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Medical Forum / Diseases and Disorders / Epilepsy / April 2006Carbatrol and Bone Mineral Density
I'm a 45 yo male, and I've been on 800mg Carbatrol/day for about 7 years... Just heard about bone mineral density decline with long-term Carbatrol use. Has anybody else heard about this? Experience with it? Solutions (Fosamax?) Thanks! > I'm a 45 yo male, and I've been on 800mg Carbatrol/day for about 7 years... > [quoted text clipped - 4 lines] > > Thanks! I'm a 47 year old male who had been on a high dose of Dilantin and Mysoline for over twenty years when I fell and broke my hip in 2002. The surgeon who corrected the fracture with screws told me I was riddled with osteoporosis. My internist blamed it on the seizure medication and started me on Fosamax 70m.g. once a week. My 2004 bone density showed marked improvement in my bone density. I am now on Depakote ER, but both my neurologist and internist have told me that as long as I am on any type of seizure medication that I will need to continue Fosamax therapy. When I first broke my hip I was sent to a physical rehabilatation hospital where I was started on Oscal 500 plus vitamin D twice a day. I continue on that supplimentation thru today. My heath insurance pays for a bone density test every two years so I'll be hasving another this year with my annual physical. Fosamax has been around a long time and I believe the patent expires in 2007 so the medication will become even more affordable. Hope you find this information useful. Good luck, Jim Thanks all for the useful info... I guess I need to bring this up with my neuro next visit... >> I'm a 45 yo male, and I've been on 800mg Carbatrol/day for about 7 >> years... [quoted text clipped - 24 lines] > information useful. Good luck, > Jim Hi Jim Just new here and this really intriges me!! From Sask here and in a very small town so blood tests have to get sent to the city to read. Never thought of why they would be done on the same day before. Re the bone density test- yes by all means have it done. Especially if you have been on some of the older meds and specially when getting to the age where our ol' bones are starting to creak, we should have a bone density test taken. I just found out too that specially if you have any osteoporosis in the family background we could be susceptable in this area too. That's all we need. Bone fractures you name it. Osteo is so painful and have witnessed in a family member close to me. Am sure glad I became aware of it and immediately got on a specialized calcium citrate with magnesium and vit D as the main ingredients. Some of the AEDs and particularly the older ones induce liver enzymes that interfere with the metabolism of vitamin D and calcium and these are both essential for bone health. Besides, a good calcium with the magnesium makes for a good relaxant, I find it helps a bit with headaches, we also could be low in magnesium because of the AEDs, plus no matter what age you can always do with more calcium. + if you take the grand mal type of seizure and with all the falling and banging around it only makes sense. Our ol' bones take a heck of a beating. Starting a little late in life but have at least started protecting against osteo. Take care Julie epilepsyhealth@sasktel.net http://www.epilepsy-health.com - pay me a visit sometime :)) my story is in there also. You might find information about Carbatrol under http://efa.org site at Medications. It's part of the generic family similar to the Tegretols and some other AEDs? -Carbamazepine. (Page I got with my 1st Prescription from my Pharmacy said to tell all Drs. and Dentists I was using it.) I had regular blood tests at Startup of the Tegretol, and told my Dentist I was using it. (He said Calcium problems wrt. bones etc. would often show up first in our teeth. He also changed my checkup rate from 6 to 4 months in ~1995.) My understanding was that *some people might be prone to Calcium robbing, but don't know the percent. I've had no problems while using Tegretol these past 11 years. G./ > I'm a 45 yo male, and I've been on 800mg Carbatrol/day for about 7 years... > > Just heard about bone mineral density decline with long-term Carbatrol use. I'm a 40 year old female, and I've been taking 800mg Carbamazepine twice daily with different mixtures of other meds for about 15 years now! I was told last year that I had an extrmely low Sodium count in my blood, and that it was the Carbamazepine that was absorbing it all. I was actually happy on the Carbamazepine, so my neuro' suggested that I just topped up my food with alot more salt instead, which was disgusting and also gave me a long list of the saltiest foods I could buy from the shops. All the best Sofie  SignaturePlease visit my deviantART page: http://sofen.deviantart.com/ I wondered, looking back at this, if druggists (chemists) might sell Saline type pills, like vitamins, that would boost one's salt levels. Your Doctor or Pharmacist could likely tell you if there is such a thing, and if there are things to watch out for, if used with the Tegretol (Carbamazepine). G./
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