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Drug Class and Mechanism: Tegretol is an anticonvulsant. It works to control seizures by blocking certain nerve impulses in the brain. It works to treat trigeminal neuralgia by altering nerve impulses in certain facial nerves, which relieves pain.
Missed Dose: If you miss a dose of Tegretol, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Warnings Precautions: Do not use Tegretol if:
- you are allergic to any ingredient in Tegretol;
- you are allergic to tricyclic antidepressants (e.g., amitriptyline), cyclobenzaprine, or similar medicines;
- you have a history of bone marrow problems, the blood disorder porphyria, or other serious blood disorders;
- you have a severe heart problem called heart block (atrioventricular block);
- you are taking nefazodone;
- you are taking a monoamine oxidase inhibitor (MAOI) (e.g., phenelzine) or have taken an MAOI within the last 14 days.
Contact your doctor or health care provider right away if any of these apply to you.
Important :- Tegretol may cause drowsiness, dizziness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Tegretol with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- Do not take more than the recommended dose without checking with your doctor.
- Tegretol may lower the ability of your body to fight infection. Avoid contact with people who have colds or infections. Tell your doctor if you notice signs of infection like fever, sore throat, rash, or chills.
- Tegretol may reduce the number of clot-forming cells (platelets) in your blood. Avoid activities that may cause bruising or injury. Tell your doctor if you have unusual bruising or bleeding. Tell your doctor if you have dark, tarry, or bloody stools.
- Tegretol may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Tegretol. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
- Tell your doctor or dentist that you take Tegretol before you receive any medical or dental care, emergency care, or surgery.
- Do not switch from the tablets form of Tegretol to the suspension form without checking with your doctor. The same dose may not have the same effects.
- Tegretol may interfere with certain lab tests, including thyroid function tests. Be sure your doctor and lab personnel know you are using Tegretol.
- Tegretol may cause the results of some pregnancy tests to be wrong. Check with your doctor if you have questions or concerns about your pregnancy test results.
- Pregnancy and breast-feeding: Tegretol has been shown to cause harm to the fetus. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using Tegretol while you are pregnant. Tegretol is found in breast milk. Do not breast-feed while taking Tegretol.
Possible Side Effects: Check with your doctor if any of these most common side effects persist or become bothersome:
- dizziness; drowsiness; dry mouth; nausea; unsteadiness; vomiting.
Seek medical attention right away if any of these severe side effects occur:
- severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); black, tarry, or bloody stools; calf pain, swelling, or tenderness; change in the amount of urine produced; chest pain; confusion; dark urine; decreased coordination; fainting; fast or irregular heartbeat; fever, chills, or sore throat; hallucinations; joint pain; loss of appetite; mental or mood changes; pain, tenderness, or unusual swelling in the neck, groin, or under the arms; red, swollen, blistered, or peeling skin; severe or persistent dizziness or headache; severe or persistent nausea or vomiting; shortness of breath; speech problems; stomach pain; sudden unusual weight gain; swelling of the hands, ankles, or feet; swollen lymph nodes; ulcers or sores in the mouth; uncontrolled muscle movements; unusual bruising or bleeding; unusual tiredness; vision or eye problems; yellowing of the skin or eyes.
More Information: Tegretol is to be used only by the patient for whom it is prescribed. Do not share it with other people.
If your symptoms do not improve or if they become worse, check with your doctor.
Storage: Store Tegretol at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Keep Tegretol out of the reach of children and away from pets.
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It is important to not lower the blood pressure too quickly, because rapid blood pressure reductions can cut off the supply of blood to the brain, leading to brain damage or death.
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Preventive strategies for both high blood pressure and diabetes usually focus on these specific risk factors.
* Most children will not have seizures triggered by sports or by any other ordinary activities that are enjoyable and healthy.
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A long term monogamous relationship is the best protection for both pregnant and non-pregnant women against sexually transmitted diseases. However, if a woman's partner is not monogamous, or if she is not sure her partner is monogamous, pregnant women should consider using latex condoms during each and every act of sexual intercourse to protect herself and her unborn baby against the harmful effects of sexually transmitted diseases. While protection is critical during the entire pregnancy, it is particularly important during the third trimester of pregnancy when an active STD infection can cause the greatest consequences to both the mother and the baby.
Celebrex®. Celecoxib (Celebrex®), a popular COX-2 inhibitor used for the treatment of arthritis and pain control, is a sulfonamide non-antibiotic medication. Although there have been no reports of sulfa-allergic patients reacting to Celebrex®, it is a theoretical concern, so the recommendation is that sulfa-allergic patients avoid this medication.
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