Carbamazepine

Chronic Pain, Bipolar Disorder, Bipolar Disorder + 6 more

Treatment

15 FDA approvals

20 Active Studies for Carbamazepine

What is Carbamazepine

Carbamazepine

The Generic name of this drug

Treatment Summary

Carbamazepine, commonly known as Tegretol, is a medication used to prevent seizures and treat pain from a condition called trigeminal neuralgia. It was approved by the FDA in 1965 and is also used to treat symptoms of bipolar disorder. It was the first anticonvulsant drug specifically used to treat bipolar disorder.

Tegretol

is the brand name

image of different drug pills on a surface

Carbamazepine Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Tegretol

Carbamazepine

1968

259

Approved as Treatment by the FDA

Carbamazepine, commonly known as Tegretol, is approved by the FDA for 15 uses like Partial Seizures With Secondary Generalization and Bipolar Disorder .

Partial Seizures With Secondary Generalization

Bipolar Disorder

Bipolar Disorder

Pain

Helps manage Pain

Common Cold

Trigeminal Neuralgia

Helps manage Trigeminal Neuralgia (TN)

Generalized Tonic-Clonic Seizures

Chronic Pain

Helps manage Pain

Bipolar 1 Disorder

Mixed manic depressive episode

Acute Mania

Trigeminal Neuralgia (TN)

Helps manage Trigeminal Neuralgia (TN)

Partial-Onset Seizures

Seizures

Seizures

Effectiveness

How Carbamazepine Affects Patients

Carbamazepine is a drug used to treat seizures and facial nerve pain. It also helps reduce symptoms of bipolar disorder. However, it has a narrow range in which it can be effective. People of Han Chinese ancestry may experience a severe reaction called Steven Johnson Syndrome or toxic epidermal necrolysis if they take carbamazepine.

How Carbamazepine works in the body

Carbamazepine is a drug used to treat seizures and bipolar disorder. It is thought to work by preventing nerve signals from firing and blocking pain signals in the brain. It is also believed to increase dopamine turnover and increase GABA transmission, which helps treat manic and depressive symptoms. Unfortunately, some people have developed a resistance to the drug, and scientists are researching this issue to try to find a solution. Recently, they have identified a gene promoter that might be responsible for this resistance, which could be treated with methylation.

When to interrupt dosage

The prescribed measure of Carbamazepine is contingent upon the diagnosed state, including Partial Seizures With Secondary Generalization, Bipolar Disorder and Trigeminal Neuralgia. The amount of dosage is contingent upon the technique of administration as depicted in the table hereinafter.

Condition

Dosage

Administration

Common Cold

, 100.0 mg, 200.0 mg, 400.0 mg, 300.0 mg, 100.0 mg/mL, 20.0 mg/mL, 10.0 mg/mL

, Tablet, extended release - Oral, Tablet, extended release, Oral, Tablet, chewable - Oral, Tablet, Tablet - Oral, Tablet, chewable, Capsule, extended release, Capsule, extended release - Oral, Suspension - Oral, Suspension, Injection, powder, for solution, Intravenous, Injection, powder, for solution - Intravenous, Solution, Solution - Oral

Trigeminal Neuralgia

, 100.0 mg, 200.0 mg, 400.0 mg, 300.0 mg, 100.0 mg/mL, 20.0 mg/mL, 10.0 mg/mL

, Tablet, extended release - Oral, Tablet, extended release, Oral, Tablet, chewable - Oral, Tablet, Tablet - Oral, Tablet, chewable, Capsule, extended release, Capsule, extended release - Oral, Suspension - Oral, Suspension, Injection, powder, for solution, Intravenous, Injection, powder, for solution - Intravenous, Solution, Solution - Oral

Seizures

, 100.0 mg, 200.0 mg, 400.0 mg, 300.0 mg, 100.0 mg/mL, 20.0 mg/mL, 10.0 mg/mL

, Tablet, extended release - Oral, Tablet, extended release, Oral, Tablet, chewable - Oral, Tablet, Tablet - Oral, Tablet, chewable, Capsule, extended release, Capsule, extended release - Oral, Suspension - Oral, Suspension, Injection, powder, for solution, Intravenous, Injection, powder, for solution - Intravenous, Solution, Solution - Oral

