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  3. Tegrital CR 400 Divitabs 10's

Tegrital CR 400 Divitabs 10's, Pack of 10 TABLETS
Tegrital CR 400 Divitabs 10's, Pack of 10 TABLETS
Written By Santoshini Reddy G , M Pharmacy
Reviewed By Sunny S , MBBS
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Whats That

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Composition :

CARBAMAZEPINE-400MG

Manufacturer/Marketer :

Novartis India Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

NPPA :

Regulated

About Tegrital CR 400 Divitabs

Tegrital CR 400 Divitabs belongs to a group of medicines called anticonvulsants or anti-epileptics used to treat epilepsy (fits) and trigeminal neuralgia (pain in the face's nerves). Epilepsy is a neurological disorder in which there is a sudden rush of electric impulses (electric activity) in the brain. As a result, the brain's electrical rhythms become imbalanced, resulting in recurrent episodes of seizures or fits. Trigeminal neuralgia is a condition which affects the trigeminal nerve that carries sensations from the face to the brain. 

Tegrital CR 400 Divitabs contains 'Carbamazepine' that reduces the electrical impulses and subsequent firing of the nerve impulses that cause fits. Thus, Tegrital CR 400 Divitabs decreases the excessive and abnormal nerve activity in the brain, thereby controlling seizures. 

You are advised to take Tegrital CR 400 Divitabs for as long as your doctor has prescribed it for you depending on your medical condition. In some cases, you may experience certain common side-effects such as dizziness, tiredness, uncontrolled movements, nausea, headache, changes in liver enzymes or low white blood cells count, and minor skin reactions. Most of these side-effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side-effects persistently.

To treat your condition effectually, continue taking Tegrital CR 400 Divitabs for as long as your doctor has prescribed. Please do not stop taking Tegrital CR 400 Divitabs without consulting your doctor to avoid worsening of seizures. Do not take Tegrital CR 400 Divitabs if you are pregnant or planning for pregnancy unless prescribed by the doctor as it could lead to serious congenital disabilities. It is safe to take Tegrital CR 400 Divitabs while breastfeeding; however, consult your doctor immediately if you think that the baby is having side-effects like excessive sleepiness, skin reactions or yellowing of skin or eyes. Tegrital CR 400 Divitabs causes drowsiness and dizziness, so drive only if you are alert. Tegrital CR 400 Divitabs should not be given to children unless prescribed. Avoid consuming alcohol along with Tegrital CR 400 Divitabs as it could lead to increased dizziness and sleepiness. Consult your doctor immediately if you experience suicidal tendencies. Keep your doctor informed about your health condition and medicines to rule out any side-effects.

Uses of Tegrital CR 400 Divitabs

Epilepsy/seizures, Trigeminal neuralgia

Directions for Use

Tablet/Capsule: Swallow it as a whole with a glass of water; do not chew, or crush the tablet/capsule.Syrup/Suspension/Drops: Take the prescribed dose by mouth using the measuring cup/dosing syringe/dropper provided by the pack; shake the pack well before each use.

Medicinal Benefits

Tegrital CR 400 Divitabs belongs to a group of medicines called anti-convulsants or anti-epileptics used to treat epilepsy and trigeminal neuralgia (face nerve pain). Tegrital CR 400 Divitabs works by reducing the electrical impulses and subsequent firing of the nerve impulses that cause fits. Tegrital CR 400 Divitabs decreases the excessive and abnormal nerve activity in the brain, thereby helping in controlling seizures. Tegrital CR 400 Divitabs is also used to relieve nerve pain associated with trigeminal neuralgia. People with glossopharyngeal neuralgia may also experience benefit with Tegrital CR 400 Divitabs . Tegrital CR 400 Divitabs is not associated with any psychological or physical dependence, and there is no potential for abuse.

