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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Last Updated Nov 10, 2024 | 7:19 PM IST
Tegretol Suspension is used to treat epilepsy (fits) and trigeminal neuralgia (pain in the face's nerves). It contains Carbamazepine, which decreases the excessive and abnormal nerve activity in the brain, thereby controlling seizures. In some cases, you may experience certain common side effects such as dizziness, tiredness, uncontrolled movements, nausea, headache, changes in liver enzymes or low white blood cells count, and minor skin reactions. Before using this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.
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Manufacturer/Marketer

Novartis India Ltd

Consume Type

ORAL

Return Policy

Not Returnable

Expires on or after

Jan-27

for this medicine

About Tegretol Suspension

Tegretol Suspension belongs to a group of medicines called anticonvulsants or anti-epileptics used to treat epilepsy (fits) and trigeminal neuralgia (pain in the face's nerves). Epilepsy is a neurological disorder in which there is a sudden rush of electric impulses (electric activity) in the brain. As a result, the brain's electrical rhythms become imbalanced, resulting in recurrent episodes of seizures or fits. Trigeminal neuralgia is a condition which affects the trigeminal nerve that carries sensations from the face to the brain. 

Tegretol Suspension contains 'Carbamazepine' that reduces the electrical impulses and subsequent firing of the nerve impulses that cause fits. Thus, Tegretol Suspension decreases the excessive and abnormal nerve activity in the brain, thereby controlling seizures. 

You are advised to take Tegretol Suspension for as long as your doctor has prescribed it for you depending on your medical condition. In some cases, you may experience certain common side-effects such as dizziness, tiredness, uncontrolled movements, nausea, headache, changes in liver enzymes or low white blood cells count, and minor skin reactions. Most of these side-effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side-effects persistently.

To treat your condition effectually, continue taking Tegretol Suspension for as long as your doctor has prescribed. Please do not stop taking Tegretol Suspension without consulting your doctor to avoid worsening of seizures. Do not take Tegretol Suspension if you are pregnant or planning for pregnancy unless prescribed by the doctor as it could lead to serious congenital disabilities. It is safe to take Tegretol Suspension while breastfeeding; however, consult your doctor immediately if you think that the baby is having side-effects like excessive sleepiness, skin reactions or yellowing of skin or eyes. Tegretol Suspension causes drowsiness and dizziness, so drive only if you are alert. Tegretol Suspension should not be given to children unless prescribed. Avoid consuming alcohol along with Tegretol Suspension as it could lead to increased dizziness and sleepiness. Consult your doctor immediately if you experience suicidal tendencies. Keep your doctor informed about your health condition and medicines to rule out any side-effects.

Uses of Tegretol Suspension

Treatment of Epilepsy/seizures, Trigeminal neuralgia.

Medicinal Benefits

Tegretol Suspension belongs to a group of medicines called anti-convulsants or anti-epileptics used to treat epilepsy and trigeminal neuralgia (face nerve pain). Tegretol Suspension works by reducing the electrical impulses and subsequent firing of the nerve impulses that cause fits. Tegretol Suspension decreases the excessive and abnormal nerve activity in the brain, thereby helping in controlling seizures. Tegretol Suspension is also used to relieve nerve pain associated with trigeminal neuralgia. People with glossopharyngeal neuralgia may also experience benefit with Tegretol Suspension . Tegretol Suspension is not associated with any psychological or physical dependence, and there is no potential for abuse.

Directions for Use

Tablet/Capsule: Swallow it as a whole with a glass of water; do not chew or crush the tablet/capsule.Syrup/Suspension/Drops: Take the prescribed dose by mouth using the measuring cup/dosing syringe/dropper provided by the pack; shake the pack well before each use.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Tegretol Suspension

  • Dizziness
  • Tiredness
  • Uncontrolled movements
  • Nausea
  • Headache
  • Changes in liver enzymes
  • Low white blood cells count
  • Minor skin reactions

