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Carbetol 200 mg Tablet


Overview

Introduction of Carbetol Tablet

Carbetol 200 mg Tablet is a medicine useful for reducing the frequency of seizures. It is also useful in treating nerve pain affecting the face, head, and neck (trigeminal neuralgia). Your doctor may advise you to take it alone or with other medicines. It is important to take it at the same time each day as this helps to maintain consistent levels of medicine in your body. Do not miss any dose or stop the medication abruptly. Common side effects include sleepiness, dizziness, and feeling or being sick. These are usually mild and go away with time. Remember to inform your doctor if you notice a sign of a severe allergic reaction, including skin rashes.

Carbetol Tablet side effects

Common
  • Nausea
  • Vomiting
  • Dizziness
  • Balance disorder (loss of balance)
  • Drowsiness

How to use Carbetol Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Carbetol 200 mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Carbetol Tablet works

Carbetol 200 mg Tablet is an antiepileptic medication. It controls seizures or fits by decreasing the abnormal and excessive activity of the nerve cells in the brain.

Carbetol Tablet related warnings

Alcohol
CAUTION
Carbetol 200 mg Tablet may cause excessive drowsiness with alcohol.
Pregnancy
WEIGH RISKS VS BENEFITS
Carbetol 200 mg Tablet is unsafe to use during pregnancy.
There is positive evidence of human fetal risk, but the benefits from use in pregnant women may be acceptable despite the risk, for example in life-threatening situations. Please consult your doctor.
Lactation
SAFE
Carbetol 200 mg Tablet is safe to use during lactation. Human studies have shown that either the drug does not pass into the breastmilk in significant amount or is not expected to cause toxicity to the baby.
Driving
Do not drive unless you are feeling well.
Carbetol 200 mg Tablet can make you feel dizzy or drowsy especially at the start of treatment. If you are affected in this way, or if your eyesight is affected, you should not drive.
Kidney
CAUTION
Carbetol 200 mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Carbetol 200 mg Tablet may be needed. Please consult your doctor.
Liver
CAUTION
Carbetol 200 mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Carbetol 200 mg Tablet may be needed. Please consult your doctor.

What if you miss a dose of Carbetol Tablet?

If you miss a dose of Carbetol 200 mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Carbetol 200 mg Tablet
₹1.25/Tablet
Tegrital 200 Tablet
Novartis India Ltd
₹1.52/Tablet
22% costlier
₹1.51/Tablet
21% costlier
Zeptol 200 Tablet
Sun Pharmaceutical Industries Ltd
₹1.45/Tablet
16% costlier
ZEN 200 Tablet
Intas Pharmaceuticals Ltd
₹1.48/Tablet
18% costlier
Carbatol 200 Tablet
Torrent Pharmaceuticals Ltd
₹1.45/Tablet
16% costlier

Expert Advice

  • Take it at the same time every day to maintain consistent levels in your body.
  • Monitor your weight during treatment with this medicine as it can cause weight gain.
  • Your doctor may get regular tests done to monitor the level of blood cells in your blood while taking this medication. 
  • Inform your doctor if you notice a rash or other skin changes such as reddish spot or circular patches while taking this medicine.
  • Inform your doctor if you develop any unusual changes in mood or behavior, new or worsening depression, or suicidal thoughts or behavior.
  • It may increase the risk of low sodium levels in the blood. Inform your doctor if you develop difficulty concentrating, memory problems, confusion, weakness, and unsteadiness.
  • Do not take Carbetol 200 mg Tablet if you are pregnant or planning to conceive or breastfeeding.
  • Do not stop taking the medication suddenly without talking to your doctor as it may increase the seizure frequency.

Interaction with Drugs

Taking Carbetol with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Brand(s): Indizole, Itraspan, Itzo
LIFE-THREATENING
Brand(s): Leparox, Prx
SERIOUS
Brand(s): Ranisol, Vepred, Catapred
SERIOUS
Brand(s): Auxicasp, Canducid
SERIOUS
Brand(s): R Zep
SERIOUS
Brand(s): Suclosz, Vizopin
SERIOUS
Brand(s): Norma, Cizonil
SERIOUS
Brand(s): Stoin
SERIOUS

Patient Concerns

Questions Related to Carbetol

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I am suffering from trigeminal neuralgia since last 5 years. Taking zefratol 400 in the morning and half tablet at night along with Gabapen NT 400. I used to get good relief earlier but now I am getting frequent attacks while talking eating etc., Is there any permanent cure for thiis? Other than surgery?
Dr. Vikas Sharma
Neurologist
radio wave ablation may be helpful
There has been 5-6 years I am suffering from trigeminal neuralgia. Two years ago I went manipal hospital ,bengalore for treatment. After examination they prescribed two medicine, one is zen retard 200 and the other one is ellewell 10 mg. I use these medicine regularly but day by day the pain is unbearable.
Dr. Vikas Sharma
Neurologist
Dose needs increase Pls visit a neurologist
arrow
Do you have any questions related to Carbetol 200 mg Tablet?

