Carbamazepine (Tegretol, Carbatrol)

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Carbamazepine (Tegretol, Carbatrol)
Carbamazepine (Tegretol, Carbatrol)

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Carbamazepine: Out with the old, in with the new?

CBZ [Tegretol] is now widely accepted as a first line drug for focal epilepsy and has become the standard comparator for new drugs being licenced for focal epilepsy. The positive effect of CBZ on mood made the drug even more attractive. CBZ also has positive pregnancy data. Decades of usage have enabled us to predict when and how to safely use and manage CBZ.

Unsurprisingly, adverse effects are common in people taking CBZ. The key metabolite believed to be responsible for many adverse effects of CBZ including drowsiness, dizziness, and diplopia is the carbamazepine-epoxide, was identified in 1982.

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 Carbamazepine: Out with the old, in with the new?

CBZ was a big step forward in 1953, where epilepsy options were few, the world population was smaller and obesity was uncommon.

List of Dibenzazepine anticonvulsants

Tegretol, Trileptal...

Tegretol

Carbamazepine is used to manage and treat epilepsy, trigeminal neuralgia, and acute manic and mixed episodes in bipolar I disorder. Indications for epilepsy are specifically for partial seizures with complex symptomatology (psychomotor, temporal lobe), generalized tonic seizures (grand mal), and mixed seizure patterns.

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