Storage

Keep Tegrital CR 400 Divitabs out of reach and sight of children.
Side effects of Tegrital CR 400 Divitabs
  • Avoid trigger foods that can cause allergic reactions, such as nuts, shellfish, or dairy products.
  • Keep a food diary to track potential food allergens.
  • Include omega-3 rich foods like salmon and walnuts to reduce inflammation.
  • Wear loose, comfortable clothing made from soft fabrics like cotton.
  • Apply cool compresses or take cool baths to reduce itching.
  • Use gentle soaps and avoid harsh skin products.
  • Reduce stress through relaxation techniques like meditation or deep breathing.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
To prevent, manage, and treat Constipation caused by medication usage, follow these steps:
  • Preventing Vomiting (Before it Happens)
  • Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
  • Having a small meal before taking your medication can help reduce nausea and vomiting.
  • Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
  • Managing Vomiting (If it Happens)
  • Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
  • What to Do if Vomiting Persists
  • Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.
Here are the steps to cope with constipation as a side effect of medication:
  • Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
  • Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
  • Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
  • Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
  • Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
  • Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.
  • Managing a low platelet count (thrombocytopenia) caused by medication usage requires a multi-step approach. Here are some steps to help manage the condition:
  • Inform your doctor about your low platelet count and medication usage. They will assess the situation and guide the best course of action.
  • Your doctor may recommend adjusting or stopping the medication that is causing a low platelet count. This could involve switching to alternative medication or reducing the dosage.
  • Monitor your platelet count regularly through blood tests to track any changes. This will help the doctor determine the effectiveness of the treatment plan.
  • If an underlying condition, such as infection or inflammation, contributes to the low platelet count, your doctor will treat it.
  • In some cases, alternative treatments like platelet transfusions or medications that stimulate platelet production may be necessary.
  • Avoid risky activities and certain medications; eat a balanced diet with plenty of water to reduce bleeding risk and boost overall health.
  • If you experience severe bleeding or bruising, seek emergency medical attention immediately.
  • Eosinophil levels can be lowered by eating fruits and vegetables, avoiding smoking, and consuming alcohol in moderation.
  • Several foods, such as ginger, garlic, pepper, turmeric, and honey, might boost immunity.
  • Avoid dairy products, including cheese, yoghurt, and milk.
  • Drink water and keep yourself hydrated.

Drug Warnings

Do not take Tegrital CR 400 Divitabs if you are allergic to 'Carbamezapine' or any of its contents, have serious heart problems, blood illnesses, bone marrow problems, hypothyroidism, glaucoma, urinary retention, osteoporosis or taking anti-depressants called monoamine oxidase inhibitors (MAO's) within the last 14 days or taking herbal preparations containing St. John's wort as an antidepressant. Inform the doctor if you have low sodium levels in the blood or take medicines that could lower the blood's sodium levels, or using hormonal contraceptives. Do not stop taking Tegrital CR 400 Divitabs without consulting your doctor to avoid worsening of seizures episodes. Do not take Tegrital CR 400 Divitabs if you are pregnant unless prescribed by the doctor as Tegrital CR 400 Divitabs might cause serious congenital disabilities. It is safe to take Tegrital CR 400 Divitabs while breastfeeding; however, consult your doctor immediately if you think that the baby is having side-effects like excessive sleepiness, skin reactions or yellowing of skin or eyes. Tegrital CR 400 Divitabs causes drowsiness and dizziness, so drive only if you are alert. Tegrital CR 400 Divitabs should not be given to people less than 18 years of age until and unless prescribed by the doctor. Avoid consuming alcohol along with Tegrital CR 400 Divitabs as it could lead to increased dizziness and sleepiness. Consult your doctor immediately if you experience suicidal tendencies or mood swings. 

Drug-Drug Interactions

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CarbamazepineIsocarboxazid
Critical
CarbamazepineArtemether
Critical

Drug-Drug Interactions

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CarbamazepineIsocarboxazid
Critical
How does the drug interact with Tegrital CR 400 Divitabs:
Taking Tegrital CR 400 Divitabs with Isocarboxazid can cause serotonin syndrome(a condition in which a chemical called serotonin builds up in your body).

