Carbamazepine

generic for Epitol

Carbamazepine Warnings

Carbamazepine may rarely cause very serious (possibly fatal) skin reactions. Some people in certain ethnic groups (such as people of Asian/South Asian descent) are at greater risk. Your doctor may order a blood test to measure your risk before you start this medication. If the blood test shows you are at greater risk, your doctor should discuss the risks and benefits of carbamazepine and other treatment choices with you. Such skin reactions have developed mostly within the first few months of treatment. Get medical help right away if you develop any of the following symptoms: skin rash/blisters/peeling, itching, or swelling. Ask your doctor or pharmacist for more details.

This drug has rarely caused very serious blood disorders (aplastic anemia, agranulocytosis). Your doctor will monitor your blood counts to minimize the chance of these side effects. Keep all medical and lab appointments. Get medical help right away if any of these rare but very serious side effects occur: signs of infection (such as sore throat that doesn't go away, fever, swollen lymph nodes), unusual weakness/tiredness, shortness of breath, or easy bleeding/bruising.
  • May cause drowsiness. Alcohol and marijuana may intensify this effect. Use care when operating a vehicle, vessel (e.g., boat), or machinery.
  • Take with food.
  • Do not eat grapefruit or drink grapefruit juice at any time while taking this medication.
  • May cause dizziness
  • Avoid prolonged or excessive exposure to direct and/or artificial sunlight while using this medication.
  • Call your doctor immediately if you have mental/mood changes like confusion, new/worsening feelings of sadness/fear, thoughts of suicide, or unusual behavior.
  • It is very important that you take or use this exactly as directed. Do not skip doses or discontinue unless directed by your doctor.
  • This medication can interfere with the effectiveness of birth control pills. Consult your doctor or pharmacist.
  • Read the boxed warning information for this medication.

Lactation Warnings

  • LIMITED DATA SUGGEST ADVERSE EFFECTS POSSIBLE

Pregnancy Warnings

  • Case reports of neonatal withdrawal syndrome, neonatal seizure and/or respiratory depression, vomiting, diarrhea. decreased feeding associated with maternal use. Folic acid supplementation during first trimester and prior to conception decreases the risk of neural tube defects in the general population. Increased risk of neural tube defects and major malformations with exposure during first trimester. Routine prenatal care should include accepted procedures and tests to identify defects.