What is a generic medication?
Generic medications are significantly discounted copies of brand name medication that have the same active ingredients, intended use, dosage, side effects, effects, and route of administration as the original brand name medication. In other words, generic medications have the same pharmacological effects as their brand-name counterparts. Over half of all prescribed medications are for generic medications.
Carbatrol ER Drug Information
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Carbatrol ER Overview
Carbamazepine is used to prevent and control seizures. Carbatrol ER is known as an anticonvulsant or anti-epileptic drug. It is also used to relieve certain types of nerve pain (such as trigeminal neuralgia). Carbatrol ER works by reducing the spread of seizure activity in the brain and restoring the normal balance of nerve activity. Some forms of Carbatrol ER are also used to treat bipolar disorder. Carbamazepine can help to decrease extreme changes in mood and help you feel less agitated.
Carbatrol ER 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 Carbatrol ER. 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.skin rash/blisters/peeling, itching, or swelling. Ask your doctor or pharmacist for more details. Carbatrol ER 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.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.
How to Use Carbatrol ER
Read the Medication Guide provided by your pharmacist before you start taking carbamazepine and each time you get a refill. If you have any questions, ask your doctor or pharmacist. If you are taking the extended-release tablets, take Carbatrol ER by mouth with food as directed by your doctor, usually 2 times a day. Do not crush or chew extended-release tablets. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split the tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing. Inspect the tablets for chips and cracks. Do not take any damaged tablets. If you are taking the extended-release capsules, take Carbatrol ER by mouth with or without food as directed by your doctor, usually 2 times a day. Swallow the capsules whole. Do not crush or chew the capsules. If you have trouble swallowing the capsules, you may open them and sprinkle the contents onto a teaspoonful of applesauce or other soft food. Swallow all of the drug/food mixture right away. Do not chew the mixture or prepare a supply in advance. The Dosage of Carbatrol ER is based on your medical condition and response to treatment. To reduce your risk of side effects, your doctor may direct you to start Carbatrol ER at a low dose and gradually increase your dose. Follow your doctor's instructions carefully. Avoid eating grapefruit or drinking grapefruit juice while taking Carbatrol ER unless your doctor or pharmacist says you may do so safely. Grapefruit can increase the chance of side effects with this medicine. Ask your doctor or pharmacist for more details. Take Carbatrol ER regularly to get the most benefit from it. To help you remember, take it at the same times each day. Keep taking Carbatrol ER even if you feel well. Do not stop taking Carbatrol ER without consulting your doctor. Some conditions (such as seizures) may become worse when Carbatrol ER is suddenly stopped. Your dose may need to be gradually decreased. Tell your doctor if your condition does not get better or if it gets worse.
Carbatrol ER Precautions
Before taking carbamazepine, tell your doctor or pharmacist if you are allergic to it; or to other anti-seizure medications (such as fosphenytoin, oxcarbazepine, phenobarbital, phenytoin, primidone) or to tricyclic antidepressants (such as amitriptyline, desipramine); or if you have any other allergies. Carbatrol ER may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using Carbatrol ER, tell your doctor or pharmacist your medical history,decreased bone marrow function (bone marrow depression), blood disorders (such as porphyria, anemia), glaucoma, heart disease (such as coronary artery disease, heart failure, irregular heartbeat), kidney disease, liver disease, mental/mood disorders (such as depression), mineral imbalances (such as low levels of sodium or calcium in the blood). Carbatrol ER may make you dizzy or drowsy. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Avoid alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis). Carbatrol ER may make you more sensitive to the sun. Limit your time in the sun. Avoid tanning booths and sunlamps. Use sunscreen and wear protective clothing when outdoors. Get medical help right away if you get sunburned or have skin blisters/redness. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Older adults may be more sensitive to the side effects of Carbatrol ER, especially confusion, unsteadiness, or irregular heartbeat. Confusion and unsteadiness can increase the risk of falling. Older adults may also be at greater risk of developing a type of mineral imbalance (low levels of sodium in the blood), especially if they are also taking "water pills" (diuretics). During pregnancy, Carbatrol ER should be used only when clearly needed. It may harm an unborn baby. However, since untreated seizures or bipolar disorder are serious conditions that can harm both a pregnant woman and her unborn baby, do not stop taking Carbatrol ER unless directed by your doctor. If you are planning pregnancy, become pregnant, or think you may be pregnant, discuss with your doctor right away the benefits and risks of using Carbatrol ER during pregnancy. If you are pregnant, prenatal care that includes tests for birth defects is recommended. Since birth control pills, patches, implants, and injections may not work if used with Carbatrol ER (see also Drug Interactions section), discuss reliable forms of birth control with your doctor. Carbatrol ER passes into breast milk. Consult your doctor before breast-feeding.
Carbatrol ER Misdose
If you miss a dose of Carbatrol ER, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.
