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Carbamazepine is a custom drug classified as an anticonvulsant. Carbamazepine targets nerve impulses and seeks to create a normal balance of nerve activity within the brain. It is primarily used for the treatment of seizures and nerve pain and is often prescribed specifically for trigeminal neuralgia, diabetic neuropathy and bipolar disorder.

How to Use Carbamazepine

Carbamazepine should be taken by mouth with food as prescribed by your physician. Dosage and timing of dosage is dependent upon your medical condition, specifics of your condition, and drug interactions so consult with your physician for all information regarding your treatment and dosage. Carbamazepine can be delivered as an intravenous solution that your compounding pharmacist can provide. Talk to your physician and they will advise you on which method of delivery is right for you if carbamazepine is ordered for your treatment.

Possible Side Effects

A partial list of some common side effects that may be experienced with the use of carbamazepine:

  • Dizziness
  • Vomiting and/or Nausea
  • Xerostomia (dry mouth)
  • Constipation
  • Unsteadiness
  • Drowsiness
  • Amblyopia
  • Pruritus
  • Speech Disturbance
  • Ataxia

Other side effects are also possible. Seek medical assistance immediately if you feel you are experiencing any side effects that are troubling or if any side effects are increasing in intensity and/or not going away.

Serious Side Effects:

Some users may experience serious side effects. Seek immediate medical treatment if you experience any of the serious side effects listed below or any other side effects not listed below that you feel are concerning:

  • Severe Headaches
  • Stomach Pain
  • Yellowing of Eyes or Skin
  • Dark Urine
  • Liver Problems (such as vomiting that won't stop)
  • Non-Stop Nausea
  • Nystagmus (unusual eye movement)
  • Vision Changes
  • Swelling of Ankles and Feet (or arms and legs)
  • Kidney Problems
  • Sores in Mouth
  • Joint Pain
  • Confusion
  • Seizures
  • Depression
  • Suicidal Thoughts
  • Mood Changes or Problems

Though rare, severe allergic reactions can occur. Look for potentially severe allergic reactions and seek medical help right away if you experience any of these potentially dangerous reactions:

  • Itching
  • Swelling (consider face, throat and tongue especially)
  • Difficulty Breathing
  • Rash
  • Extreme Dizziness


Carbamazepine is contraindicated for patients with a history of bone marrow suppression. Carbamazepine is contraindicated for anyone who is allergic to carbamazepine or to any antidepressants. Do not take carbamazepine if you are allergic to amitriptyline, doxepin, desipramine, nortriptyline, imipramine, or the ingredients of any of the aforementioned. All patients considering the use of carbamazepine should first consult with their physician before beginning so they will know your medical history and be aware of any medications that you are currently using.

  • "It is rare to find health professionals who are so willing to educate the patient on what they need to know."

    Clair C. | West Hollywood, CA