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Because of the relationship of the drug to other tricyclic compoundsthe possibility of activation of a latent psychosis andin elderly patientsof confusion or agitation should be borne in mind.
Since a given dose of Tegretol suspension will produce higher peak levels than the same dose given as the tabletit is recommended that patients given the suspension be started on lower doses and increased slowly to avoid unwanted side effectssee DOSAGE AND ADMINISTRATION
Hyponatremia can occur as a result of treatment with TegretolIn many casesthe hyponatremia appears to be caused by the syndrome of inappropriate antidiuretic hormone secretionSIADHThe risk of developing SIADH with Tegretol treatment appears to be dose-relatedElderly patients and patients treated with diuretics are at greater risk of developing hyponatremiaConsider discontinuing Tegretol in patients with symptomatic hyponatremiaSigns and symptoms of hyponatremia include headachenew or increased seizure frequencydifficulty concentratingmemory impairmentconfusionweaknessand unsteadinesswhich can lead to fallsConsider discontinuing Tegretol in patients with symptomatic hyponatremia.
Call your healthcare provider between visits as neededespecially if you are worried about symptoms.
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