I have trigeminal neuralgia I'm on 3300 mg daily gabapentin and 400 mg of Dilantin I'm still having some shocks can they raise the Dilantin?

Agree with Dr Davis. If the Dilantin blood level is too low, increasing the dose may help, but if gets too high, you will become toxic. Please be aware, that the maximal effective dose of Gabapentin is 2400 mg daily, and beyond that, no further benefits. Might discuss all of this with your doctor. Good luck.
Maybe. They need to do levels on you blood of the Dilantin to know if they can raise it or not. It has an upper limit in your blood over that it becomes toxic. Of your mber is under that they can raise it.
Surgery. Soundsllike you are becoming refractory to medical therapy. There are many effective surgical therapies including glycerol rhizotomy, radio frequency ablation of the nerve and ganglion, and micro vascular decompression. See a neurosurgeon with expertise in the treatment of tic doloreaux.
Dilantin level. needs to be checked first. If therapeutic no.Too much is toxic. If low could be increased.
Reconsider. Raising gabapentin dose above ~2800 mg/day increases GI absorption little or not at all. I'd steer clear of phenytoin unless nothing else works. Not good for someone your age. (Promotes osteoporosis.) There are lots of other drug choices. If you've tried them without success, it may be time to consider a surgical approach. The gamma knife has been used with considerable success.

Related Questions

I have trigeminal neuralgia I'm on gabapentin and Dilantin. I was put on macronid for a bladder infection. How I'm get my shocks back. Iis it the mar?

Macrodantin (nitrofurantoin) Dilanti. Sorry about my previous misunderstanding of your question. Dilantin levels have rarely been reported to be lowered by macrodantin, (nitrofurantoin) so you should have your Dilantin level rechecked to see if that is what is going on. Also, if that is the case, you will need it rechecked after stopping Macrodantin (nitrofurantoin) because the Dilantin levels could go up again into a toxic range if you doctor had raised the dilantin. Read more...

Is gabpintin and Dilantin used for trigeminal neuralgia?

Yes. Both are used. If those fail there are other meds that can be helpful. Read more...
Sometimes. Both may be used; each has a response rate about 50%. Other primary meds include Carbamazepine or oxcarbazepine, with a response rate of 70%. And, there are many others to try. If pain is not controlled, or side effects are intolerable, a procedure should be considered. Read more...
They both can be. but avoid Dilantin if possible. The efficacy is lower and the side effects much higher. There are a multitude of other medications that can be effective as well, but make sure the person diagnosing your pain has it right as many people call any facial pain trigeminal neuralgia and this is not true. So if refractory, get second opinion. Read more...

Can you take Dilantin with gabpintin? I have trigeminal neuralgia.

Yes. As with many drugs of this type, it is always better to escalate the dose slowly over a few days, to decreased the incidence of additive side effects such as somnolence, dizziness and others. Read more...
Not a problem. Gabapentin does not have any major drug-drug interactions, as it is kidney metabolized, and dilantin, via the liver. Read more...

Why wont doctor give me pain killers to have on hand for flare ups from trigeminal neuralgia gabapentin isn't enough!

Pain management. Trigeminal neuralgia is a long term problem, and requires medication that is safe to take, effective, and not habit forming. Narcotics are fine for short term use, but tn needs to be chronically controlled. Gabapentin is one of a few drugs that can work, but some people need higher doses. I go up to 1200 mg 3x a day. Carbamezepine can also help alone or in addition to. Read more...
Consider. You may want to consider a trigeminal nerve block followed by radiofrequency if successful, by an interventional pain management physician, rather than focus on trying to temporarily masking the problem with more medicine. Read more...
They don't work well. Narcotics don't work well for nerve pain, and they are addictive. If your symptoms are so bad you need narcotics, then you should consider treating the underlying cause. Radiofrequency ablation alleviates the pain, but causes numbness. I do a "keyhole microvascular decompression" which allows most of my patinets to go home the day after surgery, with over 90% cure rate and no numbness. Read more...
They should. Patients with trigeminal neuralgia get flare ups at times. A plan to handle this should be set up with your md during a routine visit. There are several reasonable options. You should not automatically increase your medication yourself. If your md is not familiar with these options, you may wish to contact the facial pain organization. Read more...
My thots. Cannot answer your question regarding your doctor as you need to ask directly. However, i would wonder why you have "trigeminal neuralgia" as there is always a cause. Is it due to a neuroma, a compressive issue, or even multiple sclerosis? Many meds might work, including oxcarbezine, baclofen, lyrica, (pregabalin) etc. There is a simple needle/balloon procedure that some neurosurgeons employ. ?2nd opinion? Read more...

I have been suffering from trigeminal neuralgia pain for the last twenty years … on and off …for which I am using a combo of gabapentin and diclofenac?

Please Clarify. Unfortunately you did not give us a question here. What is your concern? The medications you are on are a very common medical approach to your problem. Read more...
Options for treatmen. The medications that you describe are good medicines and standard treatment for the trigeminal neuralgia. If this has worked for 20 years, this is pretty good. If these are not working or you want to explore other options, check with your neurologist--there are newer medications. Also, you can check with a neurosurgeon about microvascular decompression or gamma knife radiotherapy as options. Read more...

Is 1100 gabapentin 3 times a day a lot for trigeminal neuralgia?

Yes. 3300 mg/d of Gabapentin is certainly a healthy but not uncommon dose. Are you having any side-effects to this dosage? Read more...
High dose. But okay if you are not having side effects and your kidneys are doing well. Some people respond to lower doses, but I have had a number of patients on 1200 three times a day for different nerve pain. If you can treat it with less medication its better. However, if you need that much, it is reasonable. Tri neuralgia can be extremely painful, so it does require higher doses sometimes. Read more...
No, too high. The highest effective dose of Gabapentin is 2400 mg daily. Beyond that point there is no added value, and therefore, not worthwhile to take more than 800 mg thrice daily (see pdr). Read more...

Is it poss that trigeminal neuralgia might go away on its own. Feel that its ruined my life. Is it poss that gabapentin may stop working at some point.

TRIGEMINAL NEURALGIA. It last for a long time with sometimes facial disfiguration aside from the constant pain. Gabapentin , vitamin B12 injections help shorten duration. I have seen only 2 cases . Read more...
Sometimes. Sometimes, the symptoms do go away on their own, and sometimes, Gabapentin and other drugs stop working. If you have had pain for more than a year, and multiple medicines have failed, or if you can not tolerate the medication side effects, surgery is appropriate. I do a "keyhole microvascular decompression" which allows most of my patinets to go home the day after surgery, with 90+% cure rate. Read more...