Teril is used to:
Teril belongs to a group of medicines called anticonvulsants. These medicines are thought to work by controlling brain chemicals which send signals to nerves so that seizures do not happen. Teril also regulates other nerve functions in the body.
Teril may be used alone or in combination with other medicines to treat your condition.
Ask your doctor if you have any questions about why Teril has been prescribed for you.
Your doctor may have prescribed Teril for another reason.
Teril is available only with a doctor's prescription.
There is no evidence that Teril is addictive.
Do not take Teril if you are allergic to:
Symptoms of an allergic reaction may include shortness of breath, wheezing or difficulty breathing; swelling of the face, lips, tongue or other parts of the body; rash, itching or hives on the skin.
Do not take Teril if you are currently taking a medicine called a monoamine oxidase inhibitor (MAOI), or have taken one in the last 14 days.
Taking Teril with a MAOI or within 14 days of taking a MAOI may cause a serious reaction with a sudden increase in body temperature, extremely high blood pressure and severe convulsions.
Do not take Teril within 14 days of stopping a MAOI.
Ask your doctor or pharmacist if you are not sure whether you are taking, or have been taking a MAOI medicine.
MAOIs are used to treat depression and Parkinson's disease. Some examples of MAOIs include phenelzine, tranylcypromine, selegiline.
Do not take Teril if you have, or have had, any of the following:
Do not take this medicine after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering.
If it has expired or is damaged, return it to your pharmacist for disposal.
If you are not sure whether you should start taking Teril, talk to your doctor or pharmacist.
Tell your doctor if you are allergic to any other medicines, foods, dyes or preservatives.
Tell your doctor if you are pregnant or plan to become pregnant.
Teril may affect your unborn baby during pregnancy and soon after birth. But it is still important that you control your fits while you are pregnant. Your doctor will discuss the risks and benefits of taking Teril during pregnancy and help you decide whether or not you should take Teril.
Tell your doctor if you are breastfeeding or wish to breastfeed.
Teril passes into breast milk but it is unlikely to affect your baby. You may breast-feed provided that you watch your baby for any signs of any unwanted side effect. If your baby develops a skin rash, becomes very sleepy or has other unusual symptoms, don't breast-feed again until you speak to your doctor. Your doctor will discuss the risks and benefits of taking Teril while breastfeeding.
Tell your doctor if you have, or have had, any medical conditions, especially the following:
Tell your doctor if you are of Asian descent, particularly if you are Chinese.
Your doctor may want to do a genetic test before you take Teril for the first time.
If you have not told your doctor about any of the above, tell them before you start taking Teril.
Tell your doctor if you are taking any other medicines, including any that you buy without a prescription from a pharmacy, supermarket or health food shop.
Some medicines may be affected by Teril, or may affect how well it works. These include:
The above medicines may be affected by Teril or they may affect how well it works. You may need to take different amounts of your medicines or you may need to take different medicines.
Tell your doctor if you are using hormonal contraceptive (birth control pill or injections).
If you are taking Teril while you are using hormonal contraceptives, they may not work as well as they should. Unplanned pregnancies can happen. Your doctor can suggest another form of birth control while you are taking Teril.
If you are not sure whether you are taking any of these medicines, check with your doctor or pharmacist.
Your doctor and pharmacist have more information on medicines to be careful with or avoid while taking Teril.
Follow all directions given to you by your doctor and pharmacist carefully.
They may differ from the information contained in this leaflet.
If you do not understand the instructions on the bottle, ask your doctor or pharmacist.
Your doctor will tell you how much Teril you need to take each day. The dose varies from patient to patient and may depend on your age, medical condition and whether or not you are taking other medicines.
Your doctor will usually start you on a low dose and then gradually increase it depending on your condition and how you respond to this medicine.
Swallow the tablets with a glass of water.
Teril tablets can be divided in half along the breakline, if advised by your doctor or pharmacist.
Take Teril during or immediately after food.
This will lessen the chance of a stomach upset.
Take your medicine at about the same time each day, spaced evenly apart.
Taking it at the same time each day will have the best effect. It will also help you remember when to take it.
Keep taking Teril for as long as your doctor recommends.
Teril helps to control your condition but does not cure it. You must take it regularly every day, even if you feel well.
Do not stop taking Teril or lower the dose without first checking with your doctor. Do not let yourself run out of medicine over the weekend or on holidays.
Stopping your medicine suddenly or lowering the dose may cause unwanted side effects or make your condition worse. If you are taking this medicine to treat epilepsy, you could develop seizures (fits). Your doctor will usually reduce the dose slowly before you can stop taking it completely.
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to.
Otherwise, take the missed dose as soon as you remember, and then go back to taking your tablets as you would normally.
Do not take a double dose to make up for the dose you missed.
If you are not sure what to do or have any questions, ask your doctor or pharmacist.
If you have trouble remembering when to take your medicine, ask your pharmacist for some hints.
