versitol retard 200 tablet pr - Carbamazepine (200mg) medicine

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🏭 Micro Labs Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established
Reviewed by
SaathiMed Expert Panel | Sep 23, 2026

When to Call Your Doctor IMMEDIATELY

  • Rash, blisters, or peeling skin
  • Fever, sore throat, or mouth ulcers
  • Yellowing of the skin or eyes
  • Severe abdominal pain
  • Irregular heartbeat or fainting
  • Unusual bleeding or bruising
  • Confusion or hallucinations

If experiencing severe symptoms, call emergency services immediately.

What is versitol retard 200 tablet pr used for?

This medicine is a prescription anticonvulsant used to treat epilepsy and trigeminal neuralgia. It works by stabilizing electrical activity in the brain. Common side effects include dizziness and drowsiness. Serious risks include severe skin reactions and blood disorders. Regular monitoring is required.

  • Generic Name: Carbamazepine (200mg)
  • Manufacturer: Micro Labs Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 versitol retard 200 tablet pr के बारे में (Hindi Summary)

उपयोग: यह दवा कार्बामाजेपिन नामक सक्रिय तत्व से बनी है और मिर्गी (दौरे) तथा ट्राइजेमिनल न्यूराल्जिया (चेहरे का तेज दर्द) के इलाज में उपयोग की जाती है। यह मस्तिष्क में असामान्य विद्युत गतिविधि को नियंत्रित करके दौरे रोकती है और चेहरे के दर्द को कम करती है। यह दवा डॉक्टर के पर्चे के बिना नहीं लेनी चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में चक्कर आना, नींद आना, जी मिचलाना, उल्टी और धुंधली दृष्टि शामिल हैं। गंभीर दुष्प्रभावों में त्वचा पर गंभीर दाने, रक्त विकार, यकृत की समस्या और अग्न्याशय की सूजन शामिल हैं। यदि आपको कोई असामान्य लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे अचानक बंद न करें, क्योंकि इससे दौरे पड़ सकते हैं। जब तक आपको पता न चले कि यह दवा आप पर कैसा असर करती है, तब तक वाहन न चलाएं। शराब का सेवन न करें। यदि आप गर्भवती हैं या स्तनपान करा रही हैं तो डॉक्टर को बताएं। नियमित रक्त जांच कराते रहें।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 versitol retard 200 tablet pr Uses & Benefits

[{"condition":"Epilepsy (partial seizures with complex symptomatology)","description":"This medicine is used to control partial seizures with complex symptomatology in adults and children.","evidence":"Well-established"},{"condition":"Epilepsy (generalized tonic-clonic seizures)","description":"It is effective in managing generalized tonic-clonic seizures.","evidence":"Well-established"},{"condition":"Epilepsy (mixed seizure patterns)","description":"This medicine is indicated for mixed seizure patterns that include the above types or other partial or generalized seizures.","evidence":"Well-established"},{"condition":"Trigeminal neuralgia","description":"It is used to treat the pain associated with trigeminal neuralgia, a condition affecting the facial nerves.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Bipolar disorder","description":"Sometimes prescribed off-label for mood stabilization in bipolar disorder.","evidence":"Limited"},{"condition":"Diabetic neuropathy","description":"May be used off-label to relieve nerve pain in diabetic neuropathy.","evidence":"Limited"}]

