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  • Rarely, Tegretol may cause serious blood problems. Notify your physician immediately if you develop any of the following symptoms, which may be early signs of potential blood problems: fever, sore throat, rash, sores in the mouth, easy bruising, or red or purple bruising.
  • NOT stop taking Tegretol even if you feel better. It is important to continue taking Tegretol to prevent seizures from recurring.
  • Use caution when driving, operating machinery, or performing other hazardous activities. Tegretol may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
  • NOT drink alcohol while taking Tegretol. Alcohol may increase drowsiness caused by Tegretol. It may also increase the risk of seizures.
  • Tegretol may decrease the effectiveness of birth control pills. Use a second method of birth control while taking Tegretol to ensure protection from unintended pregnancy.
  • Tegretol is a drug that affects the nerves and brain. It works by decreasing impulses in nerves that cause seizures and pain.
  • Tegretol is used to treat seizures and nerve pain such as trigeminal neuralgia and diabetic neuropathy.
  • Tegretol may also be used for purposes other than those listed in this medication guide.




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  • Take Tegretol exactly as directed by your physician. If you NOT understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
  • Take each dose with a full glass of water.
  • The Tegretol, Tegretol XR, and Epitol brands of carbamazepine should be taken with food. The Carbatrol brand of carbamazepine may be taken with or without food.
  • NOT crush, break, or chew any extended-release (Tegretol XR) formulations of carbamazepine. Swallow them whole. They are specially formulated to release slowly in the body.
  • If swallowing of the Carbatrol capsules is difficult, they may be opened and the contents sprinkled onto a teaspoon of soft food such as applesauce or another similar food. Swallow the entire contents of the teaspoon, making sure not to chew or crush the small beads. Consume the mixture immediately, NOT save it for later use. Drink an 8 ounce glass of water after swallowing the mixture.
  • The tablet coating of the Tegretol XR formulation is not absorbed in the body and may be found in the stool.
  • Shake the suspension form of carbamazepine well before measuring a dose. To ensure that you get a correct dose, measure the suspension with a special dose-measuring spoon or cup, not with a regular table spoon. If you NOT have a dose-measuring device, ask your pharmacist where you can get one.
  • NOT mix the Tegretol suspension with other liquid medicines or take it at the same time as other liquid medicines unless otherwise directed by your physician. Doing so may cause the formation of a precipitate (solid matter).
  • your physician may want you to have blood tests during treatment with Tegretol. It is important for your physician to know how much Tegretol is in your blood and how well your liver is working.
  • Carry or wear a medical identification tag to let others know that you are taking this medicine in the case of an emergency.
  • NOT stop taking Tegretol even if you feel better. It is important to continue taking Tegretol to prevent your seizures from recurring.
  • Grapefruit and grapefruit juice may interact with Tegretol. The interaction could lead to potentially adverse effects. You should discuss the use of grapefruit and grapefruit juice with your physician. NOT increase or decrease the amount of grapefruit products in your diet without first talking to your physician.
  • Store Tegretol at room temperature away from moisture and heat.

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  • If you experience any of the following serious side effects, contact your physician immediately or seek emergency medical attention:
    -- an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
    -- liver damage (yellowing of the skin or eyes, nausea, abdominal pain or discomfort, severe fatigue);
    -- chest pain, high blood pressure (headache, flushing), or congestive heart failure (shortness of breath, swelling of ankles);
    -- numbness or tingling in the hands, feet, arms, or legs;
    -- body or muscle jerks;
    -- confusion, slurred speech, or fainting;
    -- continuing headache, hallucinations, or depression;
    -- severe nausea or vomiting;
    -- back-and-forth movements of the eyes;
    -- blurred or double vision; or
    -- decreased urination.
  • Rarely, Tegretol may cause serious blood problems. Notify your physician immediately if you develop any of the following symptoms, which may be early signs of potential blood problems: fever, sore throat, rash, sores in the mouth, easy bruising, or red or purple bruising.
  • Other, less serious side effects may be more likely to occur. Continue to take Tegretol and talk to your physician if you experience
    -- mild nausea, vomiting, diarrhea, constipation, or decreased appetite;
    -- dry mouth;
    -- impotence; or
    -- joint or muscle aches or pains.
  • Side effects other than those listed here may also occur. Talk to your physician about any side effect that seems unusual or that is especially bothersome.

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