Carbatrol

Chronic Pain, Bipolar Disorder, Bipolar Disorder + 6 more

Treatment

15 FDA approvals

20 Active Studies for Carbatrol

What is Carbatrol

Carbamazepine

The Generic name of this drug

Treatment Summary

Carbamazepine, sold as the brand name Tegretol, is a medication used to treat seizures and nerve pain. It was first approved by the FDA in 1965, and is also used to manage the symptoms of bipolar disorder. Carbamazepine was the first anticonvulsant drug used to treat bipolar disorder.

Tegretol

is the brand name

image of different drug pills on a surface

Carbatrol 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 Carbatrol Affects Patients

Carbamazepine is used to treat seizures and the pain of trigeminal neuralgia. It has also been found to help ease the symptoms of bipolar disorder. However, it can be dangerous to some people - those with a certain gene (HLA-B*1502) may suffer from a severe skin reaction if they take it.

How Carbatrol works in the body

Carbamazepine helps treat seizures and pain by blocking nerve firing. In laboratory studies, it has been shown to decrease the stimulation of nerves and reduce pain caused by nerve stimulation. It does this by binding to sodium channels and stopping action potentials. In people with bipolar disorder, it is thought to increase dopamine and GABA levels, helping to treat manic and depressive symptoms. Unfortunately, up to 30% of epileptic patients can become resistant to the drug, likely due to altered metabolism from variant genotypes. Recent research suggests that resistance to carbamazepine may be caused by changes in the EPHX1 gene promoter.

When to interrupt dosage

The recommended dosage of Carbatrol is contingent upon the diagnosed condition, including Partial Seizures With Secondary Generalization, Bipolar Disorder and Trigeminal Neuralgia. The measure of dosage also fluctuates depending on the course of administration featured in the table below.

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

Carbatrol has six contraindications, so it should not be taken in conjunction with the conditions indicated in the following table.

Carbatrol 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 Carbatrol.

Common Carbatrol 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.

Carbatrol Toxicity & Overdose Risk

The lowest toxic dose of carbamazepine for a female is 1920mg/kg/17W and for a male is 54mg/kg/9D. If someone has overdosed on carbamazepine, the signs and symptoms may start to appear 1-3 hours after ingestion. These can include rapid heartbeat or breathing, high or low blood pressure, twitching muscles, wide pupils, confusion, nausea, vomiting, feeling faint, or difficulty urinating. If you suspect an overdose, call your local poison control center. Treatment may include monitoring by a medical professional and providing supportive care. In cases of multiple drugs being taken,

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

179 active clinical trials are currently evaluating the potential of Carbatrol to provide 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

Carbatrol Reviews: What are patients saying about Carbatrol?

5

Patient Review

10/4/2010

Carbatrol for Facial Nerve Pain

Carbatrol has been hugely effective in reducing the frequency and severity of my bipolar mood swings. They're less violent, shorter, and overall just not as bad. I'm currently trying a different antipsychotic to help me get my symptoms under 100% control, but without Carbatrol I would probably be in a mental institution right now.

5

Patient Review

8/18/2014

Carbatrol for Epileptic Seizure

I was on this treatment for almost a year, and it worked great. However, my doctor switched me to Trileptal 600mg twice a day six days ago, and I've been having seizures since then. I'm trying to get back on the old medication because it clearly works better for me.

5

Patient Review

2/19/2014

Carbatrol for Epileptic Seizure

I've been taking this medication for over 20 years and I'm only now having issues with low sodium levels. I wish a doctor had warned me earlier that this could be a problem.

5

Patient Review

2/12/2016

Carbatrol for Epileptic Seizure

I've had seizures for 15 years and no drug helped. I had brain surgery and that didn't work. Carbatrol stopped the seizures 100%. I've been taking it for 15 years now with no side affects. Generic carbatrol didn't work.

5

Patient Review

2/22/2012

Carbatrol for Epileptic Seizure

While the medication does work well for trigeminal neuralgia, I really hate the side effects. These include slurred speech, confusion, and blurry vision. Sometimes the meds make me feel slow and forgetful, but that's better than TN pain.

5

Patient Review

8/25/2010

Carbatrol for Bipolar I Disorder with Most Recent Episode Mixed

Carbatrol has been a lifesaver for me. I've been seizure-free as long as I remember to take it every day, which is easy enough to do.

5

Patient Review

8/3/2010

Carbatrol for Facial Nerve Pain

5

Patient Review

8/3/2010

Carbatrol for Epileptic Seizure

This medication has been a godsend for me. I've been dealing with some severe pain lately and this has really helped to take the edge off.

5

Patient Review

9/17/2012

Carbatrol for Epileptic Seizure

After six weeks of age 5 years, there were more cons than pros. The child became overly friendly, loud and stuttering. However, their appetite did improve.

4.7

Patient Review

12/4/2010

Carbatrol for Facial Nerve Pain

This medicine has been incredibly effective in treating my trigeminal neuralgia. I have experienced some side effects, but they are manageable and pale in comparison to the alternative of surgery.

4.7

Patient Review

7/5/2011

Carbatrol for Epileptic Seizure

I had a severe skin reaction to this medication, with blisters all over my body and swelling of the face and mouth. The symptoms were painful and lasted for several days.

3.3

Patient Review

8/29/2014

Carbatrol for Convulsive Seizures

I've been seizure-free for over a decade thanks to this treatment, but I recently had a couple of seizures. I realized that I'd been getting careless and not following my triggers or taking my pills at 12 hour intervals. I'm going to be more vigilant from now on.

3.3

Patient Review

3/16/2012

Carbatrol for Nerve Pain

With the right dosage of Carbamazepine, my seizure symptoms have nearly disappeared.

2.7

Patient Review

7/11/2012

Carbatrol for Attention Deficit Disorder with Hyperactivity

I used this for a long time to manage trigeminal neuralgia, but now I'm struggling with erectile dysfunction. I stopped taking the medication 4 months ago-- will my ED reverse itself?

2.3

Patient Review

2/21/2011

Carbatrol for Epileptic Seizure

I took tegretol for a long time after I had brain surgery in 1999. I have been taking this drug for 7 years now and have seen good results. I take 6 pills a day including this one.

2.3

Patient Review

4/3/2011

Carbatrol for Facial Nerve Pain

This medication has helped to control my seizures (6-8 per year, occurring every three months) from happening 3-4 times per month. This effectiveness has lasted for 10 years, and I am very pleased with the results!

Patient Q&A Section about carbatrol

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

Is carbatrol an antidepressant?

"Carbamazepine is a mood stabilizer that works in the brain to treat bipolar 1 disorder, epilepsy, and trigeminal neuralgia."

Answered by AI

What is the drug carbatrol used for?

"This medication is used to treat seizures or nerve pain. It works by reducing the spread of seizure activity in the brain and restoring the normal balance of nerve activity."

Answered by AI

Is carbatrol and carbamazepine the same?

"The brand name drug Carbatrol is an extended-release formulation of Carbamazepine for twice a day administration. The generic name for Carbatrol is Carbamazepine. The regular Carbamazepine formulation is administered three or four times a day."

Answered by AI

What are common side effects of carbamazepine?

"You may experience nausea, vomiting, dizziness, drowsiness, constipation, dry mouth, or unsteadiness. If you experience any of these effects for an extended period of time, or if they worsen, consult your doctor or pharmacist."

Answered by AI

Clinical Trials for Carbatrol

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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