Primary treatment for: Epilepsy

Also treats: Trigeminal neuralgia, Bipolar disorder

📋 Drug Information

Generic Name(s)Carbamazepine (200mg)
Brand Nameversitol retard 200 tablet pr
ManufacturerMicro Labs Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassNEURO CNS
Action ClassSodium channel modulators (AED)
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep out of reach of children.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with food to reduce stomach upset.
2
Do not stop taking this medicine suddenly, as it can trigger seizures.
3
Avoid driving or operating heavy machinery until you know how this medicine affects you.
4
Inform your doctor if you develop a rash, fever, or sore throat, as these may be signs of a serious reaction.
5
Use effective contraception while taking this medicine if you are a woman of childbearing age.
6
Keep all appointments for blood tests to monitor your blood counts and liver function.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Seizures
This medicine is commonly prescribed for epilepsy.
Likely Use
Facial pain
This medicine is used for trigeminal neuralgia.
Likely Use
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is absorbed slowly and variably from the gastrointestinal tract after oral administration. The rate and extent of absorption can be affected by the presence of food.
DistributionThis medicine is widely distributed throughout the body. It crosses the blood-brain barrier and is found in cerebrospinal fluid. It also crosses the placenta and is excreted in breast milk.
Protein BindingApproximately 76% of this medicine is bound to plasma proteins, primarily albumin.
MetabolismThis medicine is extensively metabolized in the liver, primarily by the cytochrome P450 enzyme CYP3A4. One of its metabolites, carbamazepine-10,11-epoxide, is pharmacologically active.
Half-LifeThe elimination half-life of this medicine is initially about 25 to 65 hours, but it decreases to 12 to 17 hours with chronic use due to autoinduction of its own metabolism.
ExcretionThis medicine and its metabolites are excreted primarily in the urine and feces. About 72% of a dose is excreted in the urine, and 28% in the feces.
BioavailabilityThe bioavailability of this medicine is approximately 80% after oral administration.
Onset of ActionThe onset of action for this medicine varies depending on the indication. For seizures, it may take several days to weeks to achieve full therapeutic effect. For trigeminal neuralgia, pain relief may occur within 24 to 48 hours.
Peak Plasma TimePeak plasma concentrations of this medicine are reached within 4 to 12 hours after oral administration of the immediate-release tablet.
Duration of ActionThe duration of action of this medicine is typically 12 to 24 hours, depending on the individual and the indication.

How It Works

This medicine works by blocking voltage-gated sodium channels in the brain, which reduces the spread of abnormal electrical signals that can lead to seizures. It also affects the release of certain neurotransmitters, which helps to stabilize nerve activity and reduce pain.

Mechanism Steps

1
Sodium channel blockade: This medicine binds to voltage-gated sodium channels in neurons, preventing the rapid influx of sodium ions that is necessary for the propagation of action potentials.
2
Reduction of neuronal excitability: By blocking sodium channels, this medicine reduces the excitability of neurons, making them less likely to fire abnormally.
3
Inhibition of seizure spread: The reduced neuronal excitability helps to prevent the spread of seizure activity from a focal point to other parts of the brain.
4
Modulation of neurotransmitter release: This medicine also affects the release of neurotransmitters such as glutamate and GABA, which further contributes to its anticonvulsant and analgesic effects.

💡 How to Take versitol retard 200 tablet pr

Strength: 200 mg immediate-release tablet

1Take this medicine with food to reduce stomach upset.
2Swallow the tablet whole with a glass of water.
3Do not crush or chew the tablet unless your doctor advises otherwise.
4Take it at the same times each day to maintain consistent levels.
5Do not stop taking this medicine suddenly without consulting your doctor.

Dosage Information

Adult DosageThe usual adult dose for epilepsy is 200 mg twice daily initially, increased gradually to a maintenance dose of 800 to 1200 mg daily in divided doses. For trigeminal neuralgia, the initial dose is 100 mg twice daily, increased gradually to a maintenance dose of 400 to 800 mg daily. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the side effects of this medicine. Start with a lower dose and titrate slowly. Monitor renal and hepatic function regularly.
Renal ImpairmentUse with caution in patients with renal impairment. Dose adjustment may be necessary. Monitor renal function closely.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose adjustment may be necessary. Monitor liver function closely.
Maximum Daily DoseThe maximum recommended daily dose is 1200 mg for epilepsy and 1200 mg for trigeminal neuralgia, but individual doses may vary. Do not exceed the dose prescribed by your doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit
Avoid
May increase drug levels.
Alcohol
Avoid
May increase sedative effects and risk of seizures.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of versitol retard 200 tablet pr

✅ Common Side Effects

Dizziness (Common (10-30%))
Avoid driving or operating machinery until you know how this medicine affects you. If dizziness persists, consult your doctor.
Drowsiness (Common (10-30%))
Take the medicine at bedtime if drowsiness is bothersome. Avoid alcohol and other sedatives.
Nausea (Common (10-30%))
Take this medicine with food to reduce nausea. If nausea is severe or persistent, contact your doctor.
Vomiting (Common (5-10%))
Stay hydrated and take the medicine with food. If vomiting is severe, consult your doctor.
Blurred vision (Common (5-10%))
Avoid driving if vision is affected. Report persistent vision changes to your doctor.

