearance and packaging

Appearance

White, round tablets

Package unit

100 tablets (10 tablets/PTP packaging X 10)

Same-ingredient medicines

Even with the same ingredient, strength, dosage form and how it is taken can differ.

Even with the same ingredient, the dose and directions can differ by strength and dosage form. Talk to a doctor or pharmacist before switching from a medication you are already taking.

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This drug information is based on data provided by the Korea Ministry of Food and Drug Safety.
Consult a doctor or pharmacist for accurate dosage, administration, and usage instructions.