Drug name

NAME OF
THE DRUG:
carbamazepine
TRADE
NAME:
carbatrol
FUNCTIONA
L CLASS:
anticonvulsant
CHEMICAL
NAME:
Carboxamide,
iminostilbene
derivative.

Dose\route\ Action
frequency
Adults&

It appears to
decrease
polysynaptic
children age
responses
12 + over:
initial 200 mb and block
pstsynaptic
Bid increased
potentiation.
weekly by
200mg daily
if needed,
1600mg in
adults.
1200mg daily
in children
age 16 &
older and
1000 mg daily
in children
ages 12 to 16.
Children ages
6-12:
Initial 100mg
Bid increased
weekly by
100 mg. if
needed
maximum
100mg daily.

Indicatio
n

Contraindication

Hypertensi
on, left
ventricular
dysfunction
after MI,
diabetic
neuropathy,
epilepsy..

Preganancy,
hypersensitivity,
AV or bundle
branch block,
bone marrow
depression,
tricyclic
componenents,
MAO inhibitor,
nefazodone
therapy.

Side effects

Nurses responsibilities

CNS:

Asses:

confusion,
dizziness,
drowsiness,
headache,
unsteadiness,
fatigue,
paralysis,
hallucination,
speech
disturbances,
suicidal
thoughts.

Seizure: character, location, duration,

intensity, frequency, presence of aura.

CV:

Eye problem: need for opthalmic

axaminations before during after
treatment.

Hypertension,
CHF,
hypotension,
dysrrhythmias,
aggrevation of
cardiac artery
disease.
EENT:
Tinnitus, dry
mouth, blurred
vision,
biplopia,
nystagmus,
conjuctivities.

Trigeminal neuralgia: focal pain

including location, duration, intensity,
character, activity that stimulates
pain.
Renal studies: urine analysis, BUN,
urine creatinine.
Hepatic studies: ALT, AST, bilirubin.

Allergic reaction: purpura, red, raised

rash, if these occur, product should be
discontinued
Administer:
PO route: do not crush or chew ext rel
tab; extrel cap may be opened and the
beads sprinkled over food, patient
should chewable tablets, not swallow
it whole. With food, milk to decrese
GI symptoms.

Children upto
6-12 age:
intial 50 mg
Qid.
Increased
weekly by
100mg daily
if needed
given in
divided doses
Tid or qid
maximum
100mg daily.
Children upto
age 6: intial
10 to 20
mg/kg daily
in divided
doses qid
maximum
35mg/kg
daily.

ENDO:
SIADH
(geriatric
patients).
GI: nausea,
constipation,
diarrhea,
anorexia,
vomitting,
abdominal
pain,
stomatitis,
glosittis,
increased
hepatic
enzymes
hepatitis.
GU:
frequency,
retention,
albuminuria,
glycosuria,
impotence,
increased
BUN, renal
failure.

Shake oral suspension before use.

Mix an equal amount of water, D5W,
0.9% nacl when giving by NG tube,
flush tube with 100ml of above
solution.

Perform/ provide:
Storage in refrigerator, power at room temp:
close tightly reassurance if communication
is difficult during recovery from
neuromuscular blockade;
EVALUATION:
Theraupeutic response decreaes in seizure
activity, document on pts chart.
FAMILY PATIENT TEACHING:
1. To carry emergency ig stating
pts name, products taken,
condition, prescribers name
and phone number.

HEMA:

2. To avoid driving other activities

that requires alertness usually
for the first 3 days of treatment.

Thrombocytop
enia,
leukopenia,
leukocytosis,

3. Not to discontinue medication

quickly after long term use

aplastic
anemia.

4. That urine may turn pink to

brown.
Treatment of overdose:
Lavage

RESP:
Pulmonary
hypersensitvity
.

Precaution:Breastfeeding, children
below 6 yr, glaucoma,
cardiac/renal/hepatic disease,
psychosis, alcoholism, hepatic
porphyria.
CONCLUSION:
Provided suggestion, discussed about
the drug and enhance the general
instructions to be followed while
receiving this drug.

ANTI-CONVULSANT &

ANALGESIC
PREPARED BY: sowmiya (14N006 )
YEAR/SEM: 3rd yr/ 5th sem.

CARBAMAZEPINE