Compare Tegretol vs. Vimpat

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Tegretol (Carbamazepine)

Prescription only

Vimpat (lacosamide)

Prescription only
Prevents seizures, stabilizes mood, and relieves nerve pain.

Tegretol (Carbamazepine) is useful for preventing seizures and relieving certain types of nerve pain, but interacts with many drugs.

4.5/ 7 average rating with 61 reviewsforTegretol
Controls partial seizures.

Vimpat (lacosamide) is considered a first choice medicine to control partial seizures, but it can be expensive since it's brand name.

Upsides
  • Lowers the frequency of seizures, especially for people with tonic-clonic and partial seizures.
  • First-line option for trigeminal neuralgia (nerve pain involving the face, head, and neck), and can relieve other types of nerve pain.
  • May be helpful in stabilizing mood for people with bipolar disorder.
  • Vimpat (lacosamide) is part of the first choice medicines to control partial seizures.
  • Available in pills or liquid to use at home, and as an injectable in the hospital.
  • Can be used by itself or with other medicines to control seizures.
  • There are programs available through the manufacturer that can lower your copay.
Downsides
  • Interacts with many other medicines and supplements.
  • Higher risk of skin reactions compared to other antiepileptic medicines, ranging from mild to life-threatening rash.
  • Can cause blurry vision, dizziness, and upset stomach.
  • Not safe to use if you're pregnant.
  • Requires routine blood tests to see how the medicine is affecting your body.
  • Only available as a brand name, so it can have a higher copay.
  • There are other medicines similar to Vimpat (lacosamide) that are available as generic and are much cheaper.
  • Vimpat (lacosamide) only works for partial seizures. It can't be used to treat other types of seizures.
  • Vimpat (lacosamide) Is a controlled medicine, so you can only get a limited amount per month.
Used for
Dosage forms
  • Pill
  • Extended release
  • Chewable tablet
  • Oral suspension
  • Pill
  • Liquid
  • Injection
Price
Lowest price near you
$32
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Lowest price near you
$779.18
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Reviews
61 
56%
think this treatment is worth it
43%
think this treatment works well
23%
think this treatment is a hassle

Have you used Tegretol (Carbamazepine)?

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Side effects
10possible side effects
  • Dizziness
    44%
  • Somnolence
    32%
  • Nausea
    28%
  • Vomiting
    18%
  • Ataxia
    15%
  • Constipation
    10%
  • Pruritus
    8%
  • Dry Mouth
    8%
  • Asthenia
    8%
  • Rash
    7%
See more detailed side effects
The Vimpat (lacosamide) FDA package insert doesn’t have numbers about how common side effects are.
Risks and warnings
  • Serious skin rash

    People also taking Depakote

    ...and 1 more risk factors

  • Suicidal thoughts or behavior

    History of depression

  • Serious allergic reactions

    European, Chinese, or Japanese ancestry

  • Mental changes due to low sodium

    Age 65 years or older

  • Withdrawal seizures

    Stopping Tegretol (Carbamazepine) suddenly

See more detailed risks and warnings
  • Suicidal behavior

    Taking other medicines to control seizures

  • Dizziness and difficulty controlling movements

    Taking other medicines to control seizures

  • Problems with the heartbeat

    History of problems with the heartbeat

    ...and 3 more risk factors

  • Fainting

    Taking high doses of Vimpat (lacosamide)

    ...and 2 more risk factors

  • Withdrawal seizures

    Stopping Vimpat (lacosamide) suddenly

See more detailed risks and warnings