Tegretol CR 200mg Tablet

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Manufacturer Novartis
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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

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Overview

Tegretol 200mg Tablet is a prescription-only medicine (POM) presented as a tablet, with Carbamazepine 200mg as its active ingredient content.

This page is limited to product, safety and handling information, in line with Malaysian rules on prescription medicine information for the public. Your prescriber or pharmacist is the right source for anything beyond that, together with the leaflet inside the pack.

Through DoctorOnCall, this product is supplied after an online consultation with a licensed doctor and a valid prescription, and it is checked by a registered pharmacist before dispensing. Take it exactly as prescribed, and speak to your doctor before stopping, changing the dose, or starting any other medicine alongside it.

Directions for Use

Take Tegretol 200mg Tablet with food to reduce stomach upset, and try to take it at the same times every day, since consistent blood levels are important for seizure control. Swallow the tablet whole unless your doctor has told you it can be halved. Do not stop taking this medicine suddenly without medical advice, as this can trigger seizures.

Dosage

Tegretol 200mg Tablet dosing is highly individualised: your specialist usually starts at a low dose and increases it gradually while monitoring blood carbamazepine levels, seizure/pain control, and side effects. Never adjust your own dose – even a small change can affect seizure control or cause toxicity, because carbamazepine has a narrow therapeutic range.

Storage Instructions

Store below 30°C in a dry place, away from direct sunlight and out of reach of children.

Side Effects

  • Dizziness or drowsiness
  • Nausea or vomiting
  • Blurred or double vision
  • Skin rash or allergic reactions
  • Swelling of face or lips (seek medical attention)
  • Low sodium levels (may cause confusion or seizures)
  • Tiredness or weakness
  • Coordination problems

Contraindications

  • Known hypersensitivity to carbamazepine or tricyclic antidepressants
  • Bone marrow depression or a history of blood disorders
  • Atrioventricular (AV) heart block
  • Concurrent use with monoamine oxidase inhibitors (MAOIs)
  • History of acute intermittent porphyria

Drug / Food Interactions

  • Carbamazepine is a strong enzyme inducer and can reduce the effectiveness of hormonal contraceptives, warfarin, and several other medicines
  • Erythromycin, clarithromycin, and some antifungals can raise carbamazepine blood levels, increasing toxicity risk
  • Grapefruit juice may increase carbamazepine blood levels
  • Other anticonvulsants (e.g. phenytoin, sodium valproate) may interact in complex ways requiring specialist blood-level monitoring

Quick Tips

  • Attend all scheduled blood tests (full blood count, liver function, carbamazepine levels) – these are essential for safe use
  • Report any new skin rash to your doctor immediately, even a mild one
  • Never stop this medicine abruptly without your specialist’s guidance
  • Tell every doctor, dentist, and pharmacist you see that you take carbamazepine, and mention it if you use hormonal contraception

Ingredients / Active Ingredients

  • Carbamazepine 200mg

Safety Advice

Pregnancy

Use With Care

This medicine should be used cautiously during pregnancy. Monitoring may be required.

Breastfeeding

Use With Care

Use with caution. Monitor infant for potential adverse reactions.

Kidney

Use With Care

Use cautiously. Dose adjustment or monitoring may be required.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Use With Care

Caution is advised when consuming alcohol with this medicine.

Driving

Use With Care

Use caution while driving until you know how this medicine affects you.

Frequently Asked Questions

Product Specifications

BrandNovartis
ManufacturerNovartis
ClassificationPrescription medicine
Ingredients / Active IngredientsCarbamazepine
Pack Size10s, 50s
Shelf LifeUse this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.

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