Prescription onlyLower-cost generic available

Tegretol Alternatives

(Carbamazepine)

  • Pill
  • Extended release
  • Chewable tablet
  • Oral suspension
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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.
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Reviews & ratings
Button Group. All currently active
Button Group. All currently active
4.5576923076923075Tegretol
Reviews for Tegretol (Carbamazepine)
58%
of people say Tegretol (Carbamazepine) is worth it
42%
say it works well
21%
say it's a big hassle
Reviews for Lamictal (Lamotrigine)
67%
+9% vs. Tegretol (Carbamazepine)
58%
+16% vs. Tegretol (Carbamazepine)
19%
+2% vs. Tegretol (Carbamazepine)
Reviews for Qudexy Xr (Topiramate)
54%
4% vs. Tegretol (Carbamazepine)
52%
+10% vs. Tegretol (Carbamazepine)
33%
12% vs. Tegretol (Carbamazepine)
Reviews for Neurontin (Gabapentin)
57%
1% vs. Tegretol (Carbamazepine)
39%
3% vs. Tegretol (Carbamazepine)
19%
+2% vs. Tegretol (Carbamazepine)
Side effects
TegretolLamictalTopamaxNeurontin
  • Dizziness 32%
  • Drowsiness 19%
  • Nausea 19%
  • Vomiting 15%
  • Itching 6%
  • Constipation 5%
  • Dry mouth 5%
  • Muscle weakness 4%
  • Blurred vision 4%
  • Rash 3%
More Tegretol side effects »
  • Double vision 41%
  • Dizziness 27%
  • Lack of muscle coordination 18%
  • Blurred vision 15%
  • Nausea 14%
  • Vomiting 14%
  • Headache 10%
  • Inflammation inside the nose 5%
  • Sleep difficulty 4%
  • Incoordination 4%
More Lamictal side effects »
  • Tingling sensation 45%
  • Slowed-down thinking and movements 19%
  • Dizziness 17%
  • Drowsiness 17%
  • Fatigue 17%
  • Change in taste 14%
  • Difficulty with concentration/attention 13%
  • Nervousness 12%
  • Difficulty with memory 11%
  • Vision abnormal 11%
More Topamax side effects »
  • Dizziness 21%
  • Drowsiness 16%
  • Lack of muscle coordination 7%
  • Leg or ankle swelling 6%
  • Fatigue 6%
  • Hostility 5%
  • Involuntary eye movement 4%
  • Double vision 4%
  • Tremor 4%
  • Dry mouth 4%
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
AnticonvulsantPrescription only
AnticonvulsantPrescription only
AnticonvulsantPrescription only
Anticonvulsant
GABA analog
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 (click to learn more)
TegretolLamictalTopamaxNeurontin
How well it works for depression
The free Iodine Start program helps people track how well they are improving, and find the right antidepressant faster.
The free Iodine Start program (personal reports and coaching) is currently only for antidepressants. For now, you can read our pharmacist info about this medication.Learn more about Tegretol (Carbamazepine)The free Iodine Start program (personal reports and coaching) is currently only for antidepressants. For now, you can read our pharmacist info about this medication.Learn more about Lamictal (Lamotrigine)The free Iodine Start program (personal reports and coaching) is currently only for antidepressants. For now, you can read our pharmacist info about this medication.Learn more about Qudexy Xr (Topiramate)The free Iodine Start program (personal reports and coaching) is currently only for antidepressants. For now, you can read our pharmacist info about this medication.Learn more about Neurontin (Gabapentin)
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 »
      Coming soon.Coming soon.Coming soon.
      Pregnancy category
      TegretolLamictalTopamaxNeurontin
      DFDA pregnancy category (Weigh risks vs. benefits)

      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.

      See the FDA package insert
      CFDA pregnancy category (Weigh risks vs. benefits)

      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.

      See the FDA package insert
      DFDA pregnancy category (Weigh risks vs. benefits)

      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.

      See the FDA package insert
      CFDA pregnancy category (Weigh risks vs. benefits)

      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.

      See the FDA package insert
      Alcohol
      No specific alcohol-related info.No specific alcohol-related info.No specific alcohol-related info.
      • 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.
      Food
      No specific food-related info.
      • Take with food to avoid upset stomach.
      No specific food-related info.
      • Take the extended-release tablet with food.
      Kidneys and liver
      No specific kidneys and liver-related info.No specific kidneys and liver-related info.
      • A few people will get kidney stones.
      No specific kidneys and liver-related info.
      Sex
      No specific sex-related info.No specific sex-related info.No specific sex-related info.No specific sex-related info.
      Sleep
      No specific sleep-related info.No specific sleep-related info.No specific sleep-related info.
      • Neurontin (Gabapentin) is likely to cause some side effects, including memory problems, drowsiness, dizziness, or confusion.
      Weight
      No specific weight-related info.No specific weight-related info.
      • Can cause sleepiness, speech problems, tingling sensations, and weight loss.
      No specific 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.
      • Requires routine blood tests to see how the medicine is affecting your body.
      • Not safe to use if you're pregnant.
      • 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
      • Report skin rashes or blistering immediately.
      • 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.
      • For the first week, avoid activities that require you to be alert.
      • Don't use if pregnant.
      • 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.
      • 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.
      • For the first week, avoid activities that require you to be alert.
      • Don't use if pregnant.
      • 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
      More about LamictalSide effectsReviews & ratingsFDA package insert
      More about TopamaxSide effectsReviews & ratingsFDA package insert
      More about NeurontinSide effectsReviews & ratingsFDA package insert