ACTINERVAL (TEGRETOL) INDICATIONS
Actinerval (carbamazepine) is an anticonvulsant. It works by decreasing nerve impulses that cause seizures and pain.
Actinerval is used to treat seizures and nerve pain such as trigeminal neuralgia and diabetic neuropathy. Carbamazepine is also used to treat bipolar disorder.
Actinerval may also be used for purposes not listed in this medication guide.
ACTINERVAL (TEGRETOL) INSTRUCTIONS
Take Actinerval exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results.
Do not crush, chew, or break an extended-release Actinerval tablet. Swallow the pill whole. Breaking the pill would cause too much of the drug to be released at one time.
Shake the Actinerval oral suspension (liquid) well just before you measure a dose. Measure the liquid with a special dose-measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.
It may take up to 4 weeks before your symptoms improve. Keep using the medication as directed and call your doctor promptly if this medicine seems to stop working as well in preventing your seizures. Actinerval can lower blood cells that help your body fight infections. This can make it easier for you to bleed from an injury or get sick from being around others who are ill.
To be sure Actinerval is not causing harmful effects, your blood cells and kidney function may need to be tested often. Do not miss any follow up visits to your doctor for blood or urine tests. Your doctor may also recommend having your eyes checked regularly while you are taking this medicine.
Do not stop using Actinerval without first talking to your doctor, even if you feel fine. You may have increased seizures or unpleasant withdrawal symptoms if you stop using this medicine suddenly. Wear a medical alert tag or carry an ID card stating that you take Actinerval. Any medical care provider who treats you should know that you take seizure medication.
ACTINERVAL (TEGRETOL) STORAGE
Store this medicine at room temperature away from moisture, heat, and light.
ACTINERVAL (TEGRETOL) MORE INFO:
Active Ingredient: Carbamazepine
Actinerval may cause severe or life-threatening skin rash, especially in people of Asian ancestry. Your doctor may recommend a blood test before you start the medication to determine your risk of this skin reaction. Seek emergency medical attention if you have a fever, sore throat, headache and skin pain, followed by a red or purple skin rash that spreads and causes blistering and peeling.
You should not take Actinerval if you have a history of bone marrow suppression, if you are also taking nefazodone, or if you are allergic to an antidepressant such as amitriptyline (Elavil, Vanatrip, Limbitrol), desipramine (Norpramin), imipramine (Tofranil), or nortriptyline (Pamelor).
Actinerval may cause harm to an unborn baby, but having a seizure during pregnancy could harm both the mother and the baby. Tell your doctor right away if you become pregnant while taking Actinerval for seizures. Do not start or stop taking Actinerval during pregnancy without your doctor's advice.
Before you take Actinerval, tell your doctor if you have heart disease, high blood pressure, high cholesterol, liver or kidney disease, glaucoma, a thyroid disorder, lupus, porphyria, or a history of mental illness or psychosis.
You may have thoughts about suicide while taking Actinerval. Your doctor will need to check you at regular visits. Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, depression, anxiety, or if you feel agitated, hostile, restless, hyperactive (mentally or physically), or have thoughts about suicide or hurting yourself.
There are many other drugs that can interact with Actinerval. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor. Keep a list of all your medicines and show it to any healthcare provider who treats you.
Do not stop using Actinerval without first talking to your doctor, even if you feel fine. You may have increased seizures or unpleasant withdrawal symptoms if you stop using Actinerval suddenly.
Do not use Actinerval if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. You should not take Actinerval if you are allergic to carbamazepine, or if you have:
a history of bone marrow suppression
if you are also taking nefazodone; or
if you are allergic to an antidepressant such as amitriptyline (Elavil, Vanatrip, Limbitrol), desipramine (Norpramin), imipramine (Tofranil), or nortriptyline (Pamelor).
Important safety information:
Actinerval may cause severe or life-threatening skin rash, especially in people of Asian ancestry. Your doctor may recommend a blood test before you start the medication to determine your risk of this skin reaction.
To make sure you can safely take Actinerval, tell your doctor if you have any of these other conditions:
heart disease, high blood pressure, high cholesterol or triglycerides;
liver or kidney disease;
a thyroid disorder;
a history of mental illness or psychosis.
Patients of Asian ancestry may have a higher risk of developing a rare but serious skin reaction to Actinerval. Your doctor may recommend a blood test before you start the medication to determine your risk of this skin reaction.
Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits. Do not miss any scheduled appointments.
You may have thoughts about suicide while taking Actinerval. Tell your doctor if you have new or worsening depression or suicidal thoughts during the first several months of treatment, or whenever your dose is changed.
FDA pregnancy category D. Actinerval may cause harm to an unborn baby. Do not start taking this medcine without telling your doctor if you are pregnant or planning to become pregnant. Use effective birth control while you are taking this medicine. Although Actinerval may harm an unborn baby, having a seizure during pregnancy could harm both mother and baby. If you become pregnant while taking Actinerval, do not stop taking the medicine without your doctor's advice.
Carbamazepine can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using Actinerval. Carbamazepine can make birth control pills less effective. Ask your doctor about using a non-hormone method of birth control (such as a condom, diaphragm, spermicide) to prevent pregnancy while taking Actinerval.
This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Avoid drinking alcohol. It can increase some of the side effects of Actinerval, and can also increase your risk of seizures.
Avoid exposure to sunlight or tanning beds. Actinerval can make you sunburn more easily. Wear protective clothing and use sunscreen (SPF 30 or higher) when you are outdoors.
Grapefruit and grapefruit juice may interact with Actinerval and lead to potentially dangerous effects. Discuss the use of grapefruit products with your doctor.
Get emergency medical help if you have any of these signs of an allergic reaction to Actinerval: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, depression, anxiety, or if you feel agitated, hostile, restless, hyperactive (mentally or physically), or have thoughts about suicide or hurting yourself.
Call your doctor at once if you have a serious side effect such as:
pale skin, feeling light-headed, rapid heart rate, trouble concentrating;
fever, chills, sore throat, mouth and throat ulcers;
easy bruising or bleeding, severe tingling, numbness, pain, muscle weakness;
confusion, agitation, vision problems, hallucinations;
feeling short of breath, swelling of your ankles or feet;
urinating less than usual;
jaundice (yellowing of the skin or eyes); or
severe skin reaction -- fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.
Less serious Actinerval side effects may include:
feeling dizzy, drowsy, or unsteady;
nausea, vomiting, diarrhea, constipation, stomach pain;
headache, ringing in your ears;
dry mouth, swollen tongue; or
joint or muscle pain, leg cramps.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.