Drug Warnings

Do not take Tegretol Suspension if you are allergic to 'Carbamezapine' or any of its contents, have serious heart problems, blood illnesses, bone marrow problems, hypothyroidism, glaucoma, urinary retention, osteoporosis or taking anti-depressants called monoamine oxidase inhibitors (MAO's) within the last 14 days or taking herbal preparations containing St. John's wort as an antidepressant. Inform the doctor if you have low sodium levels in the blood or take medicines that could lower the blood's sodium levels, or using hormonal contraceptives. Do not stop taking Tegretol Suspension without consulting your doctor to avoid worsening of seizures episodes. Do not take Tegretol Suspension if you are pregnant unless prescribed by the doctor as Tegretol Suspension might cause serious congenital disabilities. It is safe to take Tegretol Suspension while breastfeeding; however, consult your doctor immediately if you think that the baby is having side-effects like excessive sleepiness, skin reactions or yellowing of skin or eyes. Tegretol Suspension causes drowsiness and dizziness, so drive only if you are alert. Tegretol Suspension should not be given to people less than 18 years of age until and unless prescribed by the doctor. Avoid consuming alcohol along with Tegretol Suspension as it could lead to increased dizziness and sleepiness. Consult your doctor immediately if you experience suicidal tendencies or mood swings. 

Drug Interactions

Drug-Drug Interactions: Tegretol Suspension may have interaction with antipsychotic (aripiprazole, quetiapine), anti-anxiety (alprazolam), anti-depressant (amitriptyline, duloxetine, sertraline, fluoxetine), antibiotics (erythromycin), pain killer (codeine, oxycodone, acetaminophen, tramadol), anti-convulsant (gabapentin, lamotrigine, pregabalin, phenytoin, topiramate), anti-thyroid (levothyroxine), antipsychotic (lithium), insomnia (melatonin), anti-coagulant (warfarin), antihistamine (diphenhydramine), and vitamin (cholecalciferol).

Drug-Food Interactions: Avoid consumption of alcohol while taking Tegretol Suspension as it might cause increased dizziness and sleepiness. Avoid consuming grapefruit juice while taking Tegretol Suspension . Herbal preparations containing St. John's wort should be avoided while taking Tegretol Suspension .

Drug-Disease Interactions: Tegretol Suspension may have interactions with disease conditions such as depression, liver disease, kidney dysfunction, suicidal tendency, irregular heartbeat, thyroid dysfunction, hyponatremia (low levels of sodium in the blood), blood disorders, anticholinergic effects, fructose intolerance, and psychosis.

Drug-Drug Interactions Checker List

  • ARIPIPRAZOLE
  • QUETIAPINE
  • ALPRAZOLAM
  • AMITRIPTYLINE
  • DULOXETINE
  • SERTRALINE
  • FLUOXETINE
  • ERYTHROMYCIN
  • CODEINE
  • OXYCODONE
  • ACETAMINOPHEN
  • TRAMADOL
  • GABAPENTIN
  • LAMOTRIGINE
  • PREGABALIN
  • PHENYTOIN
  • TOPIRAMATE
  • LEVOTHYROXINE SODIUM
  • LITHIUM
  • MELATONIN
  • WARFARIN
  • DIPHENHYDRAMINE
  • CHOLECALCIFEROL

Habit Forming

No

Diet & Lifestyle Advise

  • A ketogenic diet (low in carbohydrates and high in fats) is recommended for children with epilepsy. This diet helps in utilizing fat instead of glucose for the generation of energy.

  • Atkins diet (high fat and controlled carbohydrates) is recommended for adolescents and adults.

  • Rest well, get plenty of sleep.

  • Avoid smoking and alcohol consumption.

  • Exercise, meditation and yoga can help lower the stress, decrease pain sensitivity and improves coping skills.

  • Prepare your living area; small changes may reduce the risk of physical injury during a seizure.

  • Install an alarm or emergency device to get assistance during a seizure attack.

Special Advise

  • Regular monitoring of sodium levels while taking Tegretol Suspension is advised to prevent hyponatremia.

  • Prolonged intake of Tegretol Suspension can cause severe skin reactions called Stevens Johnsons syndrome (SJS) and toxic epidermal necrolysis (TEN). So in case you have any skin blister or rash immediately contact a doctor. 

  • Tegretol Suspension may cause low blood cell count, so if you have any red or purple spots on the body, let your doctor know about this. 

