Drug profile
Carbamazepine
Adult, child, renal, hepatic, pregnancy and breastfeeding information, with the source named on every line.
DRUG INFORMATION
ADULT
- Epilepsy ( SEE INDICATIONS AND USAGE ) Adults and children over 12 years of age-
Initial: Either 200 mg twice a day for tablets and extended-release tablets, or 1
teaspoon four times a day for suspension (400 mg/day).
Source: US FDA label for carbamazepine (Carbamazepine), section 'dosage and
administration', retrieved 2026-08-29
- Increase at weekly intervals by adding up to 200 mg/day using a twice a day
regimen of carbamazepine extended-release tablets or a three times a day or four
times a day regimen of the other formulations until the optimal response is
obtained.
Source: US FDA label for carbamazepine (Carbamazepine), section 'dosage and
administration', retrieved 2026-08-29
- Doses up to 1600 mg daily have been used in adults in rare instances.
Source: US FDA label for carbamazepine (Carbamazepine), section 'dosage and
administration', retrieved 2026-08-29
CHILD
- (SEE TABLE BELOW) Carbamazepine suspension in combination with liquid
chlorpromazine or thioridazine results in precipitate formation, and, in the case
of chlorpromazine, there has been a report of a patient passing an orange rubbery
precipitate in the stool following coadministration of the two drugs (see
PRECAUTIONS, Drug Interactions ).
Source: US FDA label for carbamazepine (Carbamazepine), section 'dosage and
administration', retrieved 2026-08-29
- Epilepsy ( SEE INDICATIONS AND USAGE ) Adults and children over 12 years of age-
Initial: Either 200 mg twice a day for tablets and extended-release tablets, or 1
teaspoon four times a day for suspension (400 mg/day).
Source: US FDA label for carbamazepine (Carbamazepine), section 'dosage and
administration', retrieved 2026-08-29
- Dosage generally should not exceed 1000 mg daily in children 12 years to 15 years
of age, and 1200 mg daily in patients above 15 years of age.
Source: US FDA label for carbamazepine (Carbamazepine), section 'dosage and
administration', retrieved 2026-08-29
RENAL IMPAIRMENT
- No kidney-impairment dose in this label. Not a statement that none is needed.
Source: Read and found silent: the US FDA label for carbamazepine (Carbamazepine),
retrieved 2026-08-29
HEPATIC IMPAIRMENT
- No liver-impairment dose in this label. Not a statement that none is needed.
Source: Read and found silent: the US FDA label for carbamazepine (Carbamazepine),
retrieved 2026-08-29
PREGNANCY
- Nothing on pregnancy in this label. Treat as unknown, not as safe.
Source: Read and found silent: the US FDA label for carbamazepine (Carbamazepine),
retrieved 2026-08-29
BREASTFEEDING
- Carbamazepine and its epoxide metabolite are transferred to breast milk.
Source: US FDA label for carbamazepine (Carbamazepine), section 'nursing mothers',
retrieved 2026-08-29
- The ratio of the concentration in breast milk to that in maternal plasma is about
0.4 for carbamazepine and about 0.5 for the epoxide.
Source: US FDA label for carbamazepine (Carbamazepine), section 'nursing mothers',
retrieved 2026-08-29
- The estimated doses given to the newborn during breastfeeding are in the range of
2 mg to 5 mg daily for carbamazepine and 1 mg to 2 mg daily for the epoxide.
Source: US FDA label for carbamazepine (Carbamazepine), section 'nursing mothers',
retrieved 2026-08-29