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Doctor insights on: Tegretol Neuralgia Making Pain Worse

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Could the tegretol i'm taking for trigeminal neuralgia be making the pain worse?

Could the tegretol i'm taking for trigeminal neuralgia be making the pain worse?

Probably not: Tegretol reduces tn pain in about 70% of patients. It is possible it doesn't work. Make sure the diagnosis is correct. It is rare that tegretol would make tn pain worse. ...Read more

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Dr. Jeffrey Cohen
1,065 doctors shared insights

Neuralgia (Definition)

Can also be described as neuropathic pain or "nerve pain" which can occur anywhere in the body. It can also be due to many disorders such as direct nerve damage, diabetes, ...Read more


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My mum was diagnosed with tegminal neuralgia on 2014 she has been on tegretol 1200g and she is still in pain what should be done to manage the pain?

My mum was diagnosed with tegminal neuralgia on 2014 she has been on tegretol 1200g and she is still in pain what should be done to manage the pain?

Med adjustment: Well, the truth is trigeminal neuralgia can be challenging to treat and often times it's not possible to pick the "perfect" medication to start with so there are several "tweaks" that are usually made before finding something that really works. If you'd like to schedule an appointment we can discuss options for her: www.healthtap.com/drsaghafi Use Key Code: PDXFNR to make calendar appointment. ...Read more

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If carbamazepine isn't working to treat my trigeminal neuralgia, what is a good drug to try next?

Trileptal: is reported to be effective for trigeminal neuralgia. Some clinicians now prefer to use oxcarbazepine (Trileptal) as their first line drug for trigeminal neuralgia because of its reduced side effect profile. Unfortunately, about half of TN sufferers eventually become dissatisfied with medical therapy, explore surgical options. ...Read more

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I am 48, male. I suffer from trigeminal neuralgia since 2001.600mg tegretol XR /day helps. But pain/frequency worsen during rainy season_ why?

Change in temp. ?: Something similar occur with arthritic pains and cold temperature. May be rain changes in the environment loke humidity or even the local tempertaure triggering change in the autonomic or peripheral nervous system. ...Read more

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On tegretol XR twice a day, what's the best way to deal with breakthrough or triggered (cold/touch/chewing/wind/etc) pain from trigeminal neuralgia?

On tegretol XR twice a day, what's the best way to deal with breakthrough or triggered (cold/touch/chewing/wind/etc) pain from trigeminal neuralgia?

Depends on dose: Depending upon the dose of carbamazepine you are on it may be possible to increase the dose to avoid painful breakthrough events. Sometimes, a combination of carbamzepine and gabapentin can be helpful to patients. Please speak with your prescribing physician. ...Read more

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Is there any other medicine besides carbamazepine for trigeminal neuralgia because this medicine is not effective anymore! plz suggest any other med..

Oxcarbazepine: Oxcarbazepine (Trileptal), the keto-analogue of carbamazepine, is reported to be as effective as carbamazepine for trigeminal neuralgia and is considered a first line drug by some clinicians. Several neurosurgical procedures (MVD) are available to treat TN. ...Read more

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I'm on carbamazepine for about a week or so and I don't like it. I'm taking it for Trigeminal Neuralgia, can I stop taking it since I haven't been on ?

I'm on carbamazepine for about a week or so and I don't like it. I'm taking it for Trigeminal Neuralgia, can I stop taking it since I haven't been on ?

Careful: Hi, Thank you for your question. You haven't been on it too long to build a physical dependence but you should still discuss with your PCP this decision. They can start you on another medication at the same time. Hope that helps..contact me if you have any other questions :-) Dr. M ...Read more

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Had a clear MRI after a diagnosis of Trigeminal Neuralgia. What could this mean? Tegretol XR 400mg twice a day has significantly reduced pain flares.

Had a clear MRI after a diagnosis of Trigeminal Neuralgia. What could this mean? Tegretol XR 400mg twice a day has significantly reduced pain flares.

DX=Trigeminal Neural: A clean MRI (with contrast) simply means there is no obvious INTRACRANIAL explanation to your diagnosis of TN. But there are certain assumptions being here such as if you for sure HAVE neuralgia and not NEUROPATHY which can sometimes be mistaken. Have you had a neurological examination? If not, that should be your next step. Want to chat about it? www.healthtap.com/drsaghafi Key Code: PDXFNR ...Read more

Dr. Mohamad Mikati
433 doctors shared insights

Carbamazepine (Definition)

This drug was once the breakthrough product to treat trigeminal neuralgia, and later various forms of epilepsy, and even psychiatric uses ...Read more


Dr. Sheila Smith
1 doctor shared a insight

Nerve Pain (Definition)

Neuralgia is a sharp, shocking pain that follows the path of a nerve and is due to irritation or ...Read more