Disease/Condition Glossary

Epilepsy/Seizures: Seizures, also known as fits or convulsions, is a single occurrence of abnormal electrical activity in the brain, whereas epilepsy is a chronic neurological disorder characterised by recurrent seizures. The possible causes of epilepsy include traumatic brain injury, scarring on the brain after a brain injury, high fever, stroke, vascular diseases, lack of oxygen to the brain, brain tumours, and genetic disorders. Symptoms include mood changes, anxiousness, nausea, dizziness, weakness, headache, muscle jerking, spasms, loss of balance, teeth clenching, rapid blinking or eye movements, biting the tongue, confusion, and loss of consciousness.

Trigeminal neuralgia: It is a condition affecting the trigeminal nerve in the face that causes painful sensations similar to electric shock on one side of the face. Symptoms include mild to severe facial pain often triggered by speaking, chewing, or brushing the teeth.

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Alcohol

Unsafe

Avoid consumption of alcohol while taking Tegretol Suspension as it may increase dizziness and sleepiness.

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Pregnancy

Caution

Avoid taking Tegretol Suspension if you are pregnant unless prescribed by a doctor as it could lead to serious birth defects. Please consult your doctor if you have any concerns regarding this, your doctor will prescribe only if the benefits outweigh the risks.

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Breast Feeding

Safe if prescribed

It is safe to take Tegretol Suspension while breastfeeding. However, consult your doctor immediately if you think that the baby is having side-effects like excessive sleepiness, skin reactions or yellowing of skin or eyes.

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Driving

Unsafe

Tegretol Suspension causes drowsiness, sleepiness and tiredness. Do not drive or operate machinery unless you are alert.

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Liver

Caution

Dose adjustment may be needed in patients with liver impairment. Please consult your doctor if you have a liver impairment or any concerns regarding this.

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Kidney

Caution

Dose adjustment may be needed in patients with kidney impairment. Please consult your doctor if you have kidney impairment or any concerns regarding this.

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Children

Safe if prescribed

Tegretol Suspension can be given to children above 6years if prescribed by the doctor. The dose will be adjusted by the doctor depending upon the child's body weight.

Country of origin

India

Manufacturer/Marketer address

Sandoz House, Shiv Sagar Estate, Worli Mumbai -400 018, India
Other Info - TEG0019

