Carbamazepine is a medicine that is prescribed for the treatment of Epilepsy and Neuropathic Pain. This medication works by limiting the spread of the seizure activity in the brain and restores the normal balance of nerve activity and in affect reduces the risk of seizures.

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Carbamazepine Tablets for Neuropathic Pain and Seizures

Carbamazepine is prescribed to control seizures and prevent future attacks. It is an anti-convulsant, also know as an anti-epileptic drug. It can also be administered by doctors to bring relief to certain forms of nervous system pains (neuropathic pain). Carbamazepine works by reducing the brain spreading seizure activity and so maintaining a steady balance of nerve activity.

Carbamazepine Dosage

You can purchase Carbamazepine in a range of strengths from 100mg to 800mg. Here at Medicine Direct, we sell Carbamazepine in 100mg, 200mg and 400mg strengths.

Carbamazepine 100mg

It is to be expected to be initially prescribed this lower strength of Carbamazepine by your doctor. You may be reviewed and the strength adjusted in consideration of its effectiveness. For adults you will be recommended to take it 1-2 times daily and doctors will generally increase it in 100-200mg steps every fortnight.

Carbamazepine 200mg

This is the strength which is usually taken 3-4 times a day and increased again if necessary in accordance to the body’s response to the medication.

Carbamazepine 400mg

This is the strongest dosage of Carbamazepine we sell. It is generally used to treat conditions such as prophylaxis of bipolar disorder or diabetic neuropathy.

Carbamazepine Uses

You must take Carbamazepine regularly to experience the most benefit from the medication. It can help you to remember to take the medicine if you incorporate it into your daily routine to ensure you take it at the same time each day. You should continue your course of taking this medicine even if you begin to feel well.

Carbamazepine is made to be taken orally. You can consume the medicine before or after a meal. It is advised to avoid grapefruit products and juice as these can cause side effects.

Do not terminate taking Carbamazepine without talking to your doctor or pharmacist first. Conditions such as seizures may get worse if you suddenly stop taking the drug.

If you or someone you know has overdosed and is experiencing symptoms such as difficulty breathing or fainting, you must call 999.

If you miss a dose take it as soon as you remember. If it is near the time you are scheduled to take your next dose, skip the initial dose and continue the course as normal. You must not double up the consumption of the drug in order to catch up.

The usual dosage recommendations are below in accordance to the condition:

  • Epilepsy

Initially you will be recommended to take 200mg orally twice a day, or 100mg four times across the day. You doctor usually will increase the dosage weekly or every two weeks until the right combination for you is found.

For children under the age of 6

The doctor will take into consideration their age and weight before prescribing them a strength. The maximum dose for children of these ages will be 35mg a day.

For children 6-12 years of age

The initial dose is generally 100mg to be taken twice a day or 50mg four times a day. The maximum dose for this age group will be 1000mg daily.

  • Trigeminal Neuralgia

At first your doctor will usually advise you to take 100mg twice a day. This may be increased up to 200mg per day as needed to relieve pain. You should not exceed 1200 mg per day. Some patients are able to maintain their condition on 200mg a day while others may have to take 1200mg. You can expect your doctor to try and reduce the dose of your medicine every 3 months.

  • Mood swings

Generally, doctors will prescribe patients to take between 400mg-600mg of Carbamazepine per day.

Side effects of Carbamazepine

As with all medication, they come with a risk of side effects. Please contact your doctor or pharmacist if you experience any of the following, or, if you are experiencing some of the more serious side effects more serious, seek emergency medical help:

Common Side Effects

  • Distorted vision, i.e. blurring or double.
  • Back-and-forth eye movements
  • Nausea
  • Vomiting
  • Drowsiness
  • Dry mouth
  • Swelling of the tongue
  • Unsteadiness or a loss in balance/ coordination

Uncommon Side Effects

  • Behavioural changes or feeling as though your actions are out of your control.
  • Confusion, agitation, hostility, irritability
  • Diarrhoea, vomiting or nausea
  • Depression
  • Headache
  • Increase in seizures, muscle trembling, stiffness or other problems with muscle control and coordination
  • Loss of appetite or in usual interest/ pleasures
  • Fatigue
  • Trouble concentrating or sleeping
  • Black tarry stools, blood in urine, darkening of urine or an increase in urination
  • Bone/ joint pain (can also cause lower or side pain)
  • Chest pain, cough or hoarseness
  • Unusual bleeding or bruising or nosebleeds
  • Skin rash or hives
  • Visual hallucinations


Please note this is not an exhaustive list. You should also consult the medicines leaflet and discuss any other problems or potential side effects with your doctor or pharmacist. Some side effects may occur but do not need medical attention, as they are just part of your body adjusting to taking the medicine.

In rare cases patients taking Carbamazepine can suffer from a severe allergic reaction to the medicine. If you experience any of the warning symptoms you MUST contact an emergency service such as 111 or 999 immediately. The signs of a severe allergic reaction are:

  • Developing a skin rash which is itchy, red, swollen, blistered or peeling
  • Your chest or throat feeling tight. This can also be displayed through wheezing.
  • Experiencing difficulty in breathing or talking
  • Your facial extremities become swollen i.e. you mouth, face, lips, tongue or throat.

What is the drug Carbamazepine used for?

Carbamazepine is an anti-convulsant drug used to treat seizures and nerve pains. It can also be used to treat bipolar disorder.

What does Carbamazepine do if you have bipolar?

Carbamazepine can be effective in stabilising mood and preventing the occurrence of bipolar episodes.

What is the mechanism of action of Carbamazepine?

Although it is not certain how Carbamazepine works, it is widely agreed that it works as a sodium channel blocker. It also has effects on serotonin but it is uncertain as to how this creates anti-seizure effect. The active ingredient in the medicine is Carbamazepine.

Can I drink Alcohol whilst taking Carbamazepine?

There is evidence to suggest that drinking alcohol whilst taking Carbamazepine may cause you to feel the effects of alcohol more intensely. You should discuss with your doctor or pharmacist if you should stop drinking whilst taking Carbamazepine.

Are there any foods to avoid whilst taking Carbamazepine?

You should not eat or drink grapefruit products whilst consuming Carbamazepine. This is because Grapefruit has been shown in research to increase the risk of side effects. Ask your doctor or pharmacist for further details.

How can I buy Carbamazepine online in the UK?

If you are a valid UK citizen and have a prescription from a doctor, you will be able to purchase Carbamazepine online in the UK with us, Medicine Direct. If you do not yet have a prescription for Carbamazepine, you can fill in one of our health questionnaires which will be reviewed by one of our doctors. After assessing your answers, the doctors will then prescribe you the medicine if they deem it appropriate to do so.

Can you take Carbamazepine if you are pregnant or breastfeeding?

As with all anti-epilepsy treatments there is a risk to the foetus in taking them. You must discuss with your doctor before you become pregnant if you are trying to conceive. If you become pregnant whilst taking the medicine you must inform your doctor. It is possible to breast feed whilst taking the drug, however keep a watchful eye on the baby. If you are worried that the child is developing symptoms such as excessive sleepiness, skin reactions, dark urine or pale stools you must tell your doctor or pharmacist as soon as possible.

How should I store Carbamazepine?

Ensure that you keep medicine out of the sight and reach of children. Store it n conditions below 25oc. Do no use this medicine after the expiry date stated on the label.


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