Tegretol - Carbamazepine

If each Tegretol (carbamazepine) chewable tablet contains 100 mg of carbamazepine, how many Tegretol tablets can be made from 1 kg of carbamazepine ... 

The medications known as anticonvulsants are often used as front-line treatment of the bipolar disorders. The most common of these medications include Tegretol (carbamazepine), Depakene or Depakote (valproate or valproic acid), and Klonopin (clonazepam), and they are used under the following circumstances (a) inadequate response or intolerance to antipsy-chotics or lithium (b) manic symptoms (c) rapid cycling of the condition (d) EEG abnormalities and (e) head trauma (Kaplan Sadock, 1996). In practice, these medications seem particularly effective for clients who suffer from schizoaffective disorders or agitated depression of a cyclic nature. They are considered the medication of choice if an individual has a history of brain damage or of severe or rapid mood swings (Dulcan, 1999). Furthermore, if an individual has atypical features of the mental... 

Tegretol carbamazepine anticonvulsant bipolar disorder double vision, drowsiness, poor concentration, mild nausea... 

Tegretol (carbamazepine) A common medication referred to as a mood stabilizer. This anticonvulsant medication is used as mood stabilizer for the following reasons (a) inadequate response or intolerance to antipsy-chotics or lithium (b) manic symptoms (c) rapid cycling of the condition ... 

S - Clinical failure of Tegretol (carbamazepine) tablets, possibly due to phase conversion of anhydrate form to dihydrate. 

Chemotherapeutic Drug Toxicit Carbamazepine C. Miscellaneous 100 mg P0 BID 100,200,400 mg (Tegretol) 100 mg/5cc suspension ... 

Carbamazepine Tegretol, Epitol Tablet 200 mg 200-1,800 m day in 2-4 divided doses. Use alone or in combination with other medications Blocks voltage-sensitive Na+ channels Stimulates the release of antidiuretic hormone and decreases Na+... 

Anticonvulsants. Finally, several antiseizure medications have been tried. These include valproic acid (Depakote, Depakene), carbamazepine (Tegretol), Lamotrig-ine (Lamictal), and gabapentin (Neurontin). The anticonvulsants are effective treatments for bipolar disorder. Their use for major depression needs to be studied further. Please refer to Section 3.4 Bipolar Disorders. 

Carbamazepine (Tegretol, Equetro). Carbamazepine is another anticonvulsant with documented efficacy in treating BEAD, and was recently FDA approved for this indication. Like valproate, carbamazepine is usually preferred to lithium in cases of mixed mania or rapid cycling. 

Care should be taken when prescribing other medications with clozapine. The mood stabilizer carbamazepine (Tegretol) and perhaps the antidepressant mirtazap-ine (Remeron) should not be taken with clozapine because they might further increase the risk of agranulocytosis. Likewise, the antidepressant bupropion (Wellbutrin, Zyban) should not be taken with clozapine because it may add to the seizure risk. 

Anticonvulsants. Scattered case reports suggest that carbamazepine (Tegretol) and valproic acid (Depakote, Depakene) may be helpful in the treatment of panic disorder. This has yet to be verified in systematic studies. Furthermore, because these anticonvulsants are hindered by toxicity and side effect concerns (cf. Chapter 3), they should only be considered if other better studied and more tolerable treatment options have failed. 

Anticonvulsdnts. An early observation that BN patients may have abnormal electroencephalogram (EEG) resnlts led to specnlation that binge eating may represent an atypical behavioral presentation of seiznre activity. Thus, the first controlled medication study for the treatment of BN evaluated the use of the antiseizure medication phenytoin (Dilantin). Phenytoin was not found to be significantly superior to placebo, and the earlier reports of EEG abnormalities were not confirmed. The results of a subsequent trial of carbamazepine (Tegretol), an anticonvulsant that has been reported to be effective in the treatment of bipolar disorder, were also disappointing. As a result, anticonvulsants are not routinely used in the treatment of BN. 

Mood Stabilizers. Lithium (Eskalith, Lithobid), valproic acid (Depakene), sodium valproate (Depakote), and carbamazepine (Tegretol) are most often used by psychiatrists to treat the bipolar disorders. These so-called mood stabilizers are also used to treat impulsivity and agitation in a variety of psychiatric disorders including dementia, certain personality disorders, and the disruptive behavior disorders of childhood. 

Mood Stabiiizers. First lithium and more recently valproic acid (Depakote, Depakene), carbamazepine (Tegretol), and gabapentin (Neurontin) have been used to treat agitated dementia patients. 

Among these choices, bnspirone is preferred if the patient is also experiencing anxiety. If the patient is depressed and agitated, a SSRI should be tried first. Second line choices inclnde carbamazepine (Tegretol) or one of the atypical antipsychot-ics—ziprasidone (Geodon), risperidone (Risperdal), olanzapine (Zyprexa), quetiap-ine (Seroquel), or aripiprazole (Abilify) can be tried. If psychotic symptoms are present, one of the atypical antipsychotics should be tried first. 

Largactil is a proprietary preparation of chlorpromazine, an aliphatic antipsychotic with marked sedation and moderate antimuscarinic and extrapyramidal side-effects. Serenace is a proprietary preparation of haloperidol, a butyrophenone antipsychotic with marked extrapyramidal side-effects, moderate sedation but not very likely to cause hypotension. Tegretol is a proprietary preparation of carbamazepine, an anti-epileptic drug indicated in partial and secondary generalised tonic-clonic seizures, primary generalised tonic-clonic seizures, trigeminal neuralgia and in the prophylaxis of bipolar disorder unresponsive to lithium. 

Tegretol consists of carbamazepine, which is an anti-epileptic drug. There is a clinically significant drug interaction between carbamazepine and clarithromycin (macrolide antibacterial agent) resulting in higher plasma concentrations of carbamazepine. 

Carbamazepine is used principally for major epileptic attacks. It is not effective enough for minor attacks. There are data showing a number of side effects. A synonym of carbamazepine is tegretol. 

Carbamazepine (Tegretol 100-mg chewable tablets 200-mg tablets) Extended-release carbamazepine capsules (Equetro, 100, 200, 300 mg Carbatrol, 200, 300 mg) Carbamazepine suspension (100 mg/5 mL) Extended-release carbamazepine tablets (Tegretol XR, 100, 200,... 

Carbamazepine is effective in both acute and prophylactic treatment of mania (Weisler et al. 2005). An extended-release formulation of carbamazepine, available since 1997 for treatment of epilepsy, was approved in 2004 under the brand name Equetro. Extended-release preparations are preferred because simplified dosage schedules facilitate patient adherence. Other extended-release carbamazepine preparations include Tegretol XR and Carbatrol, although neither has been specifically indicated for the treatment of bipolar disorder. The longer-acting preparations are also of benefit because they tend to have fewer gastrointestinal side effects. 

Takezaki H, Hanaoka M. The use of carbamazepine (Tegretol) in the control of manic-depressive psychosis and other manic, depressive states [Japanese]. Sheishin-lgaku 1971 13 173-183. Okuma T, Kishimoto A, Inoue K, et al. Anti-manic and prophylactic effects of carbamazepine on manic-depressive psychosis. Folia Psychiatr NeurolJpn 1973 27 283-297. 

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