🚨 Serious Side Effects

Stevens-Johnson syndrome (Rare (<0.1%))
Seek immediate medical attention if you develop a rash, blisters, or peeling skin.
Aplastic anemia (Rare (<0.1%))
Report any signs of infection, fatigue, or easy bruising to your doctor immediately.
Agranulocytosis (Rare (<0.1%))
Seek immediate medical attention if you develop fever, sore throat, or mouth ulcers.
Hepatotoxicity (Rare (<0.1%))
Report yellowing of the skin or eyes, dark urine, or abdominal pain to your doctor immediately.
Pancreatitis (Rare (<0.1%))
Seek immediate medical attention if you experience severe abdominal pain that radiates to your back.

⚠️ Rare Side Effects

Hallucinations
Contact your doctor if you experience hallucinations or confusion.
Irregular heartbeat
Seek immediate medical attention if you feel palpitations or faint.
Severe skin reactions
Seek immediate medical attention if you develop a rash, blisters, or peeling skin.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Oral contraceptives Major
Valproic acid Major
MAOIs Major
CYP3A4 inhibitors Moderate
CYP3A4 inducers Moderate
Lithium Moderate
Grapefruit juice Minor
Antacids Minor

🚨 Major Interactions

  • Monoamine oxidase inhibitors (MAOIs)
  • Warfarin
  • Oral contraceptives
  • Valproic acid

⚡ Moderate Interactions

  • CYP3A4 inhibitors (e.g., ketoconazole, erythromycin)
  • CYP3A4 inducers (e.g., rifampin, St. John's wort)
  • Lithium

🍷 Alcohol Interaction

Alcohol can increase the sedative effects of this medicine and may also increase the risk of seizures. It is best to avoid alcohol while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["History of bone marrow depression","Use of monoamine oxidase inhibitors (MAOIs) within the past 14 days","Known hypersensitivity to carbamazepine or tricyclic antidepressants","Concomitant use with nefazodone","Patients with atrioventricular heart block"]

⚠️ Warnings & Precautions

["Serious dermatologic reactions, including Stevens-Johnson syndrome and toxic epidermal necrolysis, have been reported. Discontinue at the first sign of rash.","Aplastic anemia and agranulocytosis have been reported. Monitor blood counts regularly.","This medicine may cause dizziness and drowsiness. Avoid driving or operating machinery until you know how it affects you.","This medicine may reduce the effectiveness of oral contraceptives. Use an alternative method of contraception.","This medicine may cause hyponatremia. Monitor sodium levels, especially in elderly patients.","This medicine may interact with many other medications. Inform your doctor of all medicines you are taking.","Do not stop taking this medicine abruptly, as this can precipitate seizures."]

🤱 Lactation Safety

This medicine is excreted in breast milk. Breastfeeding is not recommended while taking this medicine due to the potential for serious adverse reactions in the nursing infant.

💊 Overdose Management

Overdose of this medicine can cause severe symptoms such as irregular heartbeat, seizures, and coma. Seek immediate medical attention. Treatment is supportive and may include activated charcoal, gastric lavage, and monitoring of vital signs.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not stop taking it suddenly, as this can trigger seizures. Avoid driving or operating heavy machinery until you know how this medicine affects you. Alcohol can increase the sedative effects of this medicine, so it is best to avoid alcohol. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Regular blood tests may be needed to monitor your blood counts and liver function. Keep all appointments with your healthcare provider.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more sensitive to the side effects of this medicine, especially hyponatremia and cardiac effects. Start with a lower dose and monitor closely.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. It may increase the risk of birth defects. Use effective contraception while taking this medicine.

