Carbesta 400mg Tablet CR is an anti-epileptic medicine used to treat epilepsy. It helps prevent certain types of seizures (fits). It is also prescribed for a painful condition of the face, head, and neck known as trigeminal neuralgia and diabetes-related nerve pain (diabetic neuropathy).

Carbesta 400mg Tablet CR must be taken with or without food, but take it at the same time every day. The dose and how often you need to take it will be decided by your doctor so that you get the right amount to control your symptoms. It may be increased gradually. Many other medicines can interfere with this medicine so tell your doctor about all the medicines you are taking to make sure it is safe.

You can take this medicine with or without food but take it regularly at the same time each day to get the maximum benefit. It is important to take this medicine for as long as you are advised, even if you feel well. Missing even a single dose may trigger a seizure and, if you stop taking it abruptly, your condition may get worse.

The most common side effects of this medicine include nausea, vomiting, feeling dizzy, tired or drowsy, unsteadiness (balance disorder), constipation, dry mouth, and itching. Some people may develop blurring of vision and slurred speech. Most of the side effects are not serious. However, let your doctor know straight away if you notice a skin rash or if your mood becomes depressed or if you develop any thoughts about harming yourself.

Before taking Carbesta 400mg Tablet CR, tell your doctor if you have any heart problems, kidney or liver disease, difficulty in urinating, or any mental illness like depression. These conditions may affect your treatment. You may be advised some blood tests (eg. CBC) before starting treatment and then periodically thereafter, to monitor your progress.

Uses of Carbesta Tablet CR

Benefits of Carbesta Tablet CR

In Diabetic nerve pain

Carbesta 400mg Tablet CR relieves nerve pain by decreasing nerve impulses which cause the pain. If the pain is reduced you will feel more comfortable going about your daily life, but you should continue with all other diabetes medicines as prescribed. This medicine is not associated with any physical or psychological dependence (addiction) but it should not be stopped suddenly. It must be taken regularly as prescribed to be effective.

In Trigeminal neuralgia

Carbesta 400mg Tablet CR can relieve nerve pain by decreasing nerve impulses which cause the pain (in the trigeminal nerve in your face). It is effective in treating this condition although other medications may also be used. It will enable you to carry out certain daily activities like shaving, putting on make-up, eating, drinking, and brushing your teeth with some freedom from the worry and pain that trigeminal neuralgia can cause. It is not associated with any physical or psychological dependence (addiction) but should not be stopped suddenly.

In Epilepsy/Seizures

Carbesta 400mg Tablet CR works by decreasing the nerve impulses which cause the seizures. By controlling the frequency of seizures, it will help you go about your daily activities with more confidence. It helps reduce symptoms such as confusion, uncontrollable jerking movements, loss of awareness, and fear or anxiety.

This medicine is not associated with any physical or psychological dependence (addiction) but it should not be stopped suddenly. It must be taken regularly as prescribed to be effective. Missing doses may trigger a seizure.

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Side effects of Carbesta Tablet CR

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Carbesta

Dizziness
Nausea
Vomiting
Constipation
Sleepiness
Abnormality of voluntary movements

How to use Carbesta Tablet CR

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Carbesta 400mg Tablet CR may be taken with or without food, but it is better to take it at a fixed time.

How Carbesta Tablet CR works

Carbesta 400mg Tablet CR is an antiepileptic medication. It controls seizures or fits by decreasing the abnormal and excessive activity of the nerve cells in the brain.

Safety advice

Alcohol

UNSAFE

Carbesta 400mg Tablet CR may cause excessive drowsiness with alcohol.

Pregnancy

CONSULT YOUR DOCTOR

Carbesta 400mg Tablet CR is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.

Breast feeding

CONSULT YOUR DOCTOR

Carbesta 400mg Tablet CR is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.

Driving

UNSAFE

Carbesta 400mg Tablet CR may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

Kidney

CONSULT YOUR DOCTOR

There is limited information available on the use of Carbesta 400mg Tablet CR in patients with kidney disease. Please consult your doctor.

Liver

CONSULT YOUR DOCTOR

There is limited information available on the use of Carbesta 400mg Tablet CR in patients with liver disease. Please consult your doctor.

What if you forget to take Carbesta Tablet CR?

If you miss a dose of Carbesta 400mg Tablet CR, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

Carbesta 400mg Tablet CR

₹2.23/Tablet CR

T Maz 400mg Tablet CR

Tripada Biotec Pvt Ltd

₹2.7/tablet cr

21% costlier

Carbazep 400mg Tablet CR

Sigmund Promedica

₹3.4/tablet cr

52% costlier

Carbetol 400mg Tablet CR

Taj Pharma India Ltd

₹2.38/tablet cr

7% costlier

Zigma 400mg Tablet CR

Crescent Therapeutics Ltd

₹3.89/tablet cr

74% costlier

Acetol 400mg Tablet CR

Psychotropics India Ltd

₹2.52/tablet cr

13% costlier

View all substitutes

Quick tips

Take your medication regularly as directed by your doctor as missing doses can trigger seizures.
Do not change the brand of your medicine and make sure that you have sufficient amount of medicine present with you.
Some healthy tips to prevent seizures:
- Practice yoga every day.
- Get enough sleep at nighttime.
- Limit the use of screen time such as mobile/laptop.
- Take your medication on time.
It may cause dizziness and sleepiness. Do not drive or do anything that requires mental focus until you know how it affects you.
Your doctor may get regular tests done to monitor the level of blood cells in your blood while taking this medication.
Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts.
Inform your doctor if you notice a rash or other skin changes such as reddish spot or circular patches while taking this medicine.
Do not stop taking the medication suddenly without talking to your doctor as it may increase the seizure frequency.