FAQs

Q. How quickly does Carbetol start working?

Your symptoms may take 1-2 weeks to improve. In some cases, it may take longer.

Q. Is Carbetol an analgesic? What is it used for?

No, Carbetol is not an analgesic and should not be used for regular aches or pains. It is an anti-epileptic medicine which is given to treat fits (seizures). It is also used to treat pain of trigeminal neuralgia and to control mood disorders when other medicines fail to work.

Q. What should I tell my doctor before taking this medicine?

Inform your doctor if you are taking any other medicines including medicines for epilepsy or seizures, medicines used to thin your blood (e.g., warfarin), birth control pills, medicines to control bacterial infection (e.g., chloramphenicol, metronidazole, and doxycycline), medicines to control viral infection (e.g., nelfinavir), and asthma medicines (e.g., theophylline and montelukast), etc. Also, inform your doctor if you are planning to become pregnant or are breastfeeding. Further, you should tell the doctor if you have ever had liver problems, kidney problems, lung problems, or porphyria (a rare blood pigment disorder).

Q. What are the long-term effects of Carbetol ?

The long-term side effects of Carbetol vary from person to person. While some people can take Carbetol safely for several years, some may develop side effects on using it for a long term. These side effects include osteoporosis and osteopenia in which the bones become weak and can be easily fractured. If you have been prescribed Carbetol for long term, get your bone density checked at regular intervals, maintain a healthy diet and exercise daily.

Q. What should I avoid while taking Carbetol?

If Carbetol makes you feel sleepy, avoid driving or operating heavy machinery. Alcohol consumption should be avoided since taking both together may cause excessive sleepiness.

Q. How do I stop taking Carbetol ?

You should stop Carbetol only after consulting your doctor. The dose of Carbetol should be reduced gradually so that the condition for which you are taking it does not recur.

Q. How can I look for early symptoms of suicidal thoughts and actions?

Pay attention to any changes, especially sudden changes in mood, behavior, thoughts, or feelings. Keep all follow-up visits with your doctor as scheduled. Call your doctor as needed, especially if you are worried about any symptoms.

Q. Can the use of Carbetol lead to weight gain? If yes, how can it be managed?

Yes, Carbetol commonly causes weight gain due to increase in appetite. You can manage your weight by eating a healthy diet, consuming low calorie food and including more vegetables and fruits in your diet. Regular physical exercise will be very helpful.

Q. Can the use of Carbetol affect my sex life?

Though rare but Carbetol may cause decreased sexual desire. It may also impair male fertility as it may reduce sperm count and/or motility. Consult your doctor if you develop these symptoms.

Q. I am taking Carbetol for trigeminal neuralgia. For how long do I need to take it?

Once the medicine relieves your pain, talk to your doctor who will gradually reduce your dose. After taking the reduced dose for several weeks, Carbetol can possibly be stopped if there is no recurrence of pain.

Q. How can I reduce the side effects of Carbetol?

Side effects of Carbetol can be reduced by starting it at a low dose and then increasing the dose gradually, until an effective dose is reached.

Q. When should I go for laboratory test when taking this drug?

Before starting treatment with Carbetol, your doctor may ask you to get regular blood tests, liver tests, and in some cases, even urine test. You may need to take these tests from time to time during your treatment. This is quite usual and nothing to worry about.

Related Products

Disclaimer: 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.
References
  1. Stahl SM, editor. Carbamazepine. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 105-110.
  2. McNamara JO. Pharmacotherapy of the Epilepsies. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. pp. 594-95.
  3. Porters RJ, Meldrum BS. Antiseizure Drugs. Sedative-Hypnotic Drugs. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 405-406.
  4. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 197-201.
  5. Carbamazepine. East Hanover, New Jersey: Novartis Pharmaceuticals Corporation; 2018. [Accessed 19 Jun. 2019] (online) Available from:External Link
  6. Carbamazepine. Hatfield, Hertfordshire: Generics UK T/A Mylan; 2009 [revised Sep. 2018]. [Accessed 24 Jan. 2019] (online) Available from:External Link
  7. Carbamazepine. Hoofddorp, The Netherlands: Sun Pharmaceutical Industries Europe B.V.; 2019. [Accessed 06 Feb. 2019] (online) Available from:External Link
  8. Carbamazepine. Potters Bar, UK: Generics [UK] Limited; 2016. [Accessed 19 Jun. 2019] (online) Available from:External Link
  9. Drugs.com. Carbamazepine Pregnancy and Breastfeeding Warnings. [Accessed 20 Mar. 2019] (online) Available from:External Link
  10. Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198. [Accessed 20 Mar. 2019] (online) Available from:External Link
  11. Central Drugs Standard Control Organisation (CDSCO). [Accessed 20 Mar. 2019] (online) Available from:External Link
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