7 doctors weighed in:
Could the tegretol i'm taking for trigeminal neuralgia be making the pain worse?
7 doctors weighed in

Dr. Jeffrey Cohen
Neurology
1 doctor agrees
In brief: 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.

In brief: 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.
Dr. Jeffrey Cohen
Dr. Jeffrey Cohen
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1 comment
Dr. Eric Weisman
Also some people don't properly metabolize Tegretol. It gets converted to carbazepine 10-11 epoxide which can in turn cause problems like bone marrow supression.
Dr. Stephen Rodrigues
Family Medicine
1 doctor agrees
In brief: Consider Acupuncture
Tn is a type of facial pain.
Tn overlap with myofascial patterns. Don't wait to start care the pain can make you wish you were dead! think flesh/tissue and not nerves for face pain! begin a self-care wellness program of vits, magnesium glycinate, sleep hygiene, self/pro massage, chiropractor, heat, epsom soaking, stretching. I use acupuncture!

In brief: Consider Acupuncture
Tn is a type of facial pain.
Tn overlap with myofascial patterns. Don't wait to start care the pain can make you wish you were dead! think flesh/tissue and not nerves for face pain! begin a self-care wellness program of vits, magnesium glycinate, sleep hygiene, self/pro massage, chiropractor, heat, epsom soaking, stretching. I use acupuncture!
Dr. Stephen Rodrigues
Dr. Stephen Rodrigues
Thank
Dr. Michael Gofeld
Pain Management
1 doctor agrees
In brief: Probably not
Tegretol may not make the pain worse.
It simply doesn't work in your case. In my practice, i try two or three medical options and if the pain is not controlled, i offer stereotactic trigeminal neurotomy, a procedure we do under real-time ct scanner which is effective in 90-95%.

In brief: Probably not
Tegretol may not make the pain worse.
It simply doesn't work in your case. In my practice, i try two or three medical options and if the pain is not controlled, i offer stereotactic trigeminal neurotomy, a procedure we do under real-time ct scanner which is effective in 90-95%.
Dr. Michael Gofeld
Dr. Michael Gofeld
Thank
Dr. Ron Jones
Family Medicine
In brief: Unlikely
Tegretol is the only fda approved anti-convulsive drug that has proven to be effective in the treatment of tn.
Upwards of 79% of folks with tn have at least some improvement. You can become "resistant" to the drug over time, but it is unlikely to increase the pain of tn.

In brief: Unlikely
Tegretol is the only fda approved anti-convulsive drug that has proven to be effective in the treatment of tn.
Upwards of 79% of folks with tn have at least some improvement. You can become "resistant" to the drug over time, but it is unlikely to increase the pain of tn.
Dr. Ron Jones
Dr. Ron Jones
Thank
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