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Carbamazepine Dosage for Epilepsy Treatment

Hello everyone,

I'm reaching out for some guidance regarding the dosage of carbamazepine for my son's epilepsy treatment. He was diagnosed with epilepsy when he was 13 years old after experiencing a seizure during the night. Initially, he was prescribed carbamazepine (from 400-600mg once daily) and has been taking it since then. Now, after 3 years, the case is controlled with no seizures but the EEG still shows generalized epileptiform activity.

Yesterday, we visited the specialized physician who conducted an EEG and recommended an adjustment in the dosage. The new prescription suggests taking carbamazepine at a dosage of 800mg per day.

Now, I'm a bit confused about the best way to administer the medication. Should I give him carbamazepine CR 400 (Tegretol) as 2 tablets at night or 1 tablet every 12 hours? The physician mentioned that it will be the same if we take 2 tablets at night or one every 12 hours.

I would greatly appreciate any insights or advice from those who have experience with carbamazepine or epilepsy treatment. Your input would be invaluable in helping me make an informed decision for my son's well-being.

  1. I take tegretol but can only take the brand name. Not the generic

    1. Hi , I've been living with epilepsy for the last 28 years and I've been on three different meds and different doses as I got older. I started taking Tegretol at a very young age bit, at that time it was actually a syrup as as time progressed it was a tablet (1) that tasted like bubble gum. Throughout the years the Tegretol stopped working and the years went by and he was placed on carbamazepine I would say maybe 6-7
      For years I was taking the same amount of dosage and frame, but it changed due to my age, weight, the impact, and how often I was having a seizure; well, I was taken off it, and I now take lamotrigine. I think that's how you spell it. When it comes to this medication, it's based on weight, impact, experience, and the type of medication and seizure you have. When it comes to what to give your son. What was described and explained? Have the dressage changed? Always go by the doctor completely and officially decide, but the medication always seems to have surprising impacts which will change over time. Trust the process.


      - Mandi

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