Tegretol (carbamazepine) Coupons, Discounts & Cost
Tegretol (carbamazepine) is a drug with antiepileptic, psychotropic and neurotropic effect. One way to save money on the Tegretol retail cost regardless of income and insurance status is to use Tegretol coupons or discount cards from RXCoupons. Use this Carbamazepine coupon at this online pharmacy and receive up to 75% off the sale price.
What should you know about Tegretol?
Tegretol (carbamazepine) is a drug with antiepileptic, psychotropic and neurotropic effect.
Tegretol indications: - Epilepsy: tonic-clonic epileptic seizures, simple or complex partial seizures (with or without loss of consciousness), mixed forms of epileptic seizures; - Alcohol withdrawal syndrome; - Therapy of bipolar affective disorders (to prevent acute exacerbations); - Glossopharyngeal neuralgia; - Neuralgia, idiopathic trigeminal neuralgia associated with multiple sclerosis.
Tegretol contraindications
Absolute contraindications: - Atrioventricular block; - Hepatic porphyria (including late cutaneous porphyria, acute intermittent porphyria and variegate porphyria); - Therapy with monoamine oxidase inhibitors; - Hypersensitivity to carbamazepine, as well as to chemically similar carbamazepine drugs (tricyclic antidepressants).
Relative contraindications: - Cardiovascular diseases (including chronic heart failure), renal and hepatic insufficiency; - Hypothyroidism; - Mixed forms of epilepsy; - Ocular hypertension and prostatic hyperplasia; - Pregnancy and lactation; - Elderly age (you should keep in mind that there are high risks of drug interactions).
It should be borne in mind that such therapy can lead to allergic reactions.
Women of childbearing age should use effective birth control methods during Tegretol therapy.
How to use Tegretol
Tegretol should be taken with a small amount of water. Take it regardless of food intake. It is possible to use Tegretol as monotherapy or in combination with other drugs.
Tegretol suspension is used in case of swallowing problems. It is recommended to begin treatment with small doses. The vial should be shaken well before use.
Epilepsy: Tegretol should be taken as monotherapy. A small daily dose is prescribed at the beginning of the course. The initial dose for adults and children from 16 years is 100-200 mg 1-2 times a day. The average optimal dose: 400 mg 2-3 times a day. The daily dose may be increased up to 1600-2000 mg.
Trigeminal neuralgia: the initial daily adult dose is 200-400 mg. Elderly patients should start with 200 mg (100 mg twice a day). The dose is gradually increased until the pain disappears. The average dose is 200 mg 3-4 times a day. The maximum allowable daily dose is 1200 mg.
Alcohol withdrawal syndrome: the average daily dose is 200 mg 3 times a day. It can be increased in severe cases (for example, up to 400 mg 3 times a day). It is possible to combine Tegretol with drugs with sedative and hypnotic effects (for example, with chlordiazepoxide, clomethiazole).
Maintenance treatment of patients with bipolar illness: the average daily dose is from 400 to 600 mg (in 2-3 doses). You can increase the dose gradually (to ensure optimal tolerability).
Sudden discontinuation of Tegretol may lead to epileptic seizures. Therefore, treatment should be canceled gradually (over a period of 6 months or longer).
Tegretol in children
Recommended initial daily doses: - Up to 4 years: from 20 to 60 mg. The dose can be increased by 20-60 mg every other day. - From 4 years: 100 mg. The dose can be increased by 100 mg per week.
Maximum daily doses: - Up to 6 years: 35 mg/kg; - 6-15 years: 1000 mg; - 15 years and older: 1200 mg.
It is recommended to select the dose in accordance with the weight and age of the child.
Tegretol unwanted side effects
Some types of disorders, as well as skin allergic reactions are observed very often (especially at the beginning of treatment or when the drug is used in elderly patients). Some side effects will go away within a few days.
Immune system: rarely - hypersensitivity, skin rash, fever, eosinophilia, vasculitis, leukopenia, arthralgia; very rarely - angioedema, anaphylactic reactions.
Endocrine system: often - weight gain, swelling, fluid retention, hyponatremia; very rarely - gynecomastia, galactorrhea.
Respiratory system: very rarely - fever, dyspnea, pneumonia.
Cardiovascular system: rarely - high/low blood pressure; very rarely - bradycardia, thrombophlebitis, thromboembolism, chronic heart failure.
Digestive system: very often - nausea, vomiting; often - dry mouth; rarely - constipation, diarrhea, abdominal pain; very rarely - stomatitis, glossitis, pancreatitis.
Nervous system: very often - ataxia, dizziness, drowsiness; often - diplopia, headache; rarely - nystagmus, dyskinesia, speech disorders, paresthesia, peripheral neuropathy; very rarely - malignant neuroleptic syndrome, visual hallucinations, depression, aggression, anxiety, disorientation.
Blood and lymphatic system: very often - leukopenia; often - eosinophilia, thrombocytopenia; very rarely - hemolytic anemia, agranulocytosis, aplastic anemia, megaloblastic anemia, anemia, pancytopenia.
Urinary tract: very rarely - frequent urination, nephritis, renal failure, erectile dysfunction, impaired renal function, urinary retention.
Liver and biliary tract: rarely - jaundice; very rarely - liver failure.
Musculoskeletal system: rarely - muscle weakness; very rarely - arthralgia, muscle spasms, myalgia.
Skin and subcutaneous tissues: very often - hives, allergic dermatitis; rarely - exfoliative dermatitis, systemic lupus erythematosus; very rarely - Stevens-Johnson syndrome, toxic epidermal necrolysis, erythema multiforme, alopecia, acne, hirsutism.
Important information
Tegretol must be taken only under medical supervision.
Alternative therapy should be chosen in case of severe dermatological reactions (for example, Lyell and Stevens-Johnson syndromes).
The drug is immediately canceled in case of hypersensitivity to Tegretol (various reactions may occur, including rash, eosinophilia, arthralgia, fever, vasculitis, leukopenia).