Syndrome

, 100.0 mg, 200.0 mg, 400.0 mg, 300.0 mg, 100.0 mg/mL, 20.0 mg/mL, 10.0 mg/mL

, Tablet, extended release - Oral, Tablet, extended release, Oral, Tablet, chewable - Oral, Tablet, Tablet - Oral, Tablet, chewable, Capsule, extended release, Capsule, extended release - Oral, Suspension - Oral, Suspension, Injection, powder, for solution, Intravenous, Injection, powder, for solution - Intravenous, Solution, Solution - Oral

Restless Legs Syndrome

, 100.0 mg, 200.0 mg, 400.0 mg, 300.0 mg, 100.0 mg/mL, 20.0 mg/mL, 10.0 mg/mL

, Tablet, extended release - Oral, Tablet, extended release, Oral, Tablet, chewable - Oral, Tablet, Tablet - Oral, Tablet, chewable, Capsule, extended release, Capsule, extended release - Oral, Suspension - Oral, Suspension, Injection, powder, for solution, Intravenous, Injection, powder, for solution - Intravenous, Solution, Solution - Oral

Bipolar Disorder

, 100.0 mg, 200.0 mg, 400.0 mg, 300.0 mg, 100.0 mg/mL, 20.0 mg/mL, 10.0 mg/mL

, Tablet, extended release - Oral, Tablet, extended release, Oral, Tablet, chewable - Oral, Tablet, Tablet - Oral, Tablet, chewable, Capsule, extended release, Capsule, extended release - Oral, Suspension - Oral, Suspension, Injection, powder, for solution, Intravenous, Injection, powder, for solution - Intravenous, Solution, Solution - Oral

Chronic Pain

, 100.0 mg, 200.0 mg, 400.0 mg, 300.0 mg, 100.0 mg/mL, 20.0 mg/mL, 10.0 mg/mL

, Tablet, extended release - Oral, Tablet, extended release, Oral, Tablet, chewable - Oral, Tablet, Tablet - Oral, Tablet, chewable, Capsule, extended release, Capsule, extended release - Oral, Suspension - Oral, Suspension, Injection, powder, for solution, Intravenous, Injection, powder, for solution - Intravenous, Solution, Solution - Oral

Bipolar Disorder

, 100.0 mg, 200.0 mg, 400.0 mg, 300.0 mg, 100.0 mg/mL, 20.0 mg/mL, 10.0 mg/mL

, Tablet, extended release - Oral, Tablet, extended release, Oral, Tablet, chewable - Oral, Tablet, Tablet - Oral, Tablet, chewable, Capsule, extended release, Capsule, extended release - Oral, Suspension - Oral, Suspension, Injection, powder, for solution, Intravenous, Injection, powder, for solution - Intravenous, Solution, Solution - Oral

Seizures

, 100.0 mg, 200.0 mg, 400.0 mg, 300.0 mg, 100.0 mg/mL, 20.0 mg/mL, 10.0 mg/mL

, Tablet, extended release - Oral, Tablet, extended release, Oral, Tablet, chewable - Oral, Tablet, Tablet - Oral, Tablet, chewable, Capsule, extended release, Capsule, extended release - Oral, Suspension - Oral, Suspension, Injection, powder, for solution, Intravenous, Injection, powder, for solution - Intravenous, Solution, Solution - Oral

Warnings

Carbamazepine has six contraindications and should not be co-administered with any of the conditions found in the following table.

Carbamazepine Contraindications

Condition

Risk Level

Notes

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Bone Marrow

Do Not Combine

Severe Hypersensitivity Reactions

Do Not Combine

Carbamazepine may interact with Pulse Frequency

There are 20 known major drug interactions with Carbamazepine.

Common Carbamazepine Drug Interactions

Drug Name

Risk Level

Description

1,2-Benzodiazepine

Major

The metabolism of 1,2-Benzodiazepine can be increased when combined with Carbamazepine.

2-Methoxyethanol

Major

The risk or severity of adverse effects can be increased when Carbamazepine is combined with 2-Methoxyethanol.

3,5-diiodothyropropionic acid

Major

The metabolism of 3,5-diiodothyropropionic acid can be increased when combined with Carbamazepine.

