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Agents that may decrease carbamazepine plasma levels The dose of TEGRETOL may consequently have to be adjusted when used concomitantly with the substances described below: Antiepileptics: felbamate (might decrease the carbamazepine serum concentration associated with an increase in carbamazepine epoxide levels, and might decrease the serum felbamate levels), methsuximide, oxcarbazepine, phenobarbital, phensuximide, phenytoin (to avoid tegretol for nerve pain tegretol 400 mg tablets tegretol syrup tegretol antidepressant epilepsy phenytoin intoxication and subtherapeutic concentrations of carbamazepine, it is recommended to monitor the plasma concentration of both drugs during titration (see also Effects of TEGRETOL on Plasma Levels of Concomitant Agents)) and fosphenytoin, primidone, progabide, and possibly by clonazepam, valproic acid or valpromide .
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