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Carbamazepine 250 mg Rectal Suppository

FDA-approved generic
Dose form
Suppository
Active ingredients
Carbamazepine

The Carbamazepine 250 mg Rectal Suppository is a solid dosage form specifically designed for insertion into the rectum. Upon insertion, the suppository dissolves or melts, releasing the active ingredient, Carbamazepine, for local or systemic absorption. Carbamazepine is a medication primarily used to treat and manage various disease states including epilepsy, trigeminal neuralgia, and bipolar disorder. This rectal suppository formulation provides an alternative route of administration for patients who may have difficulty swallowing or for those who require immediate relief from symptoms.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Ships within 1 to 2 business days after pharmacist verification
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Carbamazepine
Suppository
65383794da353bc4ac7c7b5b
Service area

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Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Carbamazepine 250 mg Rectal Suppository is a specialized formulation designed for rectal administration. This solid dosage form is inserted into the rectum, where it dissolves or melts to release the medication. The active ingredient, Carbamazepine, is then absorbed locally or systemically to exert its therapeutic effects.

Carbamazepine is an anticonvulsant and mood-stabilizing drug used primarily in the treatment of epilepsy and bipolar disorder. It is also used to treat trigeminal neuralgia, a condition that causes severe facial pain. The rectal suppository form of Carbamazepine provides an alternative route of administration for patients who may have difficulty swallowing tablets or capsules, or for those who require a more rapid onset of action.

The rectal route of administration bypasses the first-pass metabolism in the liver, which can lead to a more rapid and complete absorption of the drug. This can be particularly beneficial in emergency situations where rapid seizure control is needed, or in patients with refractory epilepsy who do not respond well to oral medications.

As with all medications, Carbamazepine Rectal Suppositories should be used under the supervision of a healthcare provider. Potential side effects include dizziness, drowsiness, unsteadiness, nausea, and vomiting. Serious side effects, although rare, can include skin rashes, blood disorders, and liver problems. Regular monitoring of blood levels and liver function is recommended during treatment with Carbamazepine.

It's important to note that Carbamazepine can interact with many other medications, potentially altering their effectiveness or increasing side effects. Therefore, patients should inform their healthcare provider of all medications they are currently taking, including prescription drugs, over-the-counter medications, and dietary supplements.

If you have any questions about Carbamazepine 250 mg Rectal Suppositories or any other aspect of your medication regimen, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you.

Drug Interactions

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Carbamazepine is an anticonvulsant medication that is used to control seizures and nerve pain such as trigeminal neuralgia and diabetic neuropathy. It is also used to treat bipolar disorder. This particular formulation is a rectal suppository, which is designed to be inserted into the rectum where it dissolves or melts to release the medication.

It's important to be aware of potential drug interactions when using carbamazepine. This medication can interact with a number of other drugs, potentially altering their effects or increasing side effects. Some of the most significant interactions include:

1. Other seizure medications: Using carbamazepine with other drugs that can cause seizures can increase your risk of seizures. This includes certain antidepressants, antipsychotics, and other anticonvulsants.

2. Warfarin and other blood thinners: Carbamazepine can decrease the effectiveness of these medications, increasing the risk of blood clots.

3. Certain antibiotics and antifungal medications: These can increase the level of carbamazepine in your body, leading to more side effects.

4. Grapefruit and grapefruit juice: These can increase the level of carbamazepine in your body, leading to more side effects.

5. Hormonal contraceptives: Carbamazepine can decrease the effectiveness of these medications, increasing the risk of unintended pregnancy.

6. Certain HIV medications: These can either increase or decrease the levels of carbamazepine in your body, potentially leading to more side effects or decreased effectiveness.

It's important to tell your doctor about all the medications you're currently taking, including over-the-counter drugs, vitamins, and herbal supplements. Also, never start a new medication without first discussing it with your healthcare provider.

Remember, this is not a complete list of all possible drug interactions. Always consult with your healthcare provider or pharmacist for advice about your specific situation. If you have any questions about carbamazepine or its potential interactions, don't hesitate to reach out to us at Bayview Pharmacy. We're here to help.

How Does it Work

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Carbamazepine 250 mg Rectal Suppository is a solid dosage form that is inserted into the rectum, where it dissolves or melts to release the medication. The active ingredient, Carbamazepine, is then absorbed into the bloodstream through the rectal mucosa. This route of administration bypasses the first-pass metabolism in the liver, which can be beneficial for patients who have difficulty swallowing or for those who need immediate relief from symptoms.

Carbamazepine is an anticonvulsant or antiepileptic drug. It works by reducing the spread of seizure activity in the brain and restoring the normal balance of nerve activity. It is also used to relieve certain types of nerve pain such as trigeminal neuralgia. This medication is known as a sodium channel blocker because it binds to the voltage-gated sodium channels in the brain, which are responsible for the repetitive firing of action potentials. By doing so, Carbamazepine stabilizes the hyperexcited nerve membranes, inhibits repetitive neuronal firing, and reduces synaptic transmission. This helps to prevent the spread of seizures and relieves nerve pain.

It's important to note that while Carbamazepine can help control symptoms, it doesn't cure epilepsy or nerve pain. Regular use is often necessary to control chronic conditions. Also, it's crucial to use this medication exactly as prescribed by your healthcare provider. Do not use more or less of it or use it more often than prescribed by your doctor. If the medication is stopped suddenly, the frequency of seizures may increase.

