What are the precautions on carbamazepine (Tegretol)?

- Carbamazepine acts by depressing synaptic transmission in the central nervous system (CNS). Because of this, the client should avoid driving or doing other activities that require mental alertness until the effect of the medication on the client is known. The client should use protective clothing and sunscreen to avoid photosensitivity reactions. The medication may cause dry mouth, and the client should be instructed to provide good oral hygiene and use sugarless candy or gum as needed. The medication should not be abruptly discontinued, because this could lead to return of seizures or status epilepticus. Fever and sore throat should be reported to the physician (leukopenia).