5-androstenedione

Major

The metabolism of 5-androstenedione can be increased when combined with Carbamazepine.

7,8-Dichloro-1,2,3,4-tetrahydroisoquinoline

Major

The risk or severity of adverse effects can be increased when Carbamazepine is combined with 7,8-Dichloro-1,2,3,4-tetrahydroisoquinoline.

Carbamazepine Toxicity & Overdose Risk

The lowest toxic dose of carbamazepine has been found to be 1920 mg/kg for females and 54 mg/kg for males. An overdose of this drug can cause symptoms to appear within 1-3 hours, including heart problems like rapid heartbeat, high or low blood pressure, muscle twitches, tremors, dilated pupils, nausea, vomiting, confusion, and difficulty breathing. In case of overdose, seek medical attention immediately and be sure to mention if multiple drugs were taken. Treatment may involve monitoring vital signs and providing supportive care.

image of a doctor in a lab doing drug, clinical research

Carbamazepine Novel Uses: Which Conditions Have a Clinical Trial Featuring Carbamazepine?

At present, 179 clinical trials are being conducted to assess the utility of Carbamazepine in providing relief from Partial Seizures With Secondary Generalization, Trigeminal Neuralgia and Restless Legs Syndrome (RLS).

Condition

Clinical Trials

Trial Phases

Chronic Pain

122 Actively Recruiting

Not Applicable, Phase 2, Phase 4, Phase 3, Early Phase 1, Phase 1

Bipolar Disorder

0 Actively Recruiting

Seizures

0 Actively Recruiting

Restless Legs Syndrome

3 Actively Recruiting

Not Applicable

Bipolar Disorder

0 Actively Recruiting

Seizures

4 Actively Recruiting

Phase 3, Phase 2, Phase 1

Trigeminal Neuralgia

0 Actively Recruiting

Syndrome

4 Actively Recruiting

Phase 2, Phase 3, Not Applicable

Common Cold

0 Actively Recruiting

Carbamazepine Reviews: What are patients saying about Carbamazepine?

5

Patient Review

1/20/2016

Carbamazepine for Facial Nerve Pain

I took this medication for 12 years. It was a life saver; the pain was intense. Three years ago, I had Gamma surgery and they clipped the nerve but I still have some pain but only take Neutotin 2 per day and 1 Carbamazephine. Could not have made it without it.

5

Patient Review

8/31/2021

Carbamazepine for Epileptic Seizure

Carbamazepine was an absolute lifesaver for me. It worked immediately and stopped my seizures. I've been taking it for 10 years now and don't plan on stopping anytime soon.

4.7

Patient Review

1/6/2016

Carbamazepine for Facial Nerve Pain

I have to take 1400 mg of this medication every day to keep the pain at bay for my Trigeminal Neuralgia. While it does come with some side effects, they are nothing in comparison to the intense pain I feel without it. I've been having problems with my eyesight, balance, and energy levels; however, I am more concerned about the long-term damage this high dosage could do to my liver. Does anyone know of any statistics regarding this?

4.7

Patient Review

10/19/2019

Carbamazepine for Mania associated with Bipolar Disorder

This medication helps me feel more even-keeled. Every so often, my doctor has to adjust the dosage based on blood tests. I don't want to be a zombie, so that's important to me.

4.7

Patient Review

11/25/2015

Carbamazepine for Epileptic Seizure

This medication is effective for me

4.3

Patient Review

1/13/2016

Carbamazepine for Facial Nerve Pain

I had been suffering from trigeminal neuralgia for a few months when I decided to try carbamazepine. Within 24 hours, the pain was completely gone. I experienced relief for about a month before the pain slowly started to come back. It is now manageable at 400mg per day, and I've been taking it for 2-3 months with no significant side effects other than some mild word-finding difficulty and lowered energy levels.

4

Patient Review

10/6/2017

Carbamazepine for Facial Nerve Pain

I've been struggling with Trigeminal Neuralgia for the past few months and this medication has been a godsend. The pain is practically gone and I only have to take it twice a day. So far, the side effects have minimal compared to the episodes of neuralgia, so fingers crossed that I can control this without surgery.