Carbatrol ER Interactions
See also How to Use section. Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.certain azole antifungals (isavuconazonium, voriconazole), orlistat. Taking MAO inhibitors with Carbatrol ER may cause a serious (possibly fatal) drug interaction. Avoid taking MAO inhibitors (isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with Carbatrol ER. Most MAO inhibitors should also not be taken for two weeks before treatment with Carbatrol ER. Ask your doctor when to start or stop taking Carbatrol ER. Other medications can affect the removal of carbamazepine from your body, which may affect how carbamazepine works. Examples include macrolide antibiotics (such as erythromycin), rifamycins (such as rifabutin), St. John's wort, among others. Carbamazepine can speed up the removal of other drugs from your body, which may affect how they work. Examples of affected drugs include artemether/lumefantrine, boceprevir, certain drugs used to prevent blood clots (anticoagulants such as apixaban, rivaroxaban), certain calcium channel blockers (such as nifedipine, nimodipine), nefazodone, HIV NNRTIs (such as delavirdine, efavirenz, etravirine, rilpivirine), praziquantel, ranolazine, among others. Carbatrol ER may decrease the effectiveness of hormonal birth control such as pills, patch, or ring. This could cause pregnancy. Discuss with your doctor or pharmacist if you should use reliable backup birth control methods while taking Carbatrol ER. Also tell your doctor if you have any new spotting or breakthrough bleeding, because these may be signs that your birth control is not working well. Tell your doctor or pharmacist if you are taking other products that cause drowsiness including alcohol, marijuana (cannabis), antihistamines (such as cetirizine, diphenhydramine), drugs for sleep or anxiety (such as alprazolam, diazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), and opioid pain relievers (such as codeine, hydrocodone). Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely. Carbatrol ER may interfere with certain lab tests (such as thyroid function, some pregnancy tests), possibly causing false test results. Make sure lab personnel and all your doctors know you use Carbatrol ER.
Carbatrol ER Side Effects
What are Carbatrol ER side effects?
Side effects are physical, mental or emotional symptoms which occur in addition to or outside of the desired effect of a therapeutic treatment such as an over-the-counter or prescribed drug or medication. Side effects from Carbatrol ER may occur at the beginning or at the end of treatment and may also depend on the length of time an individual remains on the treatment. Side effects, also known as adverse effects, are generally more likely to occur when starting treatment. Individuals may also experience side effects from Carbatrol ER as a result of an interaction with other medications.
Side Effects of Carbatrol ER
The side effects of Carbatrol ER may vary in number and intensity for many different reasons. Factors such as age, weight, gender and ethnicity may influence the side effects of Carbatrol ER. Also, an individual’s state of general physical health and seriousness of the disease or illness as well as an increase or decrease in dosage may lead to side effects. Further, side effects from Carbatrol ER may also occur as a result of an interaction with certain herbal supplements, foods or drinks.
Prescription drug side effects can be serious and may cause patients to stop the treatment. However, when side effects from the use of a prescription drug, such as Carbatrol ER, do occur a patient should consult their physician. A physician may prescribe an additional treatment in order to control the symptoms or an adjustment in the dosage may be made. In addition, changes to diet, exercise or other lifestyle activities may help to lessen the side effects of Carbatrol ER.
By understanding side effects and the factors which may influence the occurrence of side effects patients are empowered to take an active role in their care. Patients who have specific questions about the side effects of Carbatrol ER, or any other medication, should contact their physician. General information about Carbatrol ER and the side effects associated with Carbatrol ER are described in the following:
Common Carbatrol ER Side Effects
- blurred vision
- acute confusion
- unsteady gait
Less Frequent Carbatrol ER Side Effects
- SIADH syndrome
- behavioral disorders
- toxic epidermal necrolysis
- Stevens-Johnson syndrome
- lupus-like syndrome
- pruritus of skin
Rare or Very Rare Carbatrol ER Side Effects
- acute intermittent porphyria
- bone marrow depression
- aplastic anemia
- thrombocytopenic disorder
- thromboembolic disorder
- suicidal ideation
- peripheral neuropathy
- atrioventricular block
- hypersensitivity pneumonitis
- cardiac arrhythmia
- chronic heart failure
- non-infective meningitis
- renal failure
- kidney disease with reduction in GFR
- neuroleptic malignant syndrome
- abnormal hepatic function tests
- hepatic failure
- exfoliative dermatitis
- erythema multiforme
- obstructive hyperbilirubinemia
- DRESS syndrome
- acute generalized exanthematous pustulosis
- erectile dysfunction
- increased urinary frequency
- cramps in legs
- general weakness
- headache disorder
- urinary retention
- acute abdominal pain
- skin photosensitivity
- skin rash
- gastrointestinal irritation
- nail disorders
- muscle fasciculation
Carbatrol ER Storage
Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard Carbatrol ER when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.
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