Drug ClassAnti-convulsant
MechanismGABA-mediated inhibitory transmission in the CNS
Typical Dose100-200mg
Indications* Generalised tonic-clonic siezures * Partial seizures * Trigeminal neuralgia/chronic neurogenic pain * Biopolar prophylaxis * Adjunct in alcohol withdrawal
Contra-indications* History of Bone marrow Depression * AV node conduction abnormalities * Porphyria
Side-effectsCommon: drowsiness, ataxia, blurred vision, confusion Rarely: agranulocytosis, thrombocytopenia
InteractionsClarithromycin: carbamazepine metabolism slowed Induce Cytochrome P450 - so anything interacts with that
Elimination
Additional Notes