How to manage the interaction:
Using Tegrital CR 400 Divitabs with Isocarboxazid is not recommended, it can be taken if prescribed by your doctor. However, if you experience symptoms such as confusion, hallucination, seizure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, stomach pain, nausea, vomiting, and diarrhea, consult the doctor. Do not discontinue any medications without consulting a doctor.
CarbamazepineArtemether
Critical
How does the drug interact with Tegrital CR 400 Divitabs:
Using Tegrital CR 400 Divitabs with Artemether may decrease the blood levels of Artemether, which may make Artemether less effective in treating your malaria.

How to manage the interaction:
Taking Tegrital CR 400 Divitabs with Artemether is not recommended, but can be taken if prescribed by the doctor. However, if you experience any unusual symptoms, consult the doctor. Do not discontinue any medications without consulting a doctor.
CarbamazepineMoclobemide
Critical
How does the drug interact with Tegrital CR 400 Divitabs:
Taking Tegrital CR 400 Divitabs with Moclobemide can increase the risk and severity of side effects.

How to manage the interaction:
Using Tegrital CR 400 Divitabs with Moclobemide is not recommended, it can be taken if recommended by a doctor. However, if you experience any unusual symptoms, consult the doctor. Do not discontinue any medications without a doctor's advice.
CarbamazepineSelegiline
Critical
How does the drug interact with Tegrital CR 400 Divitabs:
Taking Tegrital CR 400 Divitabs with Selegiline can cause serotonin syndrome. (Serotonin syndrome is a condition in which a chemical called serotonin builds up in your body).

How to manage the interaction:
Taking Selegiline with Tegrital CR 400 Divitabs is not recommended, but it can be taken if prescribed by your doctor. However, if you experience symptoms such as confusion, hallucination, fits, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, incoordination, stomach pain, nausea, vomiting, and diarrhea, consult the doctor. Do not discontinue any medications without consulting a doctor.
CarbamazepineNimodipine
Critical
How does the drug interact with Tegrital CR 400 Divitabs:
When Nimodipine is taken with Tegrital CR 400 Divitabs, it may decrease the blood levels of Nimodipine, which may make Nimodipine less effective in treating your condition.

How to manage the interaction:
Taking Nimodipine with Tegrital CR 400 Divitabs is not recommended, but it can be taken if prescribed by the doctor. However, if you experience any unusual symptoms, consult the doctor. Do not discontinue any medications without a doctor's advice.
CarbamazepineVoriconazole
Critical
How does the drug interact with Tegrital CR 400 Divitabs:
Using Voriconazole together with Tegrital CR 400 Divitabs may significantly reduce the blood levels of voriconazole.

How to manage the interaction:
Taking Tegrital CR 400 Divitabs with Voriconazole is not recommended, but it can be taken if prescribed by a doctor. However, if you experience any unusual symptoms contact a doctor immediately. Do not stop using any medications without talking to a doctor.
CarbamazepineNefazodone
Critical
How does the drug interact with Tegrital CR 400 Divitabs:
When Nefazodone is taken with Tegrital CR 400 Divitabs, it can effect both the medications. It increases the levels of Tegrital CR 400 Divitabs leading to side effects. At the same time, it may decrease the blood levels of Nefazodone, which may make Nefazodone less effective in treating your condition.

How to manage the interaction:
Taking Nefazodone with Tegrital CR 400 Divitabs is not recommended, but it can be taken if prescribed by the doctor. However, if you experience headache, nausea, vomiting, dizziness, confusion, slurred speech, visual disturbances, shaking, consult the doctor.
CarbamazepineRilpivirine
Critical
How does the drug interact with Tegrital CR 400 Divitabs:
When Rilpivirine is taken with Tegrital CR 400 Divitabs, it may decrease the blood levels of Rilpivirine, which may make Rilpivirine less effective in treating HIV infection.

