Carbamazepine ER 200mg

Generic For: Tegretol XR

Carbamazepine ER 200mg (brand name Tegretol XR) is an extended-release anticonvulsant tablet used to treat certain types of seizures in epilepsy and to relieve the nerve pain of trigeminal neuralgia. After a licensed provider reviews your prescription, your order ships directly from a licensed U.S. pharmacy.

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Buy Carbamazepine ER 200mg Online (Tegretol XR)

An extended-release anticonvulsant for epilepsy, seizures, and trigeminal neuralgia nerve pain

Carbamazepine ER 200mg Quick Facts

Drug classAnticonvulsant (antiepileptic)
TreatsPartial seizures, tonic-clonic seizures, trigeminal neuralgia
FormTablet
Typical dosingTake as directed by primary physician by mouth.
Prescription requiredYes — prescription only

What Is Carbamazepine ER 200mg?

Carbamazepine ER is the extended-release form of carbamazepine, an anticonvulsant medication sold under the brand name Tegretol XR. It works by reducing abnormal electrical activity in the brain and calming overactive nerve signals. The extended-release tablet releases medication gradually, allowing twice-daily dosing with steadier blood levels. It is FDA-approved to treat several seizure types in epilepsy and the facial nerve pain of trigeminal neuralgia.

What Does Carbamazepine ER 200mg Treat?

Partial seizures with complex symptomatology (psychomotor, temporal lobe)
Generalized tonic-clonic (grand mal) seizures
Mixed seizure patterns
Trigeminal neuralgia
Glossopharyngeal neuralgia

Carbamazepine ER 200mg Dosage

Epilepsy: 200 mg by mouth twice daily; increase weekly by up to 200 mg/day; usual maintenance 800–1200 mg/day.
Trigeminal neuralgia: 100 mg by mouth twice daily; increase by up to 200 mg/day as needed; usual maintenance 400–800 mg/day.
Swallow tablets whole; do not crush or chew.

Your prescriber will determine the dose and duration that are right for you. Always follow the directions on your prescription label.

Carbamazepine ER 200mg Side Effects

Common side effects

  • Dizziness
  • Drowsiness
  • Nausea
  • Vomiting
  • Unsteadiness
  • Blurred or double vision
  • Dry mouth
  • Headache

Serious side effects

Stop taking this medication and seek medical attention right away if you experience:

  • Serious skin rash (Stevens-Johnson syndrome, toxic epidermal necrolysis)
  • Signs of low blood counts (fever, sore throat, unusual bruising or bleeding)
  • Suicidal thoughts or behavior
  • Low sodium levels (confusion, severe weakness, seizures)
  • Severe allergic reaction (swelling of face, difficulty breathing)
  • Liver problems (yellowing skin or eyes, dark urine)

Warnings & Interactions

Boxed warning: serious, potentially fatal skin reactions; risk higher in patients of Asian ancestry with HLA-B*1502 — genetic testing recommended before starting
Boxed warning: aplastic anemia and agranulocytosis; periodic blood count monitoring required
Do not use with or within 14 days of MAO inhibitors
Contraindicated with a history of bone marrow suppression or hypersensitivity to carbamazepine or tricyclic antidepressants
Strong CYP3A4 inducer — interacts with many medications and can make hormonal birth control less effective
May cause fetal harm; discuss pregnancy planning and contraception with your provider
May increase risk of suicidal thoughts; report mood changes promptly

Tell your prescriber about all medications, supplements, and health conditions before starting carbamazepine er 200mg.

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Frequently Asked Questions

What is carbamazepine ER?

Carbamazepine ER is the extended-release form of the anticonvulsant carbamazepine, sold under the brand name Tegretol XR. It is used to treat certain seizure types in epilepsy and the nerve pain of trigeminal neuralgia, with the extended-release tablet allowing twice-daily dosing.

Do I need a prescription for carbamazepine ER 200mg?

Yes, carbamazepine ER is a prescription-only medication in the United States. A licensed healthcare provider must evaluate whether it is appropriate for you and issue a valid prescription before we can dispense it.

How does ordering and shipping work?

After you place your order, a licensed provider or pharmacist reviews your prescription and health information. Once approved, your medication is dispensed and shipped from a licensed U.S. pharmacy directly to your address.

What is the difference between carbamazepine ER and regular carbamazepine?

The ER (extended-release) version releases medication slowly, so it is typically taken twice daily instead of three to four times daily for immediate-release tablets. Steadier blood levels may also help reduce fluctuation-related side effects. Do not switch forms without your prescriber's guidance.

Can I stop taking carbamazepine ER on my own?

No. Stopping an anticonvulsant suddenly can trigger seizures, including a dangerous prolonged seizure state. Always talk to your provider before making any change, as doses are usually tapered gradually.

What should I avoid while taking carbamazepine ER?

Avoid grapefruit juice, which can raise carbamazepine levels, and limit alcohol, which can worsen drowsiness and dizziness. Tell your provider about all medications you take, since carbamazepine interacts with many drugs, including hormonal birth control.