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Tegretol

Tegretol is a medicine which can be used to treat certain types of nerve pain (neuropathy). It can also be prescribed to treat epilepsy and certain types of mood disorders. Available as tablets, Tegretol is an anticonvulsant medicine which directly affects the brain in order to stabilise nerve activity. The abilities of Tegretol make it an effective treatment against a nerve pain condition which affects the face called trigeminal neuralgia, as well as nerve pain caused by diabetes (peripheral neuropathy).

A prescription is required in order to receive Tegretol, and a consultation with a doctor before you receive one is crucial in determining whether it’s safe for you to use Tegretol. This medicine is available under certain different names. Tegretol is a branded version of the medicine known as carbamazepine and generic versions of this treatment exist. A different branded version of this treatment called Carbagen also exists.

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Last Patient Information Leaflet Review Date: 16/09/2020

See Tegretol Tablets Patient Information Leaflet

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Tegretol tablet uses

Tegretol tablets are an anticonvulsant medicine used to treat multiple conditions including certain types of nerve pain, epilepsy and certain mood disorders. The types of nerve pain Tegretol may be prescribed to treat can include types caused by diabetes and a specific nerve pain condition which affects the face called trigeminal neuralgia.

Other forms of this medication are available besides tablets. It can also be taken as a liquid that you drink or via suppositories. Tegretol is a branded version of the medicine known as carbamazepine. Since this medication has a direct effect on the brain, a prescription from a suitably-qualified doctor is required in order to receive it.

How does Tegretol work?

Tegretol/Carbamazepine tablets are taken in order to manipulate the electrical activity in the brain and nerves so they become more stable. When it comes to treating nerve pain, Tegretol is effective because by stabilising electrical signals in the nerves, it prevents pain signals being sent to your brain.

The same medicine is able to treat epilepsy as well because it stops electrical signals from building up in the nerve cells in the brain (and essentially overloading them). This treatment also reduces the release of a chemical (neurotransmitter) called glutamate. Too much glutamate can trigger seizures.

It is not fully understood how Tegretol/Carbamazepine is able to treat certain mood disorders like bipolar disorder, but it’s thought that the medicine’s ability to reduce glutamate activity in the brain is crucial.

Can I use Tegretol?

Tegretol could be prescribed to you if you have a condition which this medicine is designed to treat. However, some people with certain medical conditions should not use this treatment.

Do NOT take Tegretol tablets if any of the following apply to you:

  • You have some kind of heart problem
  • You have or have ever had a problem with your bone marrow
  • You have a blood disorder called porphyria
  • You have taken monoamine oxidase inhibitors (MAOIs) within the last 14 days

Other health conditions not listed above could potentially have an effect on your ability to take Tegretol/Carbamazepine safely, so consult your doctor if you have any conditions or other medical concerns (such as using this medicine while you’re pregnant, for example). Any other medicines which you are currently taking should also be disclosed to your doctor before you start using Tegretol. That’s because certain medicines could have their effects disrupted by Tegretol or vice versa. With that in mind, it is particularly important to highlight to your doctor if you are taking any of the following (listed in alphabetical order):

  • Acenocouramol
  • Acetazolamide
  • Albendazole
  • Alprazolam
  • Aminophylline
  • Amitriptyline
  • Antihistamines
  • Aprepitant
  • Aripiprazole
  • Buprenorphine
  • Bupropion
  • Ciclosporin
  • Cimetidine
  • Ciprofloxacin
  • Cisplatin
  • Citalopram
  • Clanzapine
  • Clarithromycin
  • Clobazam
  • Clomipramine
  • Clonazepam
  • Clozapine
  • Cyclophosphamide
  • Danazol
  • Dexamethasone
  • Dextropropoxyphene
  • Digoxin
  • Diltiazem
  • Doxorubicin
  • Doxycycline
  • Erythromycin
  • Ethosuzimide
  • Felopidine
  • Fluconazole
  • Fluoxetine
  • Fluvocamine
  • Fosphenytoin
  • Furosemide
  • Gestrinone
  • Haloperidol
  • Hormonal contraceptives
  • Hydrochlorothiazide
  • Imatinib
  • Imipramine
  • Indinavir
  • Isoniazid
  • Isradipine
  • Istotentoin
  • Itraconazole
  • Ketoconazole
  • Lamotrigine
  • Lapatinib
  • Levetiracetam
  • Levothyroxine
  • Lithium
  • Loradine
  • Mefloquine
  • Methadone
  • Metoclopramide
  • Mianserin
  • Noritriptyline
  • Omeprazole
  • Oxcarbazepine
  • Paliperidone
  • Pancuronium
  • Paracetamol
  • Parozteine
  • Phenobarbitone
  • Phenytoin
  • Prednisolone
  • Primidone
  • Progabide
  • Protease inhibitors
  • Quetiapine
  • Rifampicin
  • Risperidone
  • Ritonavir
  • Saquinavir
  • Sertraline
  • Sirolimus
  • Sodium valproate
  • St John’s Wort
  • Tacrolimus
  • Tadalafil
  • Temsirolimus
  • Theophylline
  • Thioridazine
  • Tiagabine
  • Tibclone
  • Topiramate
  • Toremifene
  • Tramadol
  • Trazodone
  • Valnoctamide
  • Variconazole
  • Verapamil
  • Vigabatrin
  • Vitamin B
  • Warfarin