Side effects can occur with any medication, and Carbamazepine is no exception. Common side effects include dizziness, drowsiness, unsteadiness, nausea, and vomiting. If these side effects persist or worsen, contact your healthcare provider immediately. In rare cases, serious side effects such as skin reactions, blood disorders, or liver problems can occur. If you notice any signs of these serious side effects, seek medical attention immediately.

Remember, the Carbamazepine 250 mg Rectal Suppository is a prescription medication, and it should be used under the supervision of a healthcare provider. It's important to discuss your medical history, including any allergies and other medications you are taking, with your healthcare provider before starting treatment with Carbamazepine.

If you have any questions about the Carbamazepine 250 mg Rectal Suppository, please don't hesitate to reach out to us at Bayview Pharmacy. Our knowledgeable team of compounding pharmacists is here to help.

Other Uses

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Carbamazepine 250 mg Rectal Suppositories, while primarily used for the treatment of specific neurological conditions such as epilepsy and neuropathic pain, may have additional applications due to its anticonvulsant and analgesic properties. For example, these suppositories could be effectively utilized in managing certain types of psychiatric disorders, particularly bipolar disorder and trigeminal neuralgia, where they can serve as a mood stabilizer to reduce episodes of mania. Other potential uses could include the treatment of alcohol withdrawal and certain pain conditions unresponsive to opioids or non-steroidal anti-inflammatory drugs (NSAIDs).

Carbamazepine suppositories are particularly beneficial for patients who are unable to swallow oral medication or when rapid absorption is paramount. Their rectal administration allows for bypassing hepatic first-pass metabolism leading to increased bioavailability. However, it's very essential to remember that these are potent medicines and should only be used under the direct supervision of a healthcare professional. Furthermore, carbamazepine carries a risk of serious side effects, including skin reactions, blood disorders, and liver problems. Therefore, regular monitoring of complete blood counts and liver function tests are required while on this medication.

Finally, while we strive to provide an in-depth analysis, it's important to note that this list may not include all possible uses for Carbamazepine 250 mg Rectal Suppositories. Each individual's medical condition and history is unique, and thus, this medication may be used in other ways not outlined here. As always, please consult your healthcare professional to determine the best use of this formulation for your specific health needs. If you have any questions or require further details, please don't hesitate to reach out to us at Bayview Pharmacy, and we'd be more than happy to assist.

Frequently Asked Questions

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What is a Carbamazepine 250 mg Rectal Suppository?

A Carbamazepine 250 mg Rectal Suppository is a solid dosage form medication designed to be inserted into the rectum. Upon insertion, it dissolves or melts to release the drug for local or systemic absorption. Carbamazepine is often used for the treatment of certain types of seizures, nerve pain such as trigeminal neuralgia and diabetic neuropathy, and bipolar disorder.

How does a Carbamazepine Rectal Suppository work?

Once the suppository is inserted into the rectum, it starts to dissolve or melt due to the body's heat. As it dissolves, it releases the medication Carbamazepine which is then absorbed by the rectal tissues and enters the bloodstream for systemic absorption.

How do you administer a Carbamazepine 250 mg Rectal Suppository?

Firstly, wash your hands thoroughly. Remove the wrapping from the suppository. You may be advised to moisten the suppository by dipping it in water. Lie on your left side if you are right-handed (and vice versa if you are left-handed). Gently insert the suppository into the rectum, pointed end first, until it passes the muscular sphincter of the rectum, about 1/2 to 1 inch in infants and children and 1 inch in adults. Hold buttocks together for a few seconds. Afterwards, wash your hands again.

What should I do if I miss a dose?

If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Use your next dose at the regular time. Do not double the dose to catch up.

Can I drink alcohol while using Carbamazepine Rectal Suppositories?

It is generally advised to avoid consuming alcohol while under this medication as it can increase the severity of the side effects and impact the effectiveness of the medicine.

What are the potential side effects of Carbamazepine Rectal Suppositories?

Potential side effects may include dizziness, drowsiness, unsteadiness, nausea, and vomiting. If you experience any severe side effects such as mood changes, suicidal thoughts, or an allergic reaction, seek medical help immediately.

Who should not use Carbamazepine Rectal Suppositories?

People who are allergic to carbamazepine or have a history of bone marrow suppression, certain blood disorders (porphyria), or other serious heart problems should avoid using Carbamazepine Rectal Suppositories. Make sure to disclose your medical history to your healthcare provider before starting this medication.

Can pregnant or breastfeeding women use Carbamazepine Rectal Suppositories?

If you are pregnant or breastfeeding, consult your doctor before using these suppositories. There may be potential risks to the baby, hence, it's important to discuss with your doctor for safer options.

How should I store these suppositories?

Suppositories should be stored at a controlled room temperature. Avoid exposing it to heat. Do not freeze. Keep it out of the reach of children and pets.

Can I swallow a Carbamazepine Rectal Suppository?

No. Rectal suppositories are designed to be inserted into the rectum, not swallowed. Swallowing a suppository could potentially cause adverse effects or lessen its effectiveness.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Carbamazepine 250 mg Rectal Suppository
Suppository
30 suppositories
controlled

Insert 1 unwrapped suppository

Twice daily