Immediately telephone your doctor or the Poisons Information Centre (telephone 13 11 26) for advice, or go to Accident and Emergency at the nearest hospital, if you think you or anyone else may have taken too much Teril. Do this even if there are no signs of discomfort or poisoning.
You may need urgent medical attention.
Keep the telephone numbers of these places handy.
Some of the symptoms of an overdose may include agitation, disorientation, drowsiness, fainting, vomiting, difficulty breathing, fast and irregular heartbeat, blurred vision and slurred speech.
Before starting any new medicine, tell your doctor or pharmacist that you are taking Teril.
Tell all the doctors, dentists and pharmacists who are treating you that you are taking Teril.
Tell your doctor, if for any reason, you have not taken your medicine exactly as prescribed.
Otherwise your doctor may change your treatment unnecessarily.
If you become pregnant while taking Teril, tell your doctor immediately.
Your doctor can discuss with you the risks of taking it while you are pregnant.
Tell your doctor immediately if at any time you have thought of harming or killing yourself.
A number of people being treated with antiepileptics have had such thoughts or behaviour. Patients and caregivers should be alert and monitor for these effects.
If you or someone you know is showing any of the following warning signs of suicide while taking Teril, contact your doctor or a mental health professional right away or go to the nearest hospital for treatment:
All mentions of suicide or violence must be taken seriously.
If you plan to have surgery, including dental surgery, tell your doctor or dentist that you are taking Teril.
This medicine may interfere with some of the medicines used during surgery.
Visit your doctor regularly so they can check on your progress.
To help prevent unwanted side effects from happening, your doctor may want to do some tests before you start taking Teril and from time to time during the course of your treatment. You may need to have tests to check your eyes, liver, kidneys or blood.
Do not stop taking Teril, or lower the dose, without checking with your doctor.
Do not let yourself run out of medicine over the weekend or on holidays.
Stopping your medicine suddenly or lowering the dose may cause unwanted side effects or make your condition worse. Your doctor will usually reduce the dose slowly before you can stop taking it completely.
Do not use Teril to treat any other conditions unless your doctor tells you to.
Do not give Teril to anyone else, even if they have the same condition as you.
Be careful driving or operating machinery until you know how Teril affects you.
Teril may cause drowsiness or dizziness in some people. If either of these occurs, do not drive, operate machinery or do anything else that could be dangerous.
Be careful drinking alcohol while taking Teril.
Combining Teril and alcohol can make you more drowsy or dizzy. Your doctor may suggest you avoid alcohol while you are being treated with Teril.
Be careful drinking grapefruit juice while taking Teril.
Taking Teril with grapefruit juice may increase the chances of side effects. Your doctor may suggest you avoid grapefruit juice while you are being treated with Teril.
If outdoors, wear protective clothing and use at least a SPF 30+ sunscreen. Do not use a sunlamp or tanning bed or booth.
Teril may cause your skin to be much more sensitive to sunlight than it normally is. Exposure to sunlight may cause a skin rash, itching, redness or severe sunburn. If your skin does appear to be burning, tell your doctor.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Teril.
Like all other medicines, Teril may have unwanted side effects in some people. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects.
If you are over 65 years of age, you may have an increased chance of getting side effects.
Do not be alarmed by this list of possible side effects.
You may not experience any of them.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor if you notice any of the following and they worry you:
The above list includes the more common side effects of Teril. They tend to be mild and short-lived.
Tell your doctor immediately or go to Accident and Emergency at the nearest hospital if you notice any of the following:
The above side effects are serious and require medical attention or even hospitalisation. These serious side effects are very rare.
Tell your doctor if you notice anything that is making you feel unwell.
Other side effects not listed above may also occur in some patients. Some of these side effects (e.g., changes in thyroid function, structure of bones, cholesterol level or blood pressure) can only be found when your doctor does tests from time to time to check your progress.
Keep Teril where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
Keep your medicine in the original container until it is time to take it.
Keep your tablets in a cool dry place where the temperature stays below 30°C.
Do not store Teril or any other medicine in the bathroom or near a sink.
Do not leave Teril in the car or on window sills.
Heat and dampness can destroy some medicines.
If your doctor tells you to stop taking Teril, or your tablets have passed their expiry date, ask your pharmacist what to do with any that are left over.
Teril is a round, white, scored tablet marked "CB" over "200" on one side and "G" on the reverse.
Each bottle contains 200 tablets.
The active ingredient in Teril is carbamazepine. Each Teril tablet contains 200 mg of carbamazepine.
The tablets also contain the following inactive ingredients:
The tablets are gluten free.
Teril is made in Australia by:
(ABN 93 002 359 739)
Level 1, 30 The Bond
30-34 Hickson Road
Millers Point NSW 2000
Phone: (02) 9298 3999
Australian registration number:
Teril - AUST R 17674
This leaflet was prepared on
14 June 2013.