Before Using

Drug information provided by: Micromedex

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of carbamazepine extended-release capsules to treat bipolar disease in the pediatric population. Safety and efficacy have not been established.

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of carbamazepine to treat epilepsy in children.

Geriatric

Although appropriate studies on the relationship of age to the effects of carbamazepine have not been performed in the geriatric population, geriatric-specific problems are not expected to limit the usefulness of carbamazepine in the elderly. However, elderly patients are more likely to have confusion or agitation, which may require caution in patients receiving carbamazepine.

Pregnancy

Information about this carbamazepine-oral-route
Pregnancy Category Explanation
All Trimesters D Studies in pregnant women have demonstrated a risk to the fetus. However, the benefits of therapy in a life threatening situation or a serious disease, may outweigh the potential risk.

Breastfeeding

Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.

Drug Interactions

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

  • Amifampridine
  • Artemether
  • Boceprevir
  • Clorgyline
  • Delavirdine
  • Efavirenz
  • Etravirine
  • Furazolidone
  • Iproniazid
  • Isocarboxazid
  • Linezolid
  • Lurasidone
  • Maraviroc
  • Methylene Blue
  • Moclobemide
  • Nefazodone
  • Nevirapine
  • Nialamide
  • Pargyline
  • Phenelzine
  • Praziquantel
  • Procarbazine
  • Ranolazine
  • Rasagiline
  • Rilpivirine
  • Selegiline
  • Telaprevir
  • Toloxatone
  • Tranylcypromine
  • Voriconazole

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Abiraterone Acetate
  • Adenosine
  • Afatinib
  • Almotriptan
  • Amprenavir
  • Apixaban
  • Aprepitant
  • Atazanavir
  • Axitinib
  • Bedaquiline
  • Bosutinib
  • Cabazitaxel
  • Cabozantinib
  • Clozapine
  • Cobicistat
  • Crizotinib
  • Cyclophosphamide
  • Cyclosporine
  • Dabrafenib
  • Darunavir
  • Dasatinib
  • Desvenlafaxine
  • Dolutegravir
  • Dronedarone
  • Elvitegravir
  • Enzalutamide
  • Erlotinib
  • Eslicarbazepine Acetate
  • Everolimus
  • Ezogabine
  • Fentanyl
  • Fluconazole
  • Fluoxetine
  • Hydrocodone
  • Hydroxytryptophan
  • Ibrutinib
  • Ifosfamide
  • Imatinib
  • Indinavir
  • Irinotecan
  • Isoniazid
  • Itraconazole
  • Ivacaftor
  • Ixabepilone
  • Ketoconazole
  • Ketorolac
  • Lapatinib
  • Levomilnacipran
  • Linagliptin
  • Lopinavir
  • Lorcaserin
  • Macitentan
  • Mifepristone
  • Nelfinavir
  • Nifedipine
  • Nilotinib
  • Nimodipine
  • Orlistat
  • Pazopanib
  • Perampanel
  • Piperaquine
  • Pixantrone
  • Pomalidomide
  • Ponatinib
  • Primidone
  • Propoxyphene
  • Quetiapine
  • Regorafenib
  • Rivaroxaban
  • Roflumilast
  • Romidepsin
  • Simeprevir
  • Sirolimus
  • Sofosbuvir
  • Sunitinib
  • Tacrolimus
  • Temsirolimus
  • Ticagrelor
  • Tipranavir
  • Tolvaptan
  • Trabectedin
  • Tramadol
  • Trazodone
  • Vandetanib
  • Vemurafenib
  • Vigabatrin
  • Vincristine Sulfate
  • Vincristine Sulfate Liposome
  • Vinflunine
  • Vortioxetine

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Acetaminophen
  • Acetylcysteine
  • Alprazolam
  • Amitriptyline
  • Amoxapine
  • Anisindione
  • Aripiprazole
  • Caspofungin
  • Clarithromycin
  • Clonazepam
  • Dalfopristin
  • Danazol
  • Desipramine
  • Desogestrel
  • Dicumarol
  • Dienogest
  • Doxepin
  • Drospirenone
  • Erythromycin
  • Estradiol Cypionate
  • Estradiol Valerate
  • Ethinyl Estradiol
  • Ethosuximide
  • Ethynodiol Diacetate
  • Etonogestrel
  • Etretinate
  • Felbamate
  • Flunarizine
  • Fosphenytoin
  • Ginkgo
  • Haloperidol
  • Hydrochlorothiazide
  • Imipramine
  • Influenza Virus Vaccine
  • Lamotrigine
  • Levetiracetam
  • Levonorgestrel
  • Lithium
  • Loxapine
  • Medroxyprogesterone Acetate
  • Mestranol
  • Methylphenidate
  • Methylprednisolone
  • Metronidazole
  • Mianserin
  • Midazolam
  • Miokamycin
  • Nafimidone
  • Niacinamide
  • Norelgestromin
  • Norethindrone
  • Norgestimate
  • Norgestrel
  • Nortriptyline
  • Olanzapine
  • Omeprazole
  • Ospemifene
  • Oxcarbazepine
  • Phenprocoumon
  • Phenytoin
  • Pipecuronium
  • Protriptyline
  • Psyllium
  • Quinine
  • Quinupristin
  • Remacemide
  • Rifampin
  • Rifapentine
  • Risperidone
  • Ritonavir
  • Rocuronium
  • Rufinamide
  • Sabeluzole
  • Sertraline
  • Simvastatin
  • St John's Wort
  • Telithromycin
  • Terfenadine
  • Theophylline
  • Tiagabine
  • Ticlopidine
  • Topiramate
  • Troleandomycin
  • Valnoctamide
  • Valproic Acid
  • Vecuronium
  • Viloxazine
  • Warfarin
  • Ziprasidone
  • Zolpidem

Other Interactions

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

  • Grapefruit Juice

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

  • Anemia or
  • Behavior or mood problems or
  • Blood vessel disease or
  • Depression, history of or
  • Diabetes or
  • Glaucoma, or history of or
  • Heart block or
  • Heart disease or
  • Heart rhythm problems, history of or
  • Hyponatremia (low sodium in the blood) or
  • Liver disease, history of or
  • Porphyria (an inherited disease) or
  • Problems with urination or
  • Stevens-Johnson syndrome (severe skin disease) or
  • Toxic epidermal necrolysis (severe skin disease)—Use with caution. May make these conditions worse.
  • Asian ancestry (eg, Filipino, Chinese, Japanese, Korean, Taiwanese)—May increase the risk for serious skin reactions. Your doctor may order a special test before prescribing this medicine.
  • Bone marrow depression—Should not be used in patients with this condition.
  • Fructose intolerance (rare inherited problem)—Tegretol® suspension contains sorbitol and should not be given to patients with this condition.