Tegretol advice and side effects

Question

Asked for Female, 21 Years

I have impaired awareness seizures & take tegretol 200mg morning / 300mg nighttime. 53kg/177cm Titration started Jan 2026. Should nighttime very intense teeth grinding, thrashing, panicky noises (definitely seizure and not parasomnia) be improving by now? Daytime has improved a bit. What is the normal expected timeline? Also have IUD for adenomyosis. IUD controlled pain but now tegretol has caused lots of uterine cramping. What options to manage this or any long term suggestions that helps? Also any quick general advice for someone on tegretol long term? Risks and how to minimize deficiencies? Thank you for your time your advice is greatly appreciated.

Answers (1)

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Dr. Vishnu Raj T Neurologist 10 yrs exp Kollam Consult Now · Accepted Answer

Dr. Vishnu Raj T

Neurologist 10 yrs exp Kollam

Consult Now

Good morning Carbamazepine is one of medicine for impaired awareness seizure,but in your case situation may be different ,it may not be working.Any sleep EEG or video eeg if done wil give a much detailed view .also more detailed clinical history is needed If started from January it is already high time for more relief ,which you are not getting We should discuss further

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