Tegrital 100 Chewable Tablet

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Manufacturer
SALT COMPOSITION
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Overview

Introduction

Tegrital 100 Chewable Tablet is an anti-epileptic medicine used to treat epilepsy. It helps prevent certain types of seizures (fits). It is also prescribed for a painful condition of the face, head, and neck known as trigeminal neuralgia and diabetes-related nerve pain (diabetic neuropathy).

Tegrital 100 Chewable Tablet must be taken with or without food, but take it at the same time every day. The dose and how often you need to take it will be decided by your doctor so that you get the right amount to control your symptoms. It may be increased gradually. Many other medicines can interfere with this medicine so tell your doctor about all the medicines you are taking to make sure it is safe.

You can take this medicine with or without food but take it regularly at the same time each day to get the maximum benefit. It is important to take this medicine for as long as you are advised, even if you feel well. Missing even a single dose may trigger a seizure and, if you stop taking it abruptly, your condition may get worse.

The most common side effects of this medicine include nausea, vomiting, feeling dizzy, tired or drowsy, unsteadiness (balance disorder), constipation, dry mouth, and itching. Some people may develop blurring of vision and slurred speech. Most of the side effects are not serious. However, let your doctor know straight away if you notice a skin rash or if your mood becomes depressed or if you develop any thoughts about harming yourself.

Before taking Tegrital 100 Chewable Tablet, tell your doctor if you have any heart problems, kidney or liver disease, difficulty in urinating, or any mental illness like depression. These conditions may affect your treatment. You may be advised some blood tests (eg. CBC) before starting treatment and then periodically thereafter, to monitor your progress.

Benefits of Tegrital Chewable Tablet

In Epilepsy/Seizures

Tegrital 100 Chewable Tablet works by decreasing the nerve impulses which cause the seizures. By controlling the frequency of seizures, it will help you go about your daily activities with more confidence. It helps reduce symptoms such as confusion, uncontrollable jerking movements, loss of awareness, and fear or anxiety.

This medicine is not associated with any physical or psychological dependence (addiction) but it should not be stopped suddenly. It must be taken regularly as prescribed to be effective. Missing doses may trigger a seizure.

In Trigeminal neuralgia

Tegrital 100 Chewable Tablet can relieve nerve pain by decreasing nerve impulses which cause the pain (in the trigeminal nerve in your face). It is effective in treating this condition although other medications may also be used. It will enable you to carry out certain daily activities like shaving, putting on make-up, eating, drinking, and brushing your teeth with some freedom from the worry and pain that trigeminal neuralgia can cause. It is not associated with any physical or psychological dependence (addiction) but should not be stopped suddenly.

In Diabetic nerve pain

Tegrital 100 Chewable Tablet relieves nerve pain by decreasing nerve impulses which cause the pain. If the pain is reduced you will feel more comfortable going about your daily life, but you should continue with all other diabetes medicines as prescribed. This medicine is not associated with any physical or psychological dependence (addiction) but it should not be stopped suddenly. It must be taken regularly as prescribed to be effective.

Side effects of Tegrital Chewable Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Tegrital

  • Balance disorder (loss of balance)
  • Dizziness
  • Drowsiness
  • Nausea
  • Slurred speech
  • Vomiting
  • Blurred vision
  • Constipation
  • Dryness in mouth
  • Fatigue
  • Itching

How to cope with side effects?

The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.

  • Coping with Dizziness
    This is usually short-lived and should go away within a few days. If this happens, stop what you are doing and sit or lie down until you feel better. Lying still in a dark, quiet room may help reduce the spinning feeling. Sleep with your head slightly raised on two or more pillows. Get up slowly from a lying or sitting position. Get plenty of rest and try to relax as being anxious can make it worse. Try taking this medicine at bedtime to reduce the symptoms. Drinking plenty of water and ginger tea may also help. Avoid alcohol, caffeine and smoking as it will make you feel worse. Avoid driving or using tools or machinery until you feel better.
  • Coping with Drowsiness
    If the medicine is making you drowsy during the day, stop what you are doing and sit or lie down until you feel better. You can also consider taking a nap. Physical exercises such as walking may be helpful. Do not drink alcohol, as it will make you feel more tired. Avoid driving or operating heavy equipment when you are feeling drowsy. This problem usually goes away as your body gets used to the medicine. However, if it does not, ask your doctor if you can take your medicine at bedtime or whether the dose can be reduced.
  • Coping with Nausea
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop from feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Vomiting
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Blurred vision
    You can consider washing your eyes with water. Avoid driving or using tools or machines if your vision is impaired. Do not take your next dose if your vision is still blurry. If it gets worse or does not improve, ask your doctor to recommend eye drops or talk about changing your medications.
  • Coping with Constipation
    Try to eat foods which are high in fiber such as fresh fruits, vegetables and cereals to increase the bulk and consistency of bowel movements. Drink plenty of water or non-alcoholic drinks and stay hydrated to promote healthy digestion. Increasing physical activities such as walking, yoga and regular exercise can also be helpful. If your condition does not improve, you can ask your doctor to prescribe you laxative medicine.
  • Coping with Dryness in mouth
    Keep a drink available that you can sip through the day. Rinse your mouth with warm salted water and chew sugarless gum or hard candy. Try breathing through your nose more often than your mouth. Avoid caffeinated beverages, smoking and alcohol because they can make your condition worse. Use lip balm if your lips are also dry. Try to avoid foods that are acidic (like lemons), spicy, salty or sugary. If this side effect bothers you or does not go away, talk to your doctor about artificial saliva products or other suitable treatments.

