Carbamazepine (Tegretol) was first used to treat trigeminal neuralgia in the 1990s. Because of its success in treating that painful condition (which is very difficult to treat), it was then used to treat all kinds of neuropathic pain.
While it may be useful, there are more modern medications that may help if you have a neuropathic pain problem -- for instance, Neurontin (gabapentin) and Lyrica (pregabalin).
In all probability, you are suffering from trigeminal neuralgia. For medical treatment of trigeminal neuralgia several types of drugs are tried either singly or in combination. These are anti-epilepsy drugs such as valproate, carbamazepine, lamotrigine, phenytoin, gabapentin, and pregabalin; muscle relaxants such as clonazepam and baclofen; tricyclic antidepressants such as carbamazepine, amitriptyline, and nortriptyline.
Does Trigeminal Neuralgia worsen with age. I've tried Tegretol but the pain has some back agaiin after about a year and is very, very intense. It is like a needle made of glass penetrating the right side of my nose and going into my head. What is the best treatment for this and can it be cured completely.
This discussion is related to <a href='/posts/show/894401'>Trigeminal neuralgia more help</a>.
which you need to evaluate and avoid. Drug of choice for trigeminal neuralgia is carbamazepine but as the dose may vary according to severity therefore I would advice an oral medicine specialist consultation or at least a physician to confirm this diagnosis and get you treated accordingly. Take care.
org/posts/Multiple-Sclerosis/Attack-of-trigeminal-neuralgia--OMG/show/2646953#post_12856616) I moaned about it, but I have to say it was excruciating. Fine now, at least from that standpoint.
The standard treatment is Tegretol (carbamazepine). It turns out I can't tolerate that, as a reasonably effective dose wiped out my balance and had me staggering all over the place. It also almost destroyed my platelet count, which was down to 23.
but it could possibly be trigeminal neuralgia....a not uncommon pain syndrome in MS. Carbamazepine is the standard treatment. Let your neurologist know so you can be properly evaluated and treated.
Hi, Thank you for your question Trigeminal neuralgia may have a triggering factor like recent history of tooth extraction, touch, cold breeze or hot sensation etc. which you need to evaluate and avoid. Drug of choice for trigeminal neuralgia is carbamazepine but as the dose may vary according to severity therefore I would advice an oral medicine specialist consultation or at least a physician to confirm this diagnosis and get you treated accordingly. Take care.
These symptoms are pointing towards trigeminal neuralgia, which is a nerve disorder causing a stabbing or electric shock like pain in parts of face. This can affect part of or all of face and surface of eye. Trigeminal neuralgia may be caused by multiple sclerosis and pressure on the trigeminal nerve from a swollen blood vessel or tumor.
Trigeminal neuralgia may have a triggering factor like recent history of tooth extraction, touch, cold breeze or hot sensation etc. which you need to evaluate and avoid. Drug of choice for trigeminal neuralgia is carbamazepine but as the dose may vary according to severity therefore I would advise an oral medicine specialist consultation or at least a physician to confirm this diagnosis and get you treated accordingly. Take care.
I just had a nerve block procedure done for my trigeminal neuralgia pain in my face. My face was sore but after 3 days, the pain in my face became more painful and I felt more electrical current shooting onto my lower teeth area. Why does it seem like my facial pain just got worse after this procedure.
which you need to evaluate and avoid. Drug of choice for trigeminal neuralgia is carbamazepine but as the dose may vary according to severity therefore I would advice an oral medicine specialist consultation or at least a physician to confirm this diagnosis and get you treated accordingly. Take care.
which you need to evaluate and avoid. Drug of choice for trigeminal neuralgia is carbamazepine but as the dose may vary according to severity therefore I would advice an oral medicine specialist consultation or at least a physician to confirm this diagnosis and get you treated accordingly. Take care.
If your pain is not electrical in nature, it may not by trigeminal neuralgia. I would suggest seeing a neurologist or pain specialist to get a reevaluation.
I have been living with trigeminal neuralgia since 2004 when it was first diagnosed. I am taking carbamazepine, occasional lamotrigine and have recently been advised by my neurologist to add pregabalin, 2 daily. At present, my TN has shifted from the usual position from the left side of my face and down the left side of my nose to a new and very painful path from the scalp (front forehead) and down the left side of my nose. I cannot bear to touch my scalp without bringing on a spasm.
Hi all, saw MS nurse yesterday and told her about my muscles cramping and leg and foot spasms. She has suggested I start carbamazepine to see if it helps. Im wondering if anyone has been on this and if it works. What sort of side effects it has? I see this would be used in trigeminal neuralgia too, which I think Ive had a couple of attacks already.
This drug is mainly used in the treatmen for seizure disorders, trigeminal neuralgia (pain). Dosage is 100-200 mg once or twice daily until unless changed ny a competent physician.
I just found out that I do have Trigeminal Neuralgia. I have the same symptons you have and I have researched this many people have unneccesary procedures done on their teeth thinking its that. I would recommend before you undergo the root canal seeing a Neurologist and having them do a MRI they will be able to see if its the Trigeminal Neuralgia by this test. I hope this helps, I know how
frustrating this can be and also how painful it is. Please let me know what happens.
I appreciate your concern. Yes! This may be Trigeminal neuralgia as you have typical one sided facial pain extending to temple and eye( ophthalmic branch of trigeminal nerve may be involved) and sore gums of the teeth of same side (maxillary branch of 5th nerve). Trigeminal neuralgia may have a triggering factor like recent history of tooth extraction, touch, cold breeze or hot sensation etc. which you need to evaluate and avoid.
For medical treatment of trigeminal neuralgia several types of drugs are tried either singly or in combination. These are anti-epilepsy drugs such as valproate, carbamazepine, lamotrigine, phenytoin, gabapentin, and pregabalin; muscle relaxants such as clonazepam and baclofen; tricyclic antidepressants such as carbamazepine, amitriptyline, and nortriptyline.Sometimes a MRI is done to find out if there is a tumor pressing on the nerve. In this case surgery is the only treatment.
Hello.
For a few months my trigeminal nerve has been irritated. It's the first and second branch. I experience the electrical shock (more like a tickle) that I've experienced with Trigeminal Neuralgia but there's no pain. It seems to happen often when my head is tilted forward/down and that makes me wonder if it could be an issue with my cervical spine. I really don't have any unusual discomfort in my neck. I don't have headaches or sinus pressure or anything.
Hi 1987
Cry1987.. does this mean that you're twenty-one and in a lot of pain.. I'm so sorry you're going through this . It does sound like it could be trigeminal neuralgia(sp)..There is a vast amount of info on the web about this and many of the forum members have gone through TN, myself included .. Its not fun
Are you see a neuro , has he/she prescribed anything for it. You could also have something else , like TMJ , you really need to have this looked at.
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