โ Active Ingredient Overview Table:
| ๐ฌ Active Ingredient (Generic Name): | Carbamazepine |
|---|---|
| ๐ Indication: | Epilepsy (Partial & Generalized Tonic-Clonic Seizures), Trigeminal Neuralgia |
| ๐บ๐ธ US Brand: | Tegretol |
| ๐ญ Manufacturer: | Sun Pharmaceutical Industries Ltd. (Founded: 1993) |
| ๐ฆ Packaging: | 10 Tablets per Strip |
| ๐งช Strength: | 200 mg |
| ๐ Delivery Time: | 6โ15 days |
๐ฟ What is Carbamazepine 200 mg (Zeptol)?
Zeptol 200 mg provides an effective maintenance dose of Carbamazepine, a sodium channel blocker that stabilizes hyperexcitable neuronal membranes and reduces repetitive neuronal firing. This dosage is commonly used in chronic management and dose titration schedules for seizure control.
Clinical studies show that starting at 200 mg twice daily achieves therapeutic plasma concentrations suitable for many patients, with reductions in seizure frequency and relief from trigeminal neuralgia pain.
For prescribing details and safety guidance, refer to the FDA label for Tegretol and the Drugs.com monograph. Additional resources include the NHS Medicines AโZ entry and the WHO Essential Medicines List.
๐งฌ Pharmacology & Mechanism of Action
| Attribute | Detail |
|---|---|
| Chemical Formula | C15H12N2O |
| Molecular Weight | 236.27 g/mol |
| Bioavailability | ~75% |
| Metabolism | Hepatic (CYP3A4) |
| Half-Life | 12โ17 hours |
Carbamazepineโs primary mechanism is inhibition of voltage-gated sodium channels, dampening neuronal hyperexcitability.
๐ก Indications & Dosing
| Condition | Dose & Administration |
|---|---|
| Partial & Generalized Tonic-Clonic Seizures | 200 mg twice daily; titrate weekly by 200โ400 mg to target 800โ1,200 mg/day |
| Trigeminal Neuralgia | 100 mg twice daily; increase to 200 mg twice daily based on response |
Administer with meals to minimize gastrointestinal upset. Therapeutic drug monitoring is advised.
โ ๏ธ Warnings & Side Effects
Common:
- Drowsiness, dizziness
- Nausea, blurred vision
- Hyponatremia
Serious:
- Hypersensitivity reactions (SJS/TEN) in HLA-B*1502 carriers
- Hematologic abnormalities (aplastic anemia, agranulocytosis)
- Liver toxicity
Screen at-risk patients for HLA-B*1502. Monitor blood counts, liver enzymes, sodium levels, and report rashes immediately.
๐ฅ Storage Instructions
Store Zeptol 200 mg at 20โ25ยฐC in original packaging. Protect from moisture and direct sunlight.
๐ Availability & Purchasing
- USA: Prescription-only; carbamazepine generics available.
- UK & EU: Prescription required; widely available.
- Australia: Prescription and TGA approval for import.
Import from India may reduce costs; ensure regulatory compliance and valid prescription.
๐ Related Antiepileptic Drugs
- Zeptol CR 400 mg โ extended-release formulation of carbamazepine.
- Levetiracetam 500 mg โ adjunctive AED.
๐ฅ Educational Video on Carbamazepine
๐ฉโโ๏ธ Expert Insight: Dr. Neeta Sharma, Neurologist
โA 200 mg twice-daily regimen provides stable plasma levels for many patients. Regular monitoring for genetic susceptibility and blood parameters optimizes safety.โ




