Compare Tegretol vs. Vimpat

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

Tegretol
(carbamazepine)

Vimpat
(lacosamide)

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.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.
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Coupons for Tegretol
Best available price for 60 (200mg) tablets of tegretol
Coupons for Vimpat
Best available price for 60 (100mg) tablets of vimpat
Reviews & ratings
Filter group. All currently selected
Filter group. All currently selected
4.48Tegretol
Reviews for Tegretol
56%
of people (All ages) say Tegretol is worth it
43%
say it works well
23%
say it's a big hassle
Have you used Tegretol (carbamazepine)?
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Have you used Vimpat (lacosamide)?
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Side effects
TegretolVimpat
  • Dizziness 32%
  • Drowsiness 19%
  • Nausea 18%
  • Vomiting 15%
  • Lack of muscle coordination 15%
  • Constipation 5%
  • Itching 6%
  • Dry mouth 5%
  • Muscle weakness 4%
  • Rash 3%
More Tegretol side effects »
  • Dizziness 43%
  • Sleepiness 26%
  • Nausea 14%
  • Headache 4%
  • Fatigue 12%
  • Double vision 9%
  • Vomiting 6%
More Vimpat side effects »
How it works
TegretolVimpat
Tegretol (Carbamazepine) is an antiepileptic. Researchers don't know exactly how it works, but it seems to block certain kinds of nerve activity to reduce seizures and pain.Vimpat (lacosamide) is an amino acid. While it's not clear exactly how Vimpat (lacosamide) controls seizures, it helps to stabilize nerve cells. Seizures are caused by nerves that are too active.
Type of medication
TegretolVimpat
Prescription onlyPrescription only
Available as
TegretolVimpat
  • Pill
  • Extended release
  • Chewable tablet
  • Oral suspension
  • Pill
  • Liquid
  • Injection
Used for
TegretolVimpat
Risk factors for serious side effects
TegretolVimpat
  • People also taking Depakote
  • Asian ancestry
  • History of depression
  • European, Chinese, or Japanese ancestry
  • Age 65 years or older
Detailed Tegretol (carbamazepine) risks & warnings »
  • Taking other medicines to control seizures
  • History of problems with the heartbeat
  • Heart attack
  • Heart failure
Detailed Vimpat (lacosamide) risks & warnings »
Pregnancy

Research studies with real people found harmful effects on unborn babies, but the benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

Interactions
TegretolVimpat
  • Interacts with many other medicines and supplements.
No interactions related info.
Food
TegretolVimpat
No food related info.
  • You can take Vimpat (lacosamide) with or without food.
Upsides and benefits
TegretolVimpat
  • 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 and risks
TegretolVimpat
  • 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.
Tips from our pharmacists for people taking the medication
TegretolVimpat
  • For the first week, avoid activities that require you to be alert.
  • Report skin rashes or blistering immediately.
  • Don't use if pregnant.
  • Requires routine blood tests.
  • Report confusion, persistent abdominal pain, yellowing of eyes/skin, or easy bruising to your doctor.
  • Takes up to 5 weeks to feel full effects on mood.
  • Vimpat (lacosamide) should be kept in your pantry, not the fridge. Throw out any unused liquid after the bottle has been opened for 7 weeks.
  • Vimpat (lacosamide) can make you feel sleepy the first few days you take it. Be careful driving or doing anything requiring concentration until you know how it affects you.
  • Don't stop taking Vimpat (lacosamide) without talking to your doctor first. Your seizures might come back if you stop it suddenly.
  • Take Vimpat (lacosamide) exactly how your doctor and pharmacist tell you. If you forget a dose, take it as soon as you remember unless it's time for your next dose, then skip it. Don't double up to make up for the missed medicine.
  • You can take Vimpat (lacosamide) with or without food.
  • Vimpat (lacosamide) is only used to treat partial-onset or focal seizures. It won't work for other types of seizures.
Learn more
More about TegretolSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Tegretol (carbamazepine)?
Worth itNot sureNot worth it
More about VimpatSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Vimpat (lacosamide)?
Worth itNot sureNot worth it