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Carbamazepine may lower blood counts.

Carbamazepine is not highly bound to plasma proteins; therefore, administration of Carbamazepine Extended-Release Capsules to a patient taking another drug that is highly protein bound should not cause increased free concentrations of the other drug.

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It can help control symptoms of mania and prevent recurrent manic episodes.

If the timing happens to be coincidental, a seizure may be captured during a random EEG.

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Monitoring of blood levels (see CLINICAL PHARMACOLOGY) has increased the efficacy and safety of anticonvulsants.

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Individuals with "slow liver metabolism" may be at increased risk to develop "drug induced hypersensitivity syndrome" due to the production of toxic metabolites in the liver even after CBZ has been completely cleared; CBZ has also been linked to acute liver failure.

Treatment should not be initiated in these patients unless benefit clearly outweighs risk.

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In an early study, Sist et al reported 2 patients with trigeminal neuralgia whose condition had a response to gabapentin, 1 of whom was previously unresponsive to carbamazepine.

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MHD blocks N- and P-type calcium channels, unlike carbamazepine, which has a greater effect on L-type channels.

In a pharmacokinetic study conducted in patients with epilepsy, twice-daily CBZ-ERC was shown to be bioequivalent to immediate-release formulations of CBZ given four times daily ().

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For maintenance therapy, the dose should be adjusted to the minimum effective level, usually 400 to 800 mg daily.

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Maintain established stable dose.

Comprehensive treatment is an important aspect of care for all patients with epilepsy.

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