2.7

Patient Review

6/6/2021

Carbamazepine for Bipolar I Disorder with Most Recent Episode Mixed

The medication distributed by Costco has sugar that contains Fructose in it. I found out by googling that if you're fructose intolerant, then you shouldn't use this treatment. The main point is to be aware of the ingredients and not make the same mistake I did.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about carbamazepine

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What class of drug is carbamazepine?

"The medication Carbamazepine is an anticonvulsant which means it works to reduce abnormal electrical activity in the brain."

Answered by AI

Does carbamazepine help anxiety?

"Other conditions that carbamazepine may be used to treat include: depression (low mood) some anxiety and panic disorders."

Answered by AI

What is carbamazepine used to treat?

"Carbamazepine is a medication used to treat epilepsy and nerve pain. It is available on prescription from your doctor."

Answered by AI

What are the serious side effects of carbamazepine?

"If you experience any of the following symptoms, you may be having an allergic reaction and should seek medical help: a skin rash that includes itchy, red, swollen, blistered, or peeling skin; wheezing; tightness in the chest or throat; difficulty breathing or talking; or swelling of the mouth, face, lips, tongue, or throat."

Answered by AI

Clinical Trials for Carbamazepine

Image of AltaSciences, Inc in Cypress, United States.

SBS-147 Safety Study

18 - 55
All Sexes
Cypress, CA

This study is part of the HEAL Initiative supported by the NIH. The purpose of this study is to learn how safe the study drug, SBS-147, is and how people's bodies respond to and process it. Researchers will also look for any side effects that may occur when taking SBS-147. Some participants will receive SBS-147, and others will receive a placebo, which looks the same but does not contain any medicine. This helps researchers fairly compare results. The study includes two parts: Single-Dose Group, where Participants receive SBS-147 or placebo one time. Multiple-Dose Group, where Participants receive SBS-147 or placebo once or twice daily for 7 days.

Phase 1
Waitlist Available

AltaSciences, Inc

Jeff Reich, MD

Sparian Biosciences, Inc

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Image of Vanderbilt University Medical Center in Nashville, United States.

Lidocaine Infusions for Postoperative Pain

18+
All Sexes
Nashville, TN

The goal of this single-center, pragmatic, randomized, blinded, placebo-controlled trial is to evaluate the impact of intravenous (IV) lidocaine within the existing Enhanced Recovery After Surgery (ERAS)program on outcomes in patients after major abdominal surgery. The main questions the trial aims to answer are: The primary hypothesis is that utilization of IV lidocaine as part of a perioperative multimodal pain regimen will result in a reduction in hospital Case Mix Index-Adjusted Resource Length of Stay (CARLOS). The secondary hypotheses are that lidocaine infusion will result in a reduction in total inpatient opioid consumption (oral morphine milligram equivalents, oMMEs) and pain scores, and improved surgical outcomes (including return of bowel function, ileus, nausea, rapid responses called, surgical site infections, and ICU transfers), while also having minimal incidence of side effects (including double/blurry vision, tinnitus, sedation, and adverse events requiring early cessation).

Phase 4
Waitlist Available

Vanderbilt University Medical Center

Danial Shams, MD

Image of Baylor College of Medicine/Texas Children's Hospital in Austin, United States.

Guided Imagery Therapy for Abdominal Pain

7 - 12
All Sexes
Austin, TX

Chronic abdominal pain is common among children, and the majority of cases are attributed to functional abdominal pain disorders. One approach to treating these disorders is by using psychological therapies. This clinical trial aims to see how well pre-recorded guided imagery therapy sessions help children's abdominal pain when delivered via a mobile application (app) on a smartphone or tablet. Participants will complete a baseline abdominal pain and stooling diary to determine eligibility, as well as other surveys. Eligible participants will be given access to the guided imagery therapy mobile application. This intervention asks participants to listen to a 10- to 15-minute GIT session 5 out of 7 days per week for 8 weeks, in addition to their usual care for their abdominal pain. Then, participants will complete another abdominal pain and stooling diary, along with other psychometric surveys, at the end of this intervention period. Participants will also collect another diary and surveys 3 months post-treatment.

Waitlist Available
Has No Placebo

Baylor College of Medicine/Texas Children's Hospital (+1 Sites)

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