Tag Archives: Tegretol

Carbamazepine: 100mg, 200mg, 300mg, 400mg. Uses and Administration

Carbamazepine is a dibenzazepine derivative with antiepileptic and psychotropic properties. It is used to control secondarily generalised tonic-clonic seizures and partial seizures, and in some primary generalised seizures. Carbamazepine is also used in the treatment of trigeminal neuralgia and has been tried with variable success in glossopharyngeal neuralgia and other severe pain syndromes associated with… Read More »

Information about Bipolar Disorder for Patients and Families

Bipolar disorder, also called manic-depressive disorder, is a recurrent illness in which the individual’s mood cycles between depression and mania with periods of normality. The illness is a mood disorder. The individual’s moods may swing from manic euphoria, with boundless energy in pursuit of grandiose plans, to depths of depression, with feelings of despair and… Read More »

Adjunctive Pharmacotherapy and Related Issues

Managing antipsychotic side effects. Antipsychotic drugs produce problematic side effects in many individuals (see Table Side Effects of Typical Antipsychotic Drugs). A major category of side effects results from neurotransmitter dysregulation of the extra-pyramidal motor system. It is thought that these side effects are the result of an imbalance of dopaminergic and acetylcholinergic activity in… Read More »

Chronic Illness: Current Therapies

The main goal of bipolar disorder drug treatment is to establish euthymia (stable mood with a persistent sense of well-being) without inducing mania or rapid cycling (i.e., four or more mood episodes in a 12-month period). For this reason, drug treatment usually consists of an agent or, more frequently, combinations of agents that exert both… Read More »

Specific Migraine-Preventive Agents: Anticonvulsants

Anticonvulsant medication is increasingly recommended for migraine prevention, because it was proved to be effective by placebo-controlled, double-blind trials. With the exceptions of valproic acid, topiramate, and zonisamide, anticonvulsants may interfere substantially with the efficacy of oral contraceptives. Nine controlled trials of five different anticonvulsants were included in the AHCPR Technical Report. Carbamazepine The only… Read More »

Treatment Of The Child Or Adolescent With Newly Diagnosed Epilepsy

Paediatric epilepsy is amazingly diverse. In some children, basic diagnosis, seizure classification and treatment are straightforward. Other patients have difficult-to-diagnose seizures, complicated seizure classification and a variable response to treatment. Some seizures are subclinical, others are barely noticeable, and occasionally they are life threatening. Many children with epilepsy have no associated disabilities, but all children… Read More »

Treatment of idiopathic intracranial hypertension?

Which of the following is used to preserve vision in patients with idiopathic intracranial hypertension (IIH)? A. Optic nerve sheath decompression (ONSD) B. Intracranial venous sinus stent placement C. Ventriculoperitoneal shunt placement D. Lumboperitoneal shunt placement E. All of the above The answer is E. Optic nerve sheath decompression (ONSD), which is also called optic… Read More »

AEDs: Use Of Serum Levels

Physicians may be confused about whether measurement of serum concentrations is important for epilepsy patients, particularly for the new anti-epileptic drugs. Most experts believe that it is more important to individualize dosing, and to understand the serum concentration that is optimal on an individual basis. This may mean that some individuals have optimal control and… Read More »

Which drug is associated with ciliochoroidal detachment?

Which medication is associated with ciliochoroidal detachment? A. Gabapentin (Neurontin) B. Topiramate (Topamax) C. Divalproex sodium (Depakote) D. Carbamazepine (Tegretol) E. Vigabatrin (Sabril) The answer is B. Topiramate (Topamax) may cause idiosyncratic ciliochoroidal detachment and ciliary body edema, leading to anterior displacement of the lensiris diaphragm, lens thickening, and acute angle-closure glaucoma and acute myopia.… Read More »

Which drugs is most likely to lead to overt hypothyroidism?

Which medication, when given to patients with preexisting treated hypo-thyroidism, is most likely to lead to overt hypothyroidism? A. Lamotrigine (Lamictal) B. Carbamazepine (Tegretol) C. Phenytoin (Dilantin) D. Divalproex sodium (Depakote) E. Gabapentin (Neurontin) The answer is B. Enzyme-inducing antiepilepsy medications, including carbamazepine (Tegretol) and oxcarbazepine (Trileptal), can reduce serum thyroid hormone concentrations through increased… Read More »