Tegrital CR 400 Divitabs
Prescription Required
Product introduction
Tegrital CR 400 Divitabs 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).
Tegrital CR 400 Divitabs 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 Tegrital CR 400 Divitabs, 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 Tegrital Tablet ER
Benefits of Tegrital Tablet ER
In Diabetic nerve pain
Tegrital CR 400 Divitabs 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 Epilepsy/Seizures
Tegrital CR 400 Divitabs 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.
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.
Side effects of Tegrital Tablet ER
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 Tegrital
- Dizziness
- Nausea
- Vomiting
- Constipation
- Sleepiness
- Abnormality of voluntary movements
How to use Tegrital Tablet ER
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. Tegrital CR 400 Divitabs may be taken with or without food, but it is better to take it at a fixed time.
How Tegrital Tablet ER works
Tegrital CR 400 Divitabs 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
Tegrital CR 400 Divitabs may cause excessive drowsiness with alcohol.
Pregnancy
CONSULT YOUR DOCTOR
Tegrital CR 400 Divitabs 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
Tegrital CR 400 Divitabs 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
Tegrital CR 400 Divitabs 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 Tegrital CR 400 Divitabs in patients with kidney disease. Please consult your doctor.
Liver
CONSULT YOUR DOCTOR
There is limited information available on the use of Tegrital CR 400 Divitabs in patients with liver disease. Please consult your doctor.
What if you forget to take Tegrital Tablet ER?
If you miss a dose of Tegrital CR 400 Divitabs, 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.
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For informational purposes only. Consult a doctor before taking any medicines.
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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
No
Therapeutic Class
NEURO CNS
Action Class
Sodium Channel Modulators- Antiepileptic drugs (AEDs)
Interaction with drugs
Taking Tegrital with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Clarithromycin may raise blood levels of Carbamazepine.
If concurrent use is essential, watch out for symptoms such as impaired coordination, double vision, dizziness or confusion
Carbamazepine may reduce blood levels of Ticagrelor.
Do not consume Ticagrelor with Carbamazepine.
Carbamazepine may reduce blood levels and efficacy of Ranolazine.
Do not consume Ranolazine with Carbamazepine.
Clarithromycin may raise blood levels of Carbamazepine.
If concurrent use is essential, watch out for symptoms such as impaired coordination, double vision, dizziness or confusion
Clarithromycin may raise blood levels of Carbamazepine.
If concurrent use is essential, watch out for symptoms such as impaired coordination, double vision, dizziness or confusion
Patient concerns
User feedback
Patients taking Tegrital CR 400 Divitabs
Twice A Day
83%
Once A Day
17%
What are you using Tegrital Tablet ER for?
Epilepsy
58%
Others
42%
How much was the improvement?
Excellent
47%
Average
45%
Poor
8%
What were the side-effects while using Tegrital CR 400 Divitabs?
No Side Effec*
32%
Dizziness
12%
Sleepiness
12%
Nausea
8%
Vomiting
8%
*No Side Effect
How do you take Tegrital Tablet ER?
With food
75%
Empty stomach
15%
With or witho*
10%
*With or without food
Please rate Tegrital CR 400 Divitabs on price
Expensive
50%
Average
38%
Not Expensive
12%
FAQs
How quickly does Tegrital CR 400 Divitabs 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 Tegrital CR 400 Divitabs an analgesic? What is it used for?
No, Tegrital CR 400 Divitabs 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, Tegrital CR 400 Divitabs is used to control mood disorders when other medicines fail to work.
What should I tell my doctor before taking Tegrital CR 400 Divitabs?
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 Tegrital CR 400 Divitabs?
The long-term side effects of Tegrital CR 400 Divitabs vary from person to person. While some people can take Tegrital CR 400 Divitabs 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 Tegrital CR 400 Divitabs 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 Tegrital CR 400 Divitabs?
Tegrital CR 400 Divitabs 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 Tegrital CR 400 Divitabs?
You should stop Tegrital CR 400 Divitabs only after consulting your doctor. It is advised to gradually decrease the dose of Tegrital CR 400 Divitabs 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 Tegrital CR 400 Divitabs lead to weight gain? If yes, how can it be managed?
Yes, Tegrital CR 400 Divitabs 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 Tegrital CR 400 Divitabs affect my sex life?
Though rare but Tegrital CR 400 Divitabs 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 Tegrital CR 400 Divitabs 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. Tegrital CR 400 Divitabs 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 Tegrital CR 400 Divitabs?
Side effects of Tegrital CR 400 Divitabs 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 Tegrital CR 400 Divitabs, 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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Disclaimer:
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:
- Central Drugs Standard Control Organisation (CDSCO). [Accessed 20 Mar. 2019] (online) Available from:
- Carbamazepine [Drug Label]. East Hanover, NJ: Novartis Pharmaceuticals Corporation; 2009. [Accessed 25 Jul. 2024] (online) Available from:
Marketer details
Name: Novartis India Ltd
Address: Sandoz House, Shiv Sagar Estate, Worli Mumbai -400 018, India
Country of origin: India
Expires on or after: October, 2025
A licensed vendor partner from your nearest location will deliver Tegrital CR 400 Divitabs. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.
Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India
Expires on or after: October, 2025
A licensed vendor partner from your nearest location will deliver Tegrital CR 400 Divitabs. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.
In case of any issues, contact us
Email ID: [email protected]Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India
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10.0 tablet er in 1 strip
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