You are likely to be safe when taking Tegretol tablets as long as you are completely honest with the prescribing doctor about your medical history. If a doctor decides you should not be prescribed Tegretol and should seek alternative treatment, it’s because something about your circumstances makes it unsafe to use Tegretol and the doctor is protecting you from potential harm.

Tegretol (carbamazepine) tablet dosage

Your exact dosage instructions when prescribed Tegretol tablets will depend on factors such as what condition you are treating and how long you’ve been using this medicine for. You'll usually start on a low dose of 100mg to 200mg, taken once or twice a day. This will be increased over several weeks to the ‘standard’ dose. For nerve pain, the usual dose for adults is 600mg to 800mg a day, taken as 1 or 2 doses.

You can take Tegretol tablets with or without food. You should swallow the tablets whole (preferably with a drink of water). The tablets feature a score line to help you break the tablet in half in case you have difficulties swallowing the tablet whole.

Can Tegretol cause side effects?

Tegretol can potentially cause side effects, although not all patients who use this medication experience them. The most commonly reported side effects linked to Tegretol include the following:

  • Dizziness
  • Drowsiness
  • Difficulty controlling movements
  • Nausesa
  • Vomiting
  • Skin reactions
  • Changes in liver enzyme levels
  • Swelling below the knees
  • Fluid retention
  • Weight gain
  • Low sodium levels
  • Visual disturbances
  • Dry mouth
  • Headache
  • Increased bruising (changes in blood)
  • Eosinophilia
  • Diarrhoea
  • Constipation
  • Tremor
  • Spasms throughout body
  • Increased levels of some enzymes

While these side effects can be annoying, they are usually mild (relatively speaking) and go away by themselves. In rare cases, Tegretol can cause more serious side effects. If you do experience any side effects which are particularly concerning (an example being unusual bleeding or bruising), then stop using this medicine and seek medical help straight away.

How is my order shipped to me?

When an order is ready for shipping, it is collected and delivered by either the Royal Mail or DPD depending on your preference (or possibly your location or the item you ordered). Each order is assigned a tracking number, which will be emailed to you at the time of dispatch. Your medicine will be sent in plain and discreet packaging. We do not include any branding on our packaging nor any labels which inform readers what type of product is contained within.

Dosage Instructions
Take ONE or TWO doses a day. Consult your doctor or patient information leaflet if unsure about your exact daily dosage.
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Delivery Charges

The following delivery methods are currently available within the UK: All orders are sent in discreet, plain packaging.

UK Standard Delivery, £1.99

Order before 12pm to have your order delivered using Royal Mail Tracked 48 Service

standard UK delivery within 3-5 working days

Additional terms and conditions apply.

UK Express Delivery, £2.99

Order before 12pm to have your order delivered using the Express delivery service* (deliveries are made Monday - Saturday)

If you order after 12pm, your order will be dispatched the next working day and will be with you within 48 hours once dispatched. This excludes weekends and bank holidays

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Royal Mail Special Delivery Next Day Anytime, £4.99 (This service includes Saturday)

Order before 12pm to have your order delivered using Royal Mail Special Delivery Service, which includes Saturday deliveries.

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Royal Mail Special Delivery Next Day Before 1pm, £7.99 (This service includes Saturday)

Order before 12pm to have your order delivered before 1pm next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Before 9am, £14.99 (This service includes Saturday)

Order before 12pm to have your order delivered before 9am next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

Additional terms and conditions apply.

DPD Next Day Delivery, £4.99 (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Next Day Delivery, by 12 Noon, £9.99 (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered by 12 noon the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Next Day Delivery, by 10:30am, £14.99  (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Saturday Delivery, £14.99

Orders signed by the doctor before 12 noon the day before will be delivered the following Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply

DPD Saturday Delivery, by 12:00am, £21.99

Orders signed by the doctor before 12 noon the day before will be delivered by 12:00am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Saturday Delivery, by 10:30am, £29.99

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply, please see below.

US and outside the UK

Unfortunately, we can't process orders from outside the UK at this time.


Terms and Conditions

Delivery options exclude Bank Holidays, public holidays and Sundays.All deliveries are subject to Doctor-4-u successfully receiving payment and prescription being approved by the doctor.

All purchases require additional approval, which will involve completion of an online questionnaire and any subsequent approval.

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