Tegrital 200 Tablet 10

Novartis India Ltd

Strip of 10 Units

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Composition

Carbamazepine (200 Mg)

Strength:

400 MG 200 MG

Tegrital 200 Tablet is used to treat epilepsy, seizures, trigeminal neuralgia, and diabetic nerve pain. It also helps manage conditions like mania and migraine by controlling abnormal nerve activity and reducing pain, offering relief from nerve-related disorders.

Additionally, Tegrital 200 is prescribed for mood stabilization in bipolar disorder, helping to control the extreme mood swings characteristic of this mental health condition.

Tegrital is not helpful in diabetic, traumatic and other forms of neuropathic pain. It is not a simple analgesic and should not be used to relieve trivial aches or pains.

The composition of Tegrital tablet includes carbamazepine (200 mg). It is not suitable for everyone. It is contraindicated in individuals with a history of hypersensitivity to carbamazepine or related medications. It should be used cautiously in patients with a history of depression, liver problems, or heart disease.

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Tegrital 200 MG tablets are used to manage epilepsy by reducing seizure frequency, relieve facial pain from trigeminal neuralgia by suppressing abnormal nerve signals, and stabilize mood in bipolar disorder, helping control symptoms of mania.

Directions for Use of Tegrital 200 Tablet 10

Swallow Tegrital 200 tablet whole with a glass of water.
Do not crush or chew the tablet, as this may affect the way the medication is absorbed in the body.
Take the tablet at fixed times each day to maintain a consistent level of medication.
Do not change your tablet dose or take them more often than prescribed.

Tegrital 200 MG tablets should be administered orally.

Tegrital 200 tablets are considered safe and effective when a doctor prescribes it. However, some people may experience mild to severe side effects. The common side effects include:

Dizziness: Tegrital 200 may cause dizziness, leading to a feeling of lightheadedness or unsteadiness.
Drowsiness: Some individuals may experience drowsiness or excessive sleepiness while taking Tegrital 200.
Problems with walking and coordination (unsteadiness): Tegrital 200 can potentially affect coordination and lead to difficulties with walking or maintaining balance.
Nausea: A common side effect of Tegrital 200 is nausea.
Vomiting: This medication may cause vomiting in some individuals.
Vertigo: Vertigo, a spinning or whirling sensation, may occur as a side effect of this tablet.
Double vision: Some individuals may experience double vision, where objects appear duplicated or overlapping while taking Tegrital 200 Tablet.

Managing the Side Effects:

Most side effects are temporary and generally harmless, which resolve on discontinuing Tegrital 200 tablet. However, if you experience any serious side effects or worsening of any of the symptoms, please consult your doctor.

The active ingredient in Tegrital 200 MG tablet is carbamazepine, which exerts its medicinal activity by acting as an anticonvulsant and mood stabiliser. It works by regulating electrical activity in the brain and reducing abnormal firing of nerve signals that can lead to seizures in epilepsy or cause pain in trigeminal neuralgia.
Carbamazepine affects the activity of sodium channels in the body. It reduces the generation and transmission of electrical signals in the nerves. This is thought to happen by binding to a specific part of the sodium channels, which helps regulate their function and prevent excessive electrical activity in the brain.

Pregnancy

Tegrital 200 MG tablets are not recommended during pregnancy due to the increased risk of congenital disabilities and other deformations in the growing foetus. Consult your doctor if you have concerns about the tablet during pregnancy.

Breastfeeding

This tablet is excreted in human milk and causes excessive drowsiness, allergic skin reaction, liver inflammation and impaired bile flow in infants. Therefore, it should be used cautiously by breastfeeding women. You should not breastfeed your infant while taking the tablet. Consult your doctor if you have concerns about the risk of the tablet while breastfeeding.

Alcohol

It is not recommended to consume alcohol while taking Tegrital 200 MG tablet as it can further contribute to dizziness, drowsiness, and coordination difficulties caused by the medication.

Liver

Tegrital 200 MG tablet should be cautiously used in patients with liver disease. This medication can have effects on the liver, ranging from mild increases in liver enzymes to rare cases of liver failure. In some cases, the effects on the liver may continue even after stopping the medication. Dose adjustments may be required in patients with severe liver dysfunction. If you have a severe liver problem, consult your doctor about the dose before taking the tablet.

