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Re: Jay, easy to convert over to Trileptal right? qbsbrown

Posted by yxibow on August 15, 2009, at 22:37:27

In reply to Jay, easy to convert over to Trileptal right?, posted by qbsbrown on August 15, 2009, at 14:22:21

> I read that 200mgs tegretol is simply 300mgs trileptal, and that you can switch them out easily, correct?

That depends on the individual and the opinion of your doctor, whether he/she thinks a crosstaper or a direct replacement is wise.

Also bioequivalency is fairly likely always going to be more of an art than a science so its not necessarily equal for everyone.

But I don't think its an agent notorious for switchout problems.

> I'm dosing the tegretol 4 times a day, but even when on trileptal, i needed to dose that often.
>
> Is it easy to switch over?
>
> Regards,
>
> Brian
>
> PS- the tegretol poses many health side effects correct? I am having some bad tachycardia, and heart beating pretty bad. I had a surgery for arrythmia tachycardia, and I don't really wanna mess with that huh?


Tegretol has a non zero possibility of agranulocytosis (low white blood cell count), as well as a whole host of things.


It is theoretically possible that the oxygen molecule attached to Trileptal that Tegretol doesn't have may contribute to avoiding this problem.


No, you don't want to mess with tachycardia if you've had heart surgery for sure -- if that is the case though, Brian, you should really have regular EKGs to check up on all your medications.

Arrhythmias are actually fairly common, people can be walking around not knowing. Did you have some sort of ablation surgery ?

Tachycardia though is defined as a consistent pulse over 100, and the arrythmias would be variations in beats.

In that case, I would, if you don't already have one, get a decent cuff measure from a pharmacy to take your blood pressure / pulse every so often, randomly. I assume, I hope that the doctor involved has told you this.

-- Jay

 

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