Prescription onlyLower-cost generic availableClass: Neurology

Tegretol Alternatives

(Carbamazepine)

Prescription onlyLower-cost generic availableClass: Neurology
Back to: Full Site Navigation

Compare Tegretol (Carbamazepine) to alternatives

These medications are comparable to Tegretol (Carbamazepine) or used for similar purposes.

Tegretol
(Carbamazepine)

Lamictal
(Lamotrigine)

Qudexy Xr
(Topiramate)

Neurontin
(Gabapentin)

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.Prevents seizures and stabilizes mood. Lamictal (Lamotrigine) is most useful for treating severe seizure disorders, and for bipolar disorder with more depression symptoms than manic symptoms. Just be careful to increase your dose slowly to avoid skin rash.Prevents seizures and migraine headaches. Qudexy Xr (Topiramate) is useful for preventing seizures and migraines, and doesn't require blood tests while you're on it.Treats tingling and burning nerve pain. Neurontin (Gabapentin) is an old seizure disorder medicine that's now used to treat nerve-related pain caused by different conditions.
Find lowest prices
Powered by GoodRxSave on your next prescription. Be sure you’re getting the lowest price for your medication, even if you have insurance.
No pricing data for this drug at this filter setting. Try searching onGoodRx
No pricing data for this drug at this filter setting. Try searching onGoodRx
No pricing data for this drug at this filter setting. Try searching onGoodRx
Reviews & ratings
Filter group. All currently selected
Filter group. All currently selected
4.48Tegretol
Reviews for Tegretol (Carbamazepine)
56%
of people (All ages) say Tegretol (Carbamazepine) is worth it
43%
say it works well
23%
say it's a big hassle
Have you used Tegretol (Carbamazepine)?
Worth itNot sureNot worth it
Reviews for Lamictal (Lamotrigine)
66%
+10% better vs. Tegretol (Carbamazepine)
58%
+15% better vs. Tegretol (Carbamazepine)
18%
+5% better vs. Tegretol (Carbamazepine)
184 reviews
Have you used Lamictal (Lamotrigine)?
Worth itNot sureNot worth it
Reviews for Qudexy Xr (Topiramate)
52%
-4% worse vs. Tegretol (Carbamazepine)
50%
+7% better vs. Tegretol (Carbamazepine)
36%
-13% worse vs. Tegretol (Carbamazepine)
Have you used Qudexy Xr (Topiramate)?
Worth itNot sureNot worth it
Reviews for Neurontin (Gabapentin)
57%
+1% better vs. Tegretol (Carbamazepine)
40%
-3% worse vs. Tegretol (Carbamazepine)
19%
+4% better vs. Tegretol (Carbamazepine)
620 reviews
Have you used Neurontin (Gabapentin)?
Worth itNot sureNot worth it
Side effects
TegretolLamictalTopamaxNeurontin
  • 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 25%
  • Headache 9%
  • Double vision 21%
  • Lack of muscle coordination 16%
  • Nausea 9%
  • Blurred vision 11%
  • Inflammation inside the nose 5%
  • Drowsiness 7%
  • Sore throat 1%
  • Rash 5%
More Lamictal side effects »
  • Ear, nose, or throat infection 16%
  • Diarrhea 8%
  • Weight decrease 7%
  • Difficulty with concentration/attention 7%
  • Inflammation inside the nose 5%
  • Tingling sensation 3%
  • Infection 3%
  • Infection viral 3%
  • Rash 3%
  • Fatigue 17%
More Topamax side effects »
  • Dizziness 21%
  • Drowsiness 16%
  • Leg or ankle swelling 6%
  • Muscle weakness 1%
  • Diarrhea 2%
  • Infection 2%
  • Dry mouth 3%
  • Constipation 2%
  • Accidental injury 2%
  • Vomiting 2%
More Neurontin side effects »
How it works
TegretolLamictalTopamaxNeurontin
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.Lamictal (Lamotrigine) is an antiepileptic. Researchers don't know exactly how it works, but it seems to calm nerve activity in the brain.Qudexy Xr (Topiramate) is an antiepileptic. Researchers don't know exactly how it works, but it seems to affect multiple parts of the brain to control seizures and migraines.Neurontin (Gabapentin) is an antiepileptic and nerve pain reliever. Researchers don't know exactly how it works, but it has a similar structure to GABA, a neurotransmitter that calms nerves in the brain and spinal cord.
Type of medication
TegretolLamictalTopamaxNeurontin
Prescription only
Prescription only
Prescription only
Prescription only
Available as
TegretolLamictalTopamaxNeurontin
  • Pill
  • Extended release
  • Chewable tablet
  • Oral suspension
  • Pill
  • Extended release
  • Chewable tablet
  • Dissolving tablet
  • Pill
  • Extended release capsule
  • Pill
  • Oral solution
Used for
TegretolLamictalTopamaxNeurontin
Risk factors for serious side effects
TegretolLamictalTopamaxNeurontin
  • People also taking Depakote
  • Asian ancestry
    • History of depression
    • European, Chinese, or Japanese ancestry
      • Age 65 years or older
      • Stopping Tegretol (Carbamazepine) suddenly
      Detailed Tegretol (Carbamazepine) risks & warnings »
      • History of depression
      • People also taking Depakote
      • Taking more than the prescribed dose
      • Increasing the dose too quickly
            • Taking birth control pills
            • Stopping Lamictal (Lamotrigine) suddenly
            Detailed Lamictal (Lamotrigine) risks & warnings »
            • History of depression
              • Children
              • History of metabolic disorders
              • People also taking Depakote
              • Low-carb diet
              • Dehydration
              • Drug interactions
                • Stopping Qudexy Xr (Topiramate) suddenly
                Detailed Qudexy Xr (Topiramate) risks & warnings »
                  • Children ages 3 to 12
                    • Taking with alcohol or drugs
                    • Stopping Neurontin (Gabapentin) suddenly
                    Detailed Neurontin (Gabapentin) 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.

