Doctor insights on:
Tegretol Neuralgia Making Pain Worse
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
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 moreSee 3 more doctor answers
I am 48, male. I suffer from trigeminal neuralgia since 2001.600mg tegretol XR /day helps. But pain/frequency worsen during rainy season_ why?
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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
Just diagnosed with trigeminal neuralgia. Following the schedule for increasing the tegretol XR per neuro. How can I reduce impact on my job as a mgr?
Triennial neuralgia: treament with carbamazepine does not usually require a titration ( yes you will be a bit dizzy for 2 days ) start with 300 twice a day and go up to 400 twice a day as needed. Do not use brand name Tegretol XR as there are dose failures ( medicine does not pass through tiny hole in capsule ) Use carbitrol instead . most cannot work until symptoms abate ...Read more
I'm on carbamazepine(300 mg) for the treatment of trigeminal neuralgia can it lead to elevated GGT level?
Not conclusive : First of all, a single blood test in isolation do not provide enough information to form any definitive conclusions. A number of tests must be performed to have any meaning. Carbamazepine may cause an elevated GGT level, but also NSAIDs OTC may. Talk to your treating physician to find out what the test could mean for you. Carbamazepine 300mg for TN is a very small dose. ...Read more
My mum suffers from trigeminal neuralgia, can she take carbamazepine without the her doctor's recommendation?
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
Get intermittent nerve pain on dorsal side, outer edge of left hand, along right side of knuckle. 61 female, on tegratol and lamictal for epilepsy. ?
Hand pain: Sometimes this can be associated with the epilepsy, but if it is more like a problem perhaps from the elbow down to the outside border of the hand, called cubical tunnel syndrome, or compression of the ulnar nerve on the inside of the elbow. Especially is your arm/elbow is laying down a lot, or you have this symptom at night and wakes u up... That's probably it... Go see ur doc to have it tested. ...Read more
Just been diagnosed with trigeminal neuralgia, and started on a treatment course, will the pain still get worse over time? Will my anxiety decrease?
On perc for l excruciating neck, arm and l head neuralgia. Pain worsening. Neurontin (gabapentin) no help. Can't move w/out help. ? Isn't pain responding ?
Don't give up hope: There are a variety of other things to be considered based upon the postulated cause of your pain. Physical therapy? Might benefit from muscle relaxant, non steroidal, antiepileptic ( for potential nerve pain) or maybe even an injection or trial of nerve stimulation, etc. Hard to tell from across the country. If your primary doc can't help you maybe a do / chiropractor or pain clini.C. ...Read more
It's normal when having occipital neuralgia that the stabbing pain of right part of my head to get worse when bending forward, i get dizzy also.
Can trigeminal neuralgia happen on both sides of the face?Or switch from right to left? Getiing progressively worse. Low grade fever. Lost 90lbs in6mo
Unlikely: The pain of idiopathic Trigeminal Neuralgia occurs unilaterally in the distribution of one or more divisions of the trigeminal nerve. TN rarely occurs bilaterally; when it does, it is usually secondary to multiple sclerosis. TN never crosses the midline but on rare occasions, may switch to the opposite side in different attack periods. See orofacial pain specialist for proper diagnosis. ...Read moreSee 1 more doctor answer
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