A patient is on carbamazepine 600 mg BID and comes to you complaining of nausea, vomiting, headache, and fatigue. He is also having more seizures. What would you do?

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Quizplus · Accepted Answer

The symptoms of nausea, vomiting, headache, and fatigue, along with increased seizures, could indicate either toxicity or subtherapeutic levels of carbamazepine. Checking both carbamazepine levels and sodium levels is important, as carbamazepine can cause hyponatremia.

A Patient Is on Carbamazepine 600 Mg BID and Comes