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1TEGRETOL may cause rare but serious skin rashes that may lead to deathThese serious skin reactions are more likely to happen when you begin taking TEGRETOL within the first four months of treatment but may occur at later timesThese reactions can happen in anyonebut are more likely in people of Asian descentIf you are of Asian descentyou may need a genetic blood test before you take TEGRETOL to see if you are at a higher risk for serious skin reactions with this medicineSymptoms may include:

Baseline and periodic eye examinationsincluding slit-lampfunduscopyand tonometryare recommended since many phenothiazines and related drugs have been shown to cause eye changes.

Dialysis is indicated only in severe poisoning associated with renal failureReplacement transfusion is indicated in severe poisoning in small children.

The prognosis in cases of severe poisoning is critically dependent upon prompt elimination of the drugwhich may be achieved by inducing vomitingirrigating the stomachand by taking appropriate steps to diminish absorptionIf these measures cannot be implemented without risk on the spotthe patient should be transferred at once to a hospitalwhile ensuring that vital functions are safeguardedThere is no specific antidote.

Tegretol suspension contains sorbitol andthereforeshould not be administered to patients with rare hereditary problems of fructose intolerance.

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