How to manage the interaction:
Taking Rilpivirine with Tegrital CR 400 Divitabs is generally not advised, but it can be taken if prescribed by the doctor. Without consulting a doctor, never stop taking any drugs.
CarbamazepineRasagiline
Critical
How does the drug interact with Tegrital CR 400 Divitabs:
Taking Rasagiline with Tegrital CR 400 Divitabs can increase the risk of serotonin syndrome (A condition in which a chemical called serotonin increase in your body).

How to manage the interaction:
Taking Rasagiline with Tegrital CR 400 Divitabs is not recommended, it can be taken if your doctor has advised it. If you notice any of these symptoms like confusion, hallucination, fits, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and loose stools, contact a doctor. Do not discontinue any medications without consulting a doctor.
CarbamazepinePhenelzine
Critical
How does the drug interact with Tegrital CR 400 Divitabs:
Taking Tegrital CR 400 Divitabs with Phenelzine may cause serotonin syndrome(a condition in which a chemical called serotonin builds up in your body).

How to manage the interaction:
Taking Tegrital CR 400 Divitabs with Phenelzine is generally not advised, but it can be taken if prescribed by your doctor. However, if you experience symptoms such as confusion, hallucination, seizure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, stomach pain, nausea, vomiting, and diarrhea, consult the doctor. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • A ketogenic diet (low in carbohydrates and high in fats) is recommended for children with epilepsy. This diet helps in utilizing fat instead of glucose for the generation of energy.
  • Atkins diet (high fat and controlled carbohydrates) is recommended for adolescents and adults.
  • Rest well, get plenty of sleep.
  • Avoid smoking and alcohol consumption.
  • Exercise, meditation and yoga can help lower the stress, decrease pain sensitivity and improves coping skills.
  • Prepare your living area; small changes may reduce the risk of physical injury during a seizure.
  • Install an alarm or emergency device to get assistance during a seizure attack.

Side Effects of Tegrital CR 400 Divitabs

  • Dizziness
  • Tiredness
  • Uncontrolled movements
  • Nausea
  • Headache
  • Changes in liver enzymes
  • Low white blood cells count
  • Minor skin reactions

Habit Forming

No

Therapeutic Class

ANTICONVULSANT

Tegrital CR 400 Divitabs Substitute

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Author Details

Santoshini Reddy GDoctor badge

Written By

Santoshini Reddy G

M Pharmacy

Sunny S

Reviewed By

Sunny S

MBBS

Last Updated

Jul 8, 2025 | 9:30 AM IST

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Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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FAQs

Tegrital CR 400 Divitabs decreases the brain's excessive and abnormal nerve activity by blocking sodium currents in your brain and body. This reduces abnormal electrical activity between your nerve cells.

Do not discontinue Tegrital CR 400 Divitabs without consulting your doctor. To treat your condition effectually continue taking Tegrital CR 400 Divitabs for as long as prescribed. Do not be reluctant to speak with your doctor if you feel any difficulty while taking Tegrital CR 400 Divitabs ; your doctor will reduce the dose gradually to avoid worsening of seizures.

Tegrital CR 400 Divitabs may affect the way hormone contraceptives work in your body. This may cause spotting or breakthrough bleeding. Tegrital CR 400 Divitabs may increase the risk of pregnancy as it makes the contraceptive less effective. Talk to your doctor, he/she will discuss the most suitable type of contraception while taking Tegrital CR 400 Divitabs to avoid pregnancy.

Tegrital CR 400 Divitabs may cause weight gain due to an increase in appetite. Maintain a healthy weight by following a healthy diet and exercising regularly.

Use an effective contraception method during the treatment with Tegrital CR 400 Divitabs and 2 weeks after the last dose. Avoid getting pregnant while taking Tegrital CR 400 Divitabs as it could lead to serious congenital disabilities. Do not stop taking Tegrital CR 400 Divitabs without consulting your doctor.