Kidney

Patients with kidney disease should use Tegrital tablets cautiously, and dose adjustments may be required. It is recommended to regularly check the urine and blood urea nitrogen (BUN) levels for patients who are taking this medication because of observed kidney dysfunction. If you have a severe kidney problem, consult your doctor about the dose before taking the tablet.

Using Machines & Driving

Tegrital 200 MG tablet may cause dizziness, especially at the start of treatment, which can hamper your ability to drive and use machinery. Therefore, avoiding any attentive task is recommended after taking the tablet.

Allergy

If you are allergic to carbamazepine, or tricyclic antidepressants, you should not take the Tegrital tablet. Read the label and check the ingredients before using the tablet to avoid allergic reactions.

Children

Tegrital 200 MG tablet is safe for children above six years of age. Follow your doctor's dosage instructions before giving it to your child.

Older Patients

Older patients should cautiously use Tegrital as they are more prone to the central nervous system and gastrointestinal disturbances due to the medication. Water retention and hyponatremia (low sodium levels) can also occur in older people because of enhanced antidiuretic hormone (ADH) action. Consult your doctor about the dosage before taking the tablet.

Drug-Drug Interactions

Tegrital 200 MG tablet can interact with medications, including

Gastric acid reducers such as Aprepitant, Cimetidine, and Omeprazole
Antibiotics such as Ciprofloxacin, Erythromycin, Clarithromycin, Ketoconazole, Itraconazole, Doxycycline and Fluconazole
Synthetic androgen such as Danazol
Blood pressure medications such as Diltiazem, Verapamil, and Dihydropyridine
Antidepressants such as Fluoxetine, Fluvoxamine, Trazodone, Nefazodone, Mianserin, and Sertraline
Antipsychotics such as Olanzapine, Aripiprazole, Clozapine, and Haloperidol
Antihistamines such as Loratadine, and Terfenadine
Anticholinergic agent such as Oxybutynin
Skeletal muscle relaxants such as Dantrolene
Antituberculosis agent such as Isoniazid and Rifampin
Antiepileptic drugs such as Phenobarbital, Phenytoin, Phensuximide, Primidone, Methsuximide, and Valproate
Bronchodilators such as Theophylline, Aminophylline
Chemotherapy drugs such as Cisplatin, Doxorubicin HCl
Opioid analgesics such as Methadone, Buprenorphine, and Tramadol
Analgesic/antipyretic such as Acetaminophen
Antiparasitic such as Albendazole
Benzodiazepines such as Alprazolam, and Clonazepam
Anti-inflammatory agents such as Prednisolone and Dexamethasone
Immunosuppressants such as Cyclosporine, Tacrolimus, and Sirolimus
Anticoagulants such as Dicumarol and Warfarin
Thyroid hormone replacement Levothyroxine
Cholesterol-lowering medication such as Pravastatin
Hormonal contraceptives

Drug-Food Interactions

Tegrital 200 MG tablet can interact with foods, including

Grapefruits and its juice

Drug-Disease Interactions

Tegrital 200 MG tablet can interact with diseases, including

Depression
Liver disease
Kidney dysfunction
Blood dyscrasias (blood disorder)
History of porphyria
Hyponatremia (low sodium level in blood)
Suicidal tendency
Arrhythmias
Psychosis
Seizures

Daily Dose

The recommended daily dose of Tegrital is one tablet taken once a day, with food. The dosage may change based on individual factors such as the severity of the condition and response to the treatment. It is important to follow the prescribed dosage and should not exceed it without consulting your doctor.

Over Dose

If you or someone else takes an excessive amount of Tegrital 200 tablet by accident, it is essential to take immediate medical attention from your doctor or nearby hospital. Symptoms of an overdose include dizziness, drowsiness, problems with coordination, nausea, and vomiting.

Missed Dose

You may take the missed dose of Tegrital 200 tablet as soon as you remember, but if it's almost time for the next dose, skip it and continue with your regular dosing schedule; do not double the dose to make up for the missed one.

Store this medicine at a temperature below 30 ºC.
Protect it from light and moisture.
Keep Tegrital 200 tablets away from children.
Do not use this medicine after the expiry date has passed.