🏥 Post-Surgery Considerations

Inform your surgeon and anesthesiologist that you are taking this medicine, as it may interact with anesthetic agents. Your doctor may adjust the dose before surgery.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine, as it may interact with certain dental medications and can cause dry mouth.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce stress on your body.
🥗
Regular low-impact exercise like walking or swimming.
😴
Practice good sleep hygiene.
💧
Include anti-inflammatory foods in your diet.
🧘
Avoid alcohol and recreational drugs.
🌞
Manage stress through relaxation techniques.

🏋️ Exercise Considerations

Avoid activities that require alertness, such as driving or operating machinery, until you know how this medicine affects you. Exercise may help reduce stress, but take precautions to avoid injury if you have seizures.

🥗 Diet Recommendations

Include omega-3 rich foods
Reduce processed food intake
Stay well hydrated
Eat a balanced diet rich in fruits and vegetables

💼 Impact on Daily Work & Life

This medicine may cause drowsiness and dizziness, which can affect your ability to work or drive. Avoid operating heavy machinery until you know how it affects you. Inform your employer if your job requires alertness.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. Your doctor will gradually reduce the dose to prevent withdrawal seizures. If you experience serious side effects, contact your doctor immediately.

📅 Long-Term Use Effects

Long-term use of this medicine may require regular monitoring of blood counts, liver function, and serum levels. It can cause osteoporosis and vitamin D deficiency with prolonged use. Regular follow-up with your doctor is essential.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Surgery for epilepsy

For some patients, surgery may be an option to control seizures.

Evidence: Well-established
Nerve block for trigeminal neuralgia

Injection of medication to block pain signals.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine may interact with certain vaccines. Consult your doctor before receiving any vaccination.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. If traveling across time zones, consult your doctor about adjusting the dosing schedule. Store it in a cool, dry place away from direct sunlight. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with epilepsy
He was started on this medicine for partial seizures. After a few weeks, his seizure frequency decreased significantly. He experienced mild drowsiness initially, which improved over time. He emphasizes the importance of taking the medicine regularly and avoiding alcohol.
💡 Lesson: Consistent use and lifestyle adjustments can lead to good seizure control with this medicine.
👤 A 60-year-old woman with trigeminal neuralgia
She had severe facial pain that made eating difficult. This medicine provided relief within a few days. She had regular blood tests to monitor her liver and blood counts. She advises others to be patient and follow up with their doctor regularly.
💡 Lesson: This medicine can be effective for trigeminal neuralgia, but regular monitoring is essential.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: For seizures, it may take several days to weeks to achieve full effect. For trigeminal neuralgia, pain relief may occur within 24 to 48 hours.

Q: Can I stop taking this medicine if I feel better?

A: No, do not stop taking this medicine without consulting your doctor. Stopping suddenly can cause seizures.

Q: What should I do if I miss a dose?

A: Take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for versitol retard 200 tablet pr

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine is addictive.
    Fact: This medicine is not addictive, but it can cause dependence if stopped suddenly. It should be tapered gradually under medical supervision.
  • Myth: This medicine can cure epilepsy permanently.
    Fact: This medicine controls seizures but does not cure epilepsy. It must be taken regularly as prescribed.
  • Myth: This medicine is safe to take during pregnancy.
    Fact: This medicine may increase the risk of birth defects. Consult your doctor if you are pregnant or planning to become pregnant.

🔄 Alternative Options

Generic Alternatives

  • Carbamazepine 200 mg tablet

Brand Alternatives

  • Acetol 200mg Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Carbamazepine","class":"Anticonvulsant","main_use":"Epilepsy, trigeminal neuralgia","common_side_effects":"Dizziness, drowsiness, nausea"},{"medicine":"Oxcarbazepine","class":"Anticonvulsant","main_use":"Epilepsy, trigeminal neuralgia","common_side_effects":"Dizziness, drowsiness, headache"},{"medicine":"Phenytoin","class":"Anticonvulsant","main_use":"Epilepsy","common_side_effects":"Gum hyperplasia, dizziness, drowsiness"}]

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