Doctor insights on:
Oxcarbazepine Vs Carbamazepine
Duration: Depakote er is a branded drug which can be taken once daily. Steady drug levels are maintained, and adverse events may be lower due to lack of peaks in the blood stream. There are now generic forms of immediate release "depakote", but these must be used two or three times daily to achieve a consistent effect. ...Read more
Oxcarbazepine is a sodium channel blocker, one of the anti-epileptic pharmacotherapies with a keto group at the 10 carbon position. It is approximately 50% protein bound in the plasma. It is sometimes used for the treatment of pain, such as chronic pain with neuropathic components, headaches ( for example trigeminal neuralgia). Some of its side effects include ...Read more
Which is a safer, lower side effect profile drug, topamax (topiramate) or oxcarbazapine (in general terms, obv individuals vary)?
Don't 2nd guess: Neither is w/o risk and they are Rx'd for different (w/ overlap) conditions. You need to work w/ your Dr on selecting the best for you - say clearly that safety is impt to you. Know what they expect it to for your condition. Side EFX are pretty similar for both - your other health issues might be the swing vote. ...Read more
Which causes asthenia after not taking; 1-Haloperidol
No: Pregabalin is an anticonvulsant drug used for neuropathic pain and as an adjunct therapy for partial seizures with or without secondary generalization in adults. It has also been found effective for generalized anxiety disorder and is (as of 2007) approved for this use in the european union. It was designed as a more potent successor to gabapentin. ...Read moreSee 2 more doctor answers
No -an antipsychotic: Seroquel, or quetiapine, is a second generation antipsychotic used to treat schizophrenia and other psychotic disorders and bipolar disorder. It has been shown to be helpful in treating bipolar depression as well. It is not an anticonvulsant. If anything, it has the risk of lowering the seizure threshhold and making someone slightly more susceptible to seizures. ...Read moreSee 3 more doctor answers
Trigeminal neuralgia 6 mth.On carbamazepine 300mg tds.Still on&off symptoms.Does switching to lyrica (pregabalin) or oxcarbazepine help? Or decompression surgery?
Go higher: Carbamazepine (tegretol) is still the drug of choice. If no side effects and blood tests (cbc, liver functions) are within normal limits, increase Carbamazepine up to 1200mg/day or higher. Before switching to oxcarb try another option by gradually adding up to 10 mg of Baclofen tid. Rec:do not self-medicate. Always consult with your physician before changing any protocol. ...Read moreSee 1 more doctor answer
Agree w Dr. Ali: Which is best for treating which condition?. Paxil is an SSRI antidepressant which is good for treatment of typical depressive sx 's & anxiety. Bupropion is a unique antidepressant which is good for seasonal affective disorder, atypical depression & smoking cessation. Oxcarbazepine is a mood stabilizer and olanzapine is an antipsychotic. You are asking us to compare apples & organges. ...Read moreSee 1 more doctor answer
Absolutely!: I rarely prescribe valproate as an initial anti-epileptic agent anymore (though i did years ago) since there are so many aeds (antiepileptic drugs) that just as well or better without causing so many side-effects. Tremor is one of the chief offenders. Tremor can occur even at "sub-therapeutic" blood levels. ...Read more
Can be effective: Phenytoin is one of the oldest patent medicines used to treat epilepsy. It has been an effective treatment. Due to its sedating effect and other side effects, newer agents have replaced it as a first line treatment. It continues to be an effective alternative treatment. ...Read more
Which is essential for bipolar depression to not mope ill
1-Haloperidol Carbamazepine Lamotrigine Biperiden Methocarbamol
Niether: Niether have strong evidence supporting their use in anxiety. Neurontin's effects on anxiety are thought to be mediated through its effects on the inhibitory neurotransmitter gaba (similar to, but much more subtly than, benzodiazepines). Lamictal is still being investigated for use in anxiety because it can reduce activity of the excitatory neurotransmitter glutamine. ...Read more
Low for both: At low dose surprisingly little. If you have a problem with either one tell your doctor and they will make adjustments or point you in the right direction in terms of workup for concomitant issues. ...Read more
What is a safer combination latuda (lurasidone) with tegretol or latuda (lurasidone) with lamictal (racing thoughts)?
Hard to say for sure: One has to see what works best for them; that is the only way to really know. Except for the rare possibility of serious rash, i think Lamictal is safer than tegretol. I would prefer the combination of Lamictal and latuda, (lurasidone) but one must try one med first, see how it works for them, and then add the next one if another drug seems necessary. Talk with your doctor and don't obsess about it! ...Read more
Neuropathy: They are different. Often they can used in combination. I tend to reserve Amitriptyline for use at night for patients who are also having trouble with insomnia. Gabapentin must be titrated to minimize side effects. The most common problem i see is practitioners titrating to a high enough dose to get a reduction in pain. ...Read more