Trigeminal Neuralgia: For the symptomatic relief of pain only during periods of exacerbation of true or primary trigeminal neuralgia (tic douloureux). It should not be used preventively during period of remission in some patients carbamazepine has relieved glossopharyngeal neuralgia. For patients who fail to respond to carbamazepine or who are sensitive to the drug, recourse to other accepted measures must be considered.
Carbamazepine is not a simple analgesic and should not be used to relieve trivial facial pain or headache.
Epilepsy: For the management of psychomotor (temporal lobe) epilepsy and as an adjunct in some patients with secondary or partial epilepsy with complex symptomatology or secondarily generalized seizures when administered in combination with other anti-epileptic medication.
Carbamazepine is essentially ineffective in controlling petit mal, minor motor, myoclonic and predominantly unilateral seizures. It does not prevent the generalization of epileptic discharge.