Author Details

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FAQs

Tegretol Suspension is used to treat epilepsy (fits) and trigeminal neuralgia (pain in the face's nerves).
Tegretol Suspension decreases the brain's excessive and abnormal nerve activity by blocking sodium currents in your brain and body. This reduces abnormal electrical activity between your nerve cells.
Do not discontinue Tegretol Suspension without consulting your doctor. To treat your condition effectually continue taking Tegretol Suspension for as long as prescribed. Do not be reluctant to speak with your doctor if you feel any difficulty while taking Tegretol Suspension ; your doctor will reduce the dose gradually to avoid worsening of seizures.
Tegretol Suspension may affect the way hormone contraceptives work in your body. This may cause spotting or breakthrough bleeding. Tegretol Suspension may increase the risk of pregnancy as it makes the contraceptive less effective. Talk to your doctor, he/she will discuss the most suitable type of contraception while taking Tegretol Suspension to avoid pregnancy.
Tegretol Suspension may cause weight gain due to an increase in appetite. Maintain a healthy weight by following a healthy diet and exercising regularly.
Use an effective contraception method during the treatment with Tegretol Suspension and 2 weeks after the last dose. Avoid getting pregnant while taking Tegretol Suspension as it could lead to serious congenital disabilities. Do not stop taking Tegretol Suspension without consulting your doctor.
Tegretol Suspension may cause hyponatremia (low sodium levels in the blood). This could lead to confusion, reduced concentration, vision problems, nausea, vomiting or worsening of seizures. Regular monitoring of sodium levels is advised while taking Tegretol Suspension . Consult your doctor if you experience these symptoms.
Dry mouth could be a side-effect of Tegretol Suspension . Limiting caffeine intake, avoiding smoking and mouthwashes containing alcohol, drinking water regularly, and chewing sugar-free gum/candy might stimulate saliva and prevent drying of the mouth.
You may notice some benefits after a few days. The effect will gradually grow throughout the first one to two weeks. At your typical dose, the full effects of carbamazepine will take several weeks.
No, it is not an analgesic medication. It is an anticonvulsant or anti-epileptic used to treat epilepsy (fits) and trigeminal neuralgia (pain in the face's nerves).
Before using Tegretol Suspension , you should inform your doctor about your medical history, including any ongoing medicines, to avoid potential interactions and minimize side effects.
Long-term usage of Tegretol Suspension may result in osteoporosis and osteopenia. Your doctor may perform specific tests to assess your bone strength. A healthy diet and regular exercise can also help your bones stay strong.
Consumption of alcohol and drinking grapefruit juice or eating grapefruit should be avoided. The risk of sleepiness and dizziness may be increased if you drink alcohol while taking carbamazepine. Grapefruit may increase the effects of Tegretol Suspension by increasing its levels in the body.
Do not stop taking Tegretol Suspension unless your doctor tells you to. If you take carbamazepine for epilepsy, you may get seizures after you stop using it. To avoid withdrawal seizures, gradually reduce your carbamazepine dose as suggested by your doctor. Suppose you are taking it for bipolar disorder or nerve pain. In that case, your condition may worsen temporarily after you stop using it.
Watch for early warning signs of suicidal thoughts and actions, such as changes in mood or withdrawal from others. Increased anxiety or irritability, changes in sleep or self-care habits, and giving away belongings or talking about death can also be indicators. Be alert to self-harm or reckless behavior and feelings of hopelessness or being trapped. If you observe these signs, express empathy and care by asking open-ended inquiries and attentively listening. Take all suicide warnings seriously and seek help, as early intervention can make a big difference.
Weight gain is one of the more typical adverse effects of Tegretol Suspension . However, this is not happening for everyone, and it is not indicated for use in weight gain. Follow a nutritious diet and exercise regularly to maintain a healthy weight.
Several common seizure medicines, including Tegretol Suspension , have been shown to affect hormone levels. In men, Tegretol Suspension may reduce the level of free testosterone (the primary male hormone). Low levels of testosterone are linked to decreased sexual desire.
If you have nerve pain, once the pain has gone, you will need to take Tegretol Suspension for several months to stop it coming back.
The common side effects of Tegretol Suspension are usually mild and disappear. If they do not go away, there are things you can do to help cope with the specific lifestyle changes. For example, if you're feeling or being sick, try having small, frequent sips of water or squash to avoid dehydration. Stick to simple meals and do not eat rich or spicy food. To manage headaches, make sure you rest and drink plenty of fluids. Try not to drink too much alcohol. To control Dry mouth, try chewing sugar-free gum or sucking sugar-free sweets.
The tests are recommended when a person develops complications or experiences troublesome side effects. Or when a patient's condition does not appear to respond to therapy. It varies from person to person. Your doctor may refer based on the medical condition and response to the treatment.
Tegretol Suspension usually takes 1 to 2 weeks to work. Sometimes, it may take more time to show effective results. Use Tegretol Suspension as advised and inform your doctor if your symptoms do not improve or worsen.
If you want to switch medicines, it is very important to follow your doctor's advice. Switching from carbamazepine to a different medicine will be different for each person. Do not switch medications on your own unless recommended by the doctor.
Consuming alcohol while taking Tegretol Suspension may cause you to feel sleepy or tired. It is advised to avoid alcohol while using this medication.
You can take Tegretol Suspension as usual before and after surgery. However, because it may reduce the effects of some muscle relaxants, these may need to be increased. Tell your doctor you are on carbamazepine if you need surgery.
When you first start taking Tegretol Suspension , you may feel sleepy, tired, or dizzy. This may also happen if your dose has increased. If you're affected, do not drive, ride a bike, or operate machinery until you feel better.
Epilepsy is a common neurological disorder that produces recurrent seizures. Seizures are bursts of electrical activity in the brain that briefly impair its function.
Living with seizures requires some adjustments, but it's possible to manage and cope. Begin by learning about your disease, available treatment choices, and associated triggers. Take your medication exactly as directed, and try to avoid frequent triggers including stress, lack of sleep, and excessive alcohol intake. Maintaining a seizure diary might also help you discover patterns and be prepared. Additionally, take simple safety precautions like showering instead of bathing and wearing a helmet when biking. Build a support network of friends, family, and healthcare professionals, and don't hesitate to reach out when you need help. Finally, prioritize self-care by managing stress, staying active, and getting enough rest. With the right mindset and strategies, you can lead an entire and active life despite living with seizures.

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