Fact Box

Chemical Class

Iminostilbene Derivative

Habit Forming

Therapeutic Class

NEURO CNS

Action Class

Sodium channel modulators (AED)

Patient concerns

Sinus, frequent cold, trigeminal neuralgia

Dr. Deepak Kumar Soni

Ayurveda

Use BADAM ROGAN TAIL - 1-1 Drop in each nostril( Nose opening ) at night

Left side headache while laughing or coughing for 20 seconds only Pls suggest

Dr. Pushkar Mani

Physician

could be trigeminal neuralgia/ TM joint stifness or migrainerefer to ENT doctor and Neurophysician

FAQs

How quickly does Carbesta 400mg Tablet CR start working?

Your symptoms may take 1-2 weeks to improve. However, in some cases, it may take even longer. Consult your doctor if your condition doesn't improve or if you have any doubts regarding your condition.

Is Carbesta 400mg Tablet CR an analgesic? What is it used for?

No, Carbesta 400mg Tablet CR is not an analgesic and should not be used for regular aches or pains. It is an anti-epileptic medicine which is used to treat fits (seizures). It is also used in the treatment of trigeminal neuralgia (intense facial nerve pain). In addition to that, Carbesta 400mg Tablet CR is used to control mood disorders when other medicines fail to work.

What should I tell my doctor before taking Carbesta 400mg Tablet CR?

Inform your doctor if you are taking any other medicines including medicines for epilepsy or seizures, medicines used to thin your blood (e.g., warfarin), medicines to control bacterial infection (e.g., chloramphenicol, metronidazole and doxycycline) and medicines to control viral infection (e.g., nelfinavir). Also, let your doctor know if you take asthma medicines (e.g., theophylline and montelukast), birth control pills, etc. It is important to tell your doctor if you are planning to become pregnant or are breastfeeding. Further, you should tell the doctor if you have ever had liver problems, kidney problems, lung problems or porphyria (a rare blood pigment disorder).

What are the long-term effects of Carbesta 400mg Tablet CR?

The long-term side effects of Carbesta 400mg Tablet CR vary from person to person. While some people can take Carbesta 400mg Tablet CR safely for several years, some may develop side effects on using it for long term. These side effects include osteoporosis and osteopenia in which the bones become weak and can get easily fractured. Therefore, if you have been prescribed Carbesta 400mg Tablet CR for a long term, get your bone density checked at regular intervals, maintain a healthy diet and exercise daily.

What should I avoid while taking Carbesta 400mg Tablet CR?

Carbesta 400mg Tablet CR may make you sleepy or you may feel dizzy. Therefore, avoid driving or operating heavy machinery. Alcohol consumption should be avoided since taking both together may cause excessive sleepiness.

How do I stop taking Carbesta 400mg Tablet CR?

You should stop Carbesta 400mg Tablet CR only after consulting your doctor. It is advised to gradually decrease the dose of Carbesta 400mg Tablet CR so that the condition for which you are taking it does not recur.

How can I look for early symptoms of suicidal thoughts and actions?

Pay attention to any changes, especially sudden changes in mood, behavior, thoughts or feelings. Keep all follow-up visits with your doctor as scheduled. Call your doctor as needed, especially if you are worried about any symptoms.

Can the use of Carbesta 400mg Tablet CR lead to weight gain? If yes, how can it be managed?

Yes, Carbesta 400mg Tablet CR causes weight gain as a common side effect. This could be due to an increase in appetite. You can manage your weight by eating a healthy diet, consuming low calorie food and including more vegetables and fruits in your diet. Also, regular physical exercise will be very helpful.

Can the use of Carbesta 400mg Tablet CR affect my sex life?

Though rare but Carbesta 400mg Tablet CR may cause decreased sexual desire. It may also impair male fertility as it may reduce sperm count and/or motility. Consult your doctor if you develop these symptoms.

I am taking Carbesta 400mg Tablet CR for trigeminal neuralgia. For how long do I need to take it?

Once the medicine relieves your pain, talk to your doctor who will gradually reduce your dose. Carbesta 400mg Tablet CR can be possibly stopped if there is no recurrence of pain after taking the reduced dose for several weeks.

How can I reduce the side effects of Carbesta 400mg Tablet CR?

Side effects of Carbesta 400mg Tablet CR can be reduced by starting it at a low dose. The doctor may gradually increase the dose, until an effective dose is reached.

When should I go for a laboratory test when taking this medicine?

Before starting treatment with Carbesta 400mg Tablet CR, your doctor may ask you to get regular blood tests, liver function test, and in some cases, even a urine test. You may need to take these tests from time to time during your treatment. This is quite usual and nothing to worry about.

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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

Stahl SM, editor. Carbamazepine. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 105-110.
McNamara JO. Pharmacotherapy of the Epilepsies. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. pp. 594-95.
Porters RJ, Meldrum BS. Antiseizure Drugs. Sedative-Hypnotic Drugs. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 405-406.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 197-201.
Carbamazepine. East Hanover, New Jersey: Novartis Pharmaceuticals Corporation; 2018. [Accessed 19 Jun. 2019] (online) Available from:
Carbamazepine. Hoofddorp, The Netherlands: Sun Pharmaceutical Industries Europe B.V.; 2019. [Accessed 06 Feb. 2019] (online) Available from:
Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198. [Accessed 20 Mar. 2019] (online) Available from:
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Carbamazepine [Drug Label]. East Hanover, NJ: Novartis Pharmaceuticals Corporation; 2009. [Accessed 25 Jul. 2024] (online) Available from:

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