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Questions and Answers
What is the drug class of Tegretol (Carbamazepine)?
What is the drug class of Tegretol (Carbamazepine)?
What are the main actions of Carbamazepine?
What are the main actions of Carbamazepine?
Anticonvulsant actions, sedative effects, anticholinergic effects, antidepressant effects, muscle relaxant effects.
What are the indications for Carbamazepine?
What are the indications for Carbamazepine?
First line maintenance treatment for partial and tonic-clonic seizures, treatment of grand mal and psychomotor epilepsy, symptomatic treatment for trigeminal and glossopharyngeal neuralgias, and for pain associated with multiple sclerosis.
What is a notable side effect of Carbamazepine?
What is a notable side effect of Carbamazepine?
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Which of the following are contraindications for Carbamazepine?
Which of the following are contraindications for Carbamazepine?
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What nursing care should be performed while a patient is on Carbamazepine?
What nursing care should be performed while a patient is on Carbamazepine?
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Carbamazepine is effective for immediate management of seizures.
Carbamazepine is effective for immediate management of seizures.
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Carbamazepine is pregnancy category ___?
Carbamazepine is pregnancy category ___?
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Study Notes
Drug Class
- Tegretol (Carbamazepine) is classified as a CNS agent and an anticonvulsant.
Mechanism of Action
- Acts similarly to phenytoin in seizure control.
- Reduces synaptic transmission within the trigeminal nucleus, relieving trigeminal neuralgia.
- Exhibits sedative, anticholinergic, antidepressant, muscle relaxant, and slight analgesic properties.
Indications
- First-line maintenance treatment for partial and tonic-clonic seizures but not for acute management.
- Can be used alone or with other anticonvulsants for grand mal and temporal lobe epilepsy.
- Effective for symptomatic treatment of trigeminal and glossopharyngeal neuralgias, pain, and paroxysmal symptoms linked to multiple sclerosis and other neurologic disorders.
Drug Effect
- Serves as an effective anticonvulsant for various seizure disorders and helps stabilize mood while reducing depressive symptoms.
- Metabolized in the liver and acts as a hepatic enzyme inducer, increasing its own metabolism.
Contraindications
- Not suitable for individuals with hypersensitivity to the drug.
- May worsen myoclonic, absence, and atonic seizures.
- Contraindicated in conditions such as systemic lupus erythematosus (SLE), coronary artery disease (CAD), hypertension, and cardiac, hepatic, or renal diseases.
- Classified as Pregnancy Category D and is not recommended during lactation.
Side Effects
- Potential for bone marrow suppression.
- Common side effects include myalgia, edema, syncope, heart block, nausea/vomiting, constipation, diarrhea, and dizziness.
- Can lead to hypo-osmolarity, increasing ADH levels and causing fluid overload, which requires caution in patients with heart failure.
Nursing Care
- Conduct baseline and periodic complete blood counts (CBCs), particularly monitoring platelet counts.
- Notify healthcare provider if the patient develops symptoms like fever, sore throat, pallor, weakness, infection, or easy bruising.
- Advise patients to avoid grapefruit due to potential drug interaction.
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Description
Test your knowledge on Tegretol (Carbamazepine) with these flashcards. Learn about its drug class, mechanism of action, and various effects. Perfect for students and healthcare professionals looking to deepen their understanding of this anticonvulsant.