Stick to regular meal times and a consistent sleep schedule to help regulate your body's internal clock. Irregular sleep patterns and meal timings can sometimes trigger seizures or worsen trigeminal neuralgia symptoms.
Follow a balanced diet that includes a variety of nutrient-rich foods. Incorporate fruits, vegetables, whole grains, lean proteins, and healthy fats. Consider consulting a registered dietitian for personalised dietary recommendations.
Drink an adequate amount of water throughout the day to stay hydrated. Dehydration can sometimes trigger or exacerbate symptoms, so ensure you get enough fluids.
Pay attention to potential triggers for seizures or trigeminal neuralgia pain. These triggers can vary from person to person but may include stress, lack of sleep, certain foods, and specific environmental factors. Identify and minimise exposure to your triggers.
Alcohol and certain drugs can interfere with the effectiveness of antiepileptic medications and may increase the risk of seizures. It is generally recommended to limit or avoid alcohol consumption and stay away from illicit drugs.
Engage in stress-reducing activities such as exercise, meditation, deep breathing exercises, or hobbies you enjoy. High-stress levels can trigger seizures or worsen trigeminal neuralgia pain.

Fact Box

Drug Category	Iminostilbene
Therapeutic Category	Antiepileptic and analgesic drug
Available Dosage Types	Tablet
Habit Forming	No
Ailment	Epilepsy and trigeminal neuralgia

Is Tegrital 200 tablet good for nerve pain?

Yes, Tegrital 200 tablet can be effective for nerve pain, such as trigeminal neuralgia. It helps reduce the intensity and frequency of pain episodes by suppressing abnormal nerve impulses. However, the use of the tablet for nerve pain should be determined by a doctor based on diagnosis and medical history.

What is the use of Tegrital 200?

Tegrital 200 Tablet is an anticonvulsant used to treat epilepsy (seizures) and trigeminal neuralgia (nerve pain in the face). It is also prescribed for managing diabetic neuropathy (nerve pain caused by diabetes).

Is Tegrital 200 tablet a safe drug?

Tegrital 200 tablets are considered safe when used as prescribed by a healthcare professional. It should be used cautiously in patients with a history of depression, kidney dysfunction, liver problems, or heart disease. However, it is contraindicated in individuals with a history of hypersensitivity to carbamazepine or other antiepileptic drugs.

Can you take Tegrital 200 tablets 3 times a day?

A healthcare professional determines the dosing frequency of Tegrital 200 tablets based on the individual's condition and specific needs. It is essential to follow the prescribed dosage instructions provided by your healthcare provider. The usual recommended dosage is one tablet per day.

Does Tegrital 200 tablet work immediately?

The onset of action of Tegrital 200 tablets can vary from person to person. It may take some time for the medication to reach its full effectiveness. In some cases, it may provide relief shortly after starting treatment; in others, it may take several weeks for the full therapeutic effect to be achieved.

How many hours does Tegrital 200 tablet last?

Generally, a single Tegrital 200 tablet lasts approximately 12 to 24 hours. However, the exact duration may depend on factors such as individual metabolism, dosage, and response to the medication.

Who should not take Tegrital 200 tablet?

Tegrital 200 tablets should not be taken by individuals with known hypersensitivity to carbamazepine or antiepileptic drugs, a history of bone marrow depression, certain heart block types, or those using antidepressants. It is not recommended during pregnancy, as it may cause harm to the foetus. It is important to consult a healthcare professional for personalised advice considering medical conditions or medications, before taking the tablet.

When should I take Tegrital 200 tablet?

Taking Tegrital 200 tablets at bedtime after the meal is recommended to minimise its side effects. Follow the prescribed dosage instructions your healthcare provider provides and take the medication at the recommended times for optimal effectiveness and safety.

Does Tegrital 200 tablet make me sleepy?

Tegrital 200 tablet can cause drowsiness as a side effect. Some individuals may experience sleepiness or sedation while taking the medication. It is important to be cautious when performing activities that require alertness, such as driving or operating machinery until you know how the tablet affects you personally.

Last Updated On 31 Jan. 2025 | 5:23AM (IST)

Certified Content

Written by

Dr. Sachin Singh

Medical Team Lead | 6 years

MBBS

Reviewed by

Dr. Mandeep Chadha

Lead Medical Content Reviewer | 11 years

MBBS, DNB (OBGY)

Check out Editorial Policy

Manufacturer details

The Inspire BKC Part 601 & 701 Bandra Kurla Complex Bandra(E) Mumbai - India

Country of origin: INDIA

References

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