                    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
                    TegretolLamictalTopamaxNeurontin
                    • Interacts with many other medicines and supplements.
                    No interactions related info.No interactions related info.No interactions related info.
                    Food
                    TegretolLamictalTopamaxNeurontin
                    No food related info.
                    • Take with food to avoid upset stomach.
                    No food related info.
                    • Take the extended-release tablet with food.
                    Kidneys and liver
                    TegretolLamictalTopamaxNeurontin
                    No kidneys and liver related info.No kidneys and liver related info.
                    • A few people will get kidney stones.
                    • Qudexy Xr (Topiramate) may increase your risk for kidney stones. Stay well-hydrated to lower your risk.
                    No kidneys and liver related info.
                    Pain
                    TegretolLamictalTopamaxNeurontin
                    No pain related info.No pain related info.No pain related info.
                    • Studies show it's most effective for nerve pain from diabetes, shingles, and fibromyalgia (a painful muscle condition).
                    Sleep
                    TegretolLamictalTopamaxNeurontin
                    No sleep related info.No sleep related info.No sleep related info.
                    • Neurontin (Gabapentin) is likely to cause some side effects, including memory problems, drowsiness, dizziness, or confusion.
                    Weight
                    TegretolLamictalTopamaxNeurontin
                    No weight related info.No weight related info.
                    • Can cause sleepiness, speech problems, tingling sensations, and weight loss.
                    No weight related info.
                    Upsides and benefits
                    TegretolLamictalTopamaxNeurontin
                    • 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.
                    • Effective at lowering the frequency of seizures in people with epilepsy or Lennox-Gestaut syndrome. Typically used together with other medications for severe seizure disorders.
                    • Works best for partial, tonic-clonic, and absence seizures.
                    • A first-line treatment for bipolar disorder. Effective long-term treatment for stabilizing mood. Prevents both depressive and manic episodes, but the effect is greater for preventing depression.
                    • Doesn't require routine blood tests.
                    • Used on its own or with other antiepileptic medicines to lower the frequency of seizures, especially for people with tonic-clonic or partial seizures, or Lennox-Gestaut syndrome.
                    • Helpful in preventing frequent migraine headaches.
                    • Doesn't need routine blood tests.
                    • Originally used to treat epilepsy (partial seizures), but now it primarily treats neuropathic pain that's caused by nerve stimulation or damage.
                    • Studies show it's most effective for nerve pain from diabetes, shingles, and fibromyalgia (a painful muscle condition).
                    • It's available as a generic, so it's less expensive than similar medications.
                    Downsides and risks
                    TegretolLamictalTopamaxNeurontin
                    • 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.
                    • Can cause double vision, dizziness, sleepiness, and headache.
                    • Has the risk of a rare but life-threatening rash.
                    • Can make hormonal birth control less effective.
                    • Might be less effective than other medicines for treating manic episodes (acute mania) in people with bipolar disorder.
                    • Can cause sleepiness, speech problems, tingling sensations, and weight loss.
                    • A few people will get kidney stones.
                    • Not safe to use if you're pregnant.
                    • Neurontin (Gabapentin) is likely to cause some side effects, including memory problems, drowsiness, dizziness, or confusion.
                    • You can't skip or miss doses since suddenly stopping Neurontin (Gabapentin) can cause seizures. This is even more likely if you drink alcohol, so it might not be the best medication for heavy drinkers.
                    Tips from our pharmacists for people taking the medication
                    TegretolLamictalTopamaxNeurontin
                    • 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.
                    • Follow dose adjustments set by your doctor to minimize skin rash.
                    • Take with food to avoid upset stomach.
                    • Report rash, blurry vision, fever, persistent headache, or neck stiffness to your doctor.
                    • Makes hormonal birth control less effective.
                    • Takes 4 to 6 weeks to feel full effects on mood.
                    • For the first week, avoid activities that require you to be alert.
                    • Don't use if pregnant.
                    • Can cause tingling skin sensations and reduced appetite.
                    • Report any confusion, decreased sweating, fever, or changes in behavior or vision.
                    • Takes 3 to 4 weeks to feel full effects on mood.
                    • Side effects are common, but usually manageable.
                    • Don't drive while taking Neurontin (Gabapentin) until you know how the medication affects you.
                    • Neurontin and generic forms of Gabapentin have the same ingredients as Gralise and Horizant, but are dosed differently. Make sure you know which form you're taking since they are used for different purposes.
                    • Take the extended-release tablet with food.
                    • Stop taking Neurontin (Gabapentin) slowly over at least one week to avoid getting withdrawal symptoms.
                    Learn more
                    More about TegretolSide effectsReviews & ratingsAlternativesFDA package insert
                    Have you used Tegretol (Carbamazepine)?
                    Worth itNot sureNot worth it
                    More about LamictalSide effectsReviews & ratingsFDA package insert
                    Have you used Lamictal (Lamotrigine)?
                    Worth itNot sureNot worth it
                    More about TopamaxSide effectsReviews & ratingsFDA package insert
                    Have you used Qudexy Xr (Topiramate)?
                    Worth itNot sureNot worth it
                    More about NeurontinSide effectsReviews & ratingsFDA package insert
                    Have you used Neurontin (Gabapentin)?
                    Worth itNot sureNot worth it