How to use Tegrital Chewable Tablet

Use it as advised by your doctor or check the label for directions before use. Tegrital 100 Chewable Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Tegrital Chewable Tablet works

Tegrital 100 Chewable Tablet is an antiepileptic medication. It controls seizures or fits by decreasing the abnormal and excessive activity of the nerve cells in the brain.

Safety Advice

Alcohol
UNSAFE
Tegrital 100 Chewable Tablet may cause excessive drowsiness with alcohol.
Pregnancy
CONSULT YOUR DOCTOR
Tegrital 100 Chewable Tablet is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
Breastfeeding
SAFE IF PRESCRIBED
Tegrital 100 Chewable Tablet is safe to use during breastfeeding. Human studies suggest that the drug does not pass into the breastmilk in a significant amount and is not harmful to the baby.
Driving
UNSAFE
Tegrital 100 Chewable Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CONSULT YOUR DOCTOR
There is limited information available on the use of Tegrital 100 Chewable Tablet in patients with kidney disease. Please consult your doctor.
Liver
CONSULT YOUR DOCTOR
There is limited information available on the use of Tegrital 100 Chewable Tablet in patients with liver disease. Please consult your doctor.

What if you forget to take Tegrital Chewable Tablet?

If you miss a dose of Tegrital 100 Chewable 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.
No alternate brands found for this medicine

Quick Tips

  • Take your medication regularly as directed by your doctor as missing doses can trigger seizures.
  • Do not change the brand of your medicine and make sure that you have sufficient amount of medicine present with you.
  • Some healthy tips to prevent seizures:
    • Practice yoga every day.
    • Get enough sleep at nighttime.
    • Limit the use of screen time such as mobile/laptop.
    • Take your medication on time.
  • It may cause dizziness and sleepiness. Do not drive or do anything that requires mental focus until you know how it affects you.
  • Your doctor may get regular tests done to monitor the level of blood cells in your blood while taking this medication. 
  • Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts.
  • Inform your doctor if you notice a rash or other skin changes such as reddish spot or circular patches while taking this medicine.
  • Do not stop taking the medication suddenly without talking to your doctor as it may increase the seizure frequency.

Fact Box

Chemical Class
Iminostilbene Derivative
Habit Forming
No

Interaction with Drugs

Taking Tegrital with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Brand(s): Aprepit, Aprepep, Fos-Aprepitant
LIFE-THREATENING
Brand(s): Bupro, Bupep, Bunocare
LIFE-THREATENING
Brand(s): Suclosz, Vizopin, Syclop
LIFE-THREATENING
Brand(s): Evirenz
LIFE-THREATENING

Patient Concerns

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Sir I am having ear and facial pain in the ear from past 3 years when I will journey outstation and chewing more means pain will trigger I showed to ent doctors told me that absolutely no infection I am suspecting trigeminal neuralgia plz give me some sujjestion I am taking pain killer while pain coming means pain will trigger extreme cold and hot seasons Plz send me the details
Dr. Vikas Sharma
Neurology
Start tab tegrital 200 mg bd Do Mri brain
having nerve pain in head and mouth.
Dr. Vikas Sharma
Neurology
do mri brain; start tab tegrital 200 mg od
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Do you have any questions related to Tegrital 100 Chewable Tablet ?

User Feedback


FAQs

Q. How quickly does Tegrital start working?

Your symptoms may take 1-2 weeks to improve. However, in some cases, it may take even longer. Consult your doctor if your condition doesn't improve or if you have any doubts regarding your condition.

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

No, Tegrital is not an analgesic and should not be used for regular aches or pains. It is an anti-epileptic medicine which is used to treat fits (seizures). It is also used in the treatment of trigeminal neuralgia (intense facial nerve pain). In addition to that, Tegrital is used to control mood disorders when other medicines fail to work.

Q. What should I tell my doctor before taking Tegrital?

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), medicines to control bacterial infection (e.g., chloramphenicol, metronidazole and doxycycline) and medicines to control viral infection (e.g., nelfinavir). Also, let your doctor know if you take asthma medicines (e.g., theophylline and montelukast), birth control pills, etc. It is important to tell 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 Tegrital?

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

Q. What should I avoid while taking Tegrital?

Tegrital may make you sleepy or you may feel dizzy. Therefore, 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 Tegrital?

You should stop Tegrital only after consulting your doctor. It is advised to gradually decrease the dose of Tegrital 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 Tegrital lead to weight gain? If yes, how can it be managed?

Yes, Tegrital causes weight gain as a common side effect. This could be due to an 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. Also, regular physical exercise will be very helpful.

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

Though rare but Tegrital 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 Tegrital 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. Tegrital can be possibly stopped if there is no recurrence of pain after taking the reduced dose for several weeks.

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

Side effects of Tegrital can be reduced by starting it at a low dose. The doctor may gradually increase the dose, until an effective dose is reached.

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

Before starting treatment with Tegrital, your doctor may ask you to get regular blood tests, liver function test, and in some cases, even a 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.

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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

Manufacturer/Marketer Address

Sandoz House, Shiv Sagar Estate, Worli Mumbai -400 018, India
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10 Chewable Tablets in 1 strip
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