shire Pill — BLACK;GREEN CAPSULE, 23mm — Carbamazepine
| Imprint | shire |
|---|---|
| Colour | BLACK;GREEN |
| Shape | CAPSULE |
| Size | 23 |
| Strength | CARBAMAZEPINE 300 mg |
| Dosage form | Capsule, Extended Release |
| Manufacturer | Shire US Manufacturing Inc. |
| NDC | 54092-173 |
| Schedule | — |
| Availability | Prescription only |
| Ingredients | CARBAMAZEPINE[CARBAMAZEPINE] |
What does this imprint mean?
The imprint "shire" is a code stamped or printed on the tablet or capsule by the manufacturer, used to identify the drug, its strength and the maker.
Active ingredient
Carbamazepine
Uses and warnings
BOXED WARNING: Serious dermatologic reactions, including toxic epidermal necrolysis (TEN) and Stevens-Johnson syndrome (SJS), occurring at an estimated rate of 1-6 per 10,000 new users in Caucasian populations but about 10 times higher in some Asian countries, particularly linked to the HLA-B*1502 allele; and aplastic anemia and agranulocytosis, with risk "5 to 8 times greater than in the general population," though overall incidence remains low. Other major warnings/contraindications: history of bone marrow depression; hypersensitivity to carbamazepine or tricyclic compounds; concurrent use with MAO inhibitors (discontinue ≥14 days before starting) or nefazodone; increased suicidal ideation risk with antiepileptic drugs; hepatic porphyria history; and Pregnancy Category D fetal risk.
Indicated for: - Epilepsy, including partial seizures with complex symptomatology, generalized tonic-clonic seizures, and mixed seizure patterns ("absence seizures (petit mal) do not appear to be controlled by carbamazepine") - Trigeminal neuralgia and glossopharyngeal neuralgia pain, with the label stating the drug "is not a simple analgesic and should not be used for the relief of trivial aches or pains."
How to identify this pill
- • Check the imprint matches exactly: "shire".
- • Confirm the colour (BLACK;GREEN) and shape (CAPSULE).
- • Compare the size (23) against a ruler if possible.
- • When in doubt, confirm with a pharmacist before taking any medication.
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Official references
Source: FDA Structured Product Label via NLM Pillbox archive (retired 2021); source file 456ee53d-0901-45aa-831a-56e749328142.xml