Tegrital 400 Tablet

Tegrital 400 Tablet is a prescription anti-convulsant that contains 400 mg of carbamazepine in each tablet. It is used to help control certain types of seizures and may also be prescribed for nerve pain and other conditions a clinician decides are appropriate. As a higher-strength tablet, Tegrital 400 Tablet is intended for patients whose dose has already been assessed by a doctor. The tablet form is convenient for regular, scheduled use when a stable maintenance dose is needed.

How it works: Carbamazepine helps calm overactive nerve signals in the brain, which can reduce seizure activity. In this tablet form, the medicine is swallowed and absorbed steadily to help maintain blood levels over time when taken as prescribed.

Tegrital 400 Tablet is the 400 mg strength, which is higher than many lower-dose carbamazepine tablets and is typically chosen after a patient’s dose needs have been established. Because of the higher amount per tablet, it may reduce the number of tablets needed each day, but it is not usually the first dose for someone just starting carbamazepine unless a doctor specifically prescribes it.

• Partial seizures
• Generalized tonic-clonic seizures
• Trigeminal neuralgia
• Other nerve pain conditions as prescribed
• Bipolar disorder maintenance in selected patients

• Swallow Tegrital 400 Tablet whole with water unless your doctor or pharmacist tells you otherwise.
• Take it at the same times each day to help keep a steady level in your body.
• It may be taken with food if it upsets your stomach.
• Do not crush, chew, or split the tablet unless a pharmacist confirms the tablet is suitable for that use.
• If you miss a dose, take it when remembered unless it is almost time for the next one; do not double up.
• Avoid alcohol because it can worsen drowsiness and dizziness.

Each Tegrital 400 Tablet provides 400 mg of carbamazepine. The number of tablets you take and how often you take them depends on the condition being treated, your response, and your blood test results; this strength is generally used as part of a maintenance regimen rather than a universal starting dose. Your doctor decides the exact schedule, and the daily maximum varies by patient and indication, so do not increase the dose on your own.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Carbamazepine may include:

• Drowsiness, which may be more noticeable with the 400 mg strength
• Dizziness
• Double vision or blurred vision
• Nausea
• Unsteady walking or poor coordination
• Headache
• Tiredness

• Tegrital 400 Tablet is a higher-strength tablet, so it should be used only after a doctor has assessed your dose needs.
• Do not stop taking carbamazepine suddenly, especially if you take it for seizures, because seizures may worsen.
• Use caution when driving or operating machinery until you know how this 400 mg tablet affects you.
• Alcohol can increase dizziness, sleepiness, and poor coordination.
• Tell your doctor if you have liver disease, kidney disease, heart rhythm problems, or a history of blood disorders.
• This medicine can lower sodium levels, so report confusion, severe weakness, or worsening headaches.
• Pregnancy planning and birth control should be reviewed with your doctor because carbamazepine can affect both seizure control and contraceptive effectiveness.

• Hormonal birth control pills, patches, or rings may work less well.
• Blood thinners such as warfarin may need close monitoring.
• Other seizure medicines can change carbamazepine levels or add side effects.
• Some antibiotics, antifungals, and HIV medicines can interact strongly with carbamazepine.
• Grapefruit and grapefruit juice can increase carbamazepine levels and side effects.

Store Tegrital 400 Tablet in its original strip/box at room temperature, away from moisture, heat, and light, and keep it out of reach of children.