Tegrital CR 400 Divitabs may cause hyponatremia (low sodium levels in the blood). This could lead to confusion, reduced concentration, vision problems, nausea, vomiting or worsening of seizures. Regular monitoring of sodium levels is advised while taking Tegrital CR 400 Divitabs . Consult your doctor if you experience these symptoms.

Dry mouth could be a side-effect of Tegrital CR 400 Divitabs . Limiting caffeine intake, avoiding smoking and mouthwashes containing alcohol, drinking water regularly, and chewing sugar-free gum/candy might stimulate saliva and prevent drying of the mouth.

Drug-Drug Interactions Checker List

  • ARIPIPRAZOLE
  • QUETIAPINE
  • ALPRAZOLAM
  • AMITRIPTYLINE
  • DULOXETINE
  • SERTRALINE
  • FLUOXETINE
  • ERYTHROMYCIN
  • CODEINE
  • OXYCODONE
  • ACETAMINOPHEN
  • TRAMADOL
  • GABAPENTIN
  • LAMOTRIGINE
  • PREGABALIN
  • PHENYTOIN
  • TOPIRAMATE
  • LEVOTHYROXINE SODIUM
  • LITHIUM
  • MELATONIN
  • WARFARIN
  • DIPHENHYDRAMINE
  • CHOLECALCIFEROL

Special Advise

  • Regular monitoring of sodium levels while taking Tegrital CR 400 Divitabs is advised to prevent hyponatremia.
  • Prolonged intake of Tegrital CR 400 Divitabs can cause severe skin reactions called Stevens Johnsons syndrome (SJS) and toxic epidermal necrolysis (TEN). So in case you have any skin blister or rash immediately contact a doctor. 
  • Tegrital CR 400 Divitabs may cause low blood cell count, so if you have any red or purple spots on the body, let your doctor know about this. 

Disease/Condition Glossary

Epilepsy/Seizures: Seizures, also known as fits or convulsions, is a single occurrence of abnormal electrical activity in the brain, whereas epilepsy is a chronic neurological disorder characterised by recurrent seizures. The possible causes of epilepsy include traumatic brain injury, scarring on the brain after a brain injury, high fever, stroke, vascular diseases, lack of oxygen to the brain, brain tumours, and genetic disorders. Symptoms include mood changes, anxiousness, nausea, dizziness, weakness, headache, muscle jerking, spasms, loss of balance, teeth clenching, rapid blinking or eye movements, biting the tongue, confusion, and loss of consciousness.

Trigeminal neuralgia: It is a condition affecting the trigeminal nerve in the face that causes painful sensations similar to electric shock on one side of the face. Symptoms include mild to severe facial pain often triggered by speaking, chewing, or brushing the teeth.

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Alcohol

Unsafe

Avoid consumption of alcohol while taking Tegrital CR 400 Divitabs as it may increase dizziness and sleepiness.

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Pregnancy

Caution

Avoid taking Tegrital CR 400 Divitabs if you are pregnant unless prescribed by a doctor as it could lead to serious birth defects. Please consult your doctor if you have any concerns regarding this, your doctor will prescribe only if the benefits outweigh the risks.

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Breast Feeding

Safe if prescribed

It is safe to take Tegrital CR 400 Divitabs while breastfeeding. However, consult your doctor immediately if you think that the baby is having side-effects like excessive sleepiness, skin reactions or yellowing of skin or eyes.

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Driving

Unsafe

Tegrital CR 400 Divitabs causes drowsiness, sleepiness and tiredness. Do not drive or operate machinery unless you are alert.

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Liver

Caution

Dose adjustment may be needed in patients with liver impairment. Please consult your doctor if you have a liver impairment or any concerns regarding this.

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Kidney

Caution

Dose adjustment may be needed in patients with kidney impairment. Please consult your doctor if you have kidney impairment or any concerns regarding this.

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Children

Safe if prescribed

Tegrital CR 400 Divitabs can be given to children above 6years if prescribed by the doctor. The dose will be adjusted by the doctor depending upon the child's body weight.

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