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carBAMazepine

carBAMazepine

Brand names: TEGretol, TEGretol XR

Form	Strength
TABLET, CHEWABLE, ORAL	100 mg
TABLET, EXTENDED RELEASE, ORAL	100 mg; 200 mg

Display Anticonvulsants, Miscellaneous Class: 281292

Medication comments:

USP <800> Hazardous Drug Assessment of Risk (AOR)
Per policy, these drugs are exempt from USP <800> handling requirements under normal circumstances. The following outlines must be followed.
generic (Brand) Route [Packaging: Manufacturer ⇒ Dispense]		NIOSH Group
carBAMazepine (Carbatrol, TEGretol) PO [Bulk ⇒ Packager]		Non - Antineoplastic
Pharmacy: Receiving / Storage / Preparation Exposure Risk: low	• Handling/preparation PPE Requirements: Single CX glove and gown
	• Receiving from Distributor: Standard
	• Pharmacy Storage Area: Carousel
	• Packaging/Reconstitution Location: Repacking area
	• Compounding (Non-Sterile/Sterile) Location: n/a
	• Omnicell Load: No
Transport	• Transport (dose is placed inside a plastic sealable bag): Standard
Nursing: Storage / Admin. Exposure Risk: low	• Handling/administration PPE Requirements: PO- Single CX gloves , tube- double CX gloves and gown , wash hands after handling
	• Storage of Finished dose in Nursing Area/Procedural Area: Patient Med Drawer
	• Signage on Patient Door Required: No
	• Manipulation of Dosage Form: Standard
	• Special Manipulation for Administration: n/a
Disposal / Spills	• Disposal of Drug Waste: Full- blue bin , trace/packaging- trash
	• Disposol of Used PPE: trash bin (inside plastic bag)
	• Spill management: n/a
NIOSH Supplemental Information: BBW for aplastic anemia, congenital malformations in offspring of mothers who took drug, rapid trans placental passage
Reason for exemption of USP<800> Containment Requirements: Minimal manipulation for dispensing. Does not require additional manipulation for administering. Risk associated when ingested.

Enteral Drug Administration notes.
Generic (Brand)	Comments and Considerations	Recommendations for Administration with Enteral Nutrition
carBAMazepine (Carbatrol, TEGretol)	Decreases absorption as adheres to tube, dilute with equal volume water, contains sorbitol	Suggest that total daily dose should be divided into 4 equal doses of carBAMazepine suspension. Dilute suspension with equal amounts of diluent. Monitor levels, jejunal administration may be less effective.

Last updated: Apr. 4, 2024

Hazard.Drug Handling(USP 800) USP<800> Hazardous Drug / Assessment of Risk
Black Box Warnings Hematological Risk; Serious Dermatologic Reactions
Look-Alike/Sound-Alike carBAMazepine confused with OXcarbazepine

Pharmacy Contact Info:

Main Inpatient Pharmacy: ext 4599, 3503
Fax: 704-878-7283

Director of Pharmacy - Randi Raynor, PharmD: ext 4501
Clinical Coordinator - Laura Rollings, PharmD: ext 4597
Pharmacy Informaticist - Stephen Pringle, PharmD: ext 7645
Pharmacy Technician Supervisor - Amy Wingler, CPhT: ext 7385
Pharmacy Automation Coordinator (Omnicell) - Melissa Fulford, CPhT: ext 3556

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