Carbamazepine is an anticonvulsant drug used to treat trigeminal neuralgia and some types of seizures seen in epilepsy. This reduces abnormal electrical activity between your brain and nerve cells by blocking sodium currents. It is used for partial and generalized tonic-clonic seizures.
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Will Oxcarbazepine for trigeminal neuralgia mess up with the effect of Lamictal?
Query: Hello doctor, I have complicated migraines, simple partial seizures and are controlled by Lamictal. I have a long time pain from sound intake and it has worsened into my face. Other sensory triggers the pain. It has become just way too much to handle. I sought advice from friends and groups and nurs... Read Full »
Answer: Hello, Welcome to icliniq.com. Firstly, we need to be sure if your pain is really Trigeminal neuralgia (TN) as there can be other causes of facial pain like idiopathic facial pain, Post-herpetic neuralgia. Sometimes dental causes of facial pain can mimic TN. Trigeminal neuralgia has sharp, shooting ... Read Full »
I am a 41-year-old woman with a 6 cm fibroid and my salpingectomy is scheduled for next week. Should I go ahead with this treatment?
Query: Hello doctor, I am a 41-year-old woman having a 15-year-old son. I have heavy periods and iron deficiency anemia. I was given an appointment for a salpingectomy next week and my coil got removed. The scan showed a six-centimeter fibroid in the muscle. I am also having pressure in the bladder and a f... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. It would be better if you send the scans and blood reports that have been done recently. For a woman of your age with multiple reasons for hysterectomy, it is better to have the ovaries and tubes to be removed a... Read Full »
Is it safe to take Carbamazepine while breastfeeding?
Query: Hi doctor, I am a mother of 1 month old baby, who is exclusively breastfed. My baby is healthy and gaining normal weight. The problem is that he sleeps a lot. I have been taking Carbamazepine and Eslicarbazepine tablets for partial seizures. Are these tablets safe while breastfeeding? When I consul... Read Full »
Answer: Hi, Welcome to icliniq.com. Your doctor is right. Carbamazepine can get secreted in breast milk and it is the safest antiepileptic during lactation. 1 month old baby sleeps a lot. They can sleep for about 18 to 20 hours a day. They will wake up only for feeds. As long as the baby is gainin... Read Full »
Even after taking Carbamazepine, why does my cousin have seizures?
Query: Hi doctor, My cousin has a history of epilepsy and using Depakine Chrono 750 mg twice daily. He used Allopurinol and got allergy and fever along with seizure. He was given Hydrocortisone injection and Carbamazepine 100 mg twice daily for 10 days and increased to 200 mg twice daily after that. But, s... Read Full »
Answer: Hi,Welcome to icliniq.com.I read your query and understand your concerns.If your cousin was seizure free before Allopurinol, then I do not think Carbamazepine is the right thing for her. She should be given anti-epileptic such as Clobazam, which has immediate action. I think Carbamazepine should be ... Read Full »
Why do repeated seizures occur in a cerebral palsy patient?
Query: Hi doctor,My sister has cerebral palsy with grand mal seizures. She is 28 years and weighs about 25 kg. Today she had a seizure attack about seven times that would last for almost a minute per attack. She underwent an EEG. Our neurologists are out of town, so we just needed an opinion on the followi... Read Full »
Answer: Hello, Welcome to icliniq.com. I thoroughly read your query and understand your concern. I would suggest taking Tegretol 200 mg (Carbamazepine) three times daily and Clonazepam 2 mg two times daily. In case of repeated seizures, Diazepam should be administered 0.5 ml during each seizure. If seizu... Read Full »
Any advice on going off low dosage bipolar medications?
Query: Hello doctor,I am a 56 year old male. I was diagnosed bi-polar, as part of an attempt to save a failing marriage and took a low dose of Carbamazepine (200 mg) and Lamotrigine (100 mg) for about six years and during that time felt fine. During another relationship that I should have ended much s... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns. As you can see both of your psychiatrists agree that the dose is too low to have any efficacy and I agree with same as 100 mg of Carbamazepine and 25 mg of Lamotrigine have no value in the treatment of bipolar disorder. H... Read Full »
What should I do if I took 600 mg of tablet Tegretol instead of 200 mg?
Query: Hello doctor,I have the following question about the tablet Tegretol:I have been taking Tegretol 200 mg in the morning and 400 mg in the evening for bipolar disorder for nearly two years now. I accidentally mixed up Tegretol with my allergy medicine yesterday morning and therefore took 600 mg of Teg... Read Full »
Answer: Hello,Welcome to icliniq.com.You do not need to worry about it. Since more than 12 hours have passed after taking 600 mg of tablet Tegretol (Carbamazepine), I do not think there is any risk of poisoning. Even at 600 mg, the drug is safe.Kindly take plenty of water and avoid taking an overdose in the... Read Full »
What is the treatment for epilepsy who has had it for the past 22 years?
Query: Hello doctor, My mother is a patient of epilepsy for 22 years. Earlier she was diagnosed as GTCS (generalized tonic-clonic seizures) and CPS (complex partial seizures) and given Eptoin 100mg BD at first, then Zeptol CR 400mg BD with Cloba 10mg for fits, convulsions, and senselessness. But still, it... Read Full »
Answer: Hello, Welcome to icliniq.com. Your mother's situation seems to be very complicated. I would like to explain that it is true that Carbamazepine (Zeptol) can have no good effect or even worsen idiopathic generalized seizures. I would not recommend Topiramate for this type of epilepsy, because it is ... Read Full »
Is trigeminal neuralgia curable?
Query: Hi doctor, I think that I have atypical trigeminal neuralgia (TN2) and started taking Carbamazepine from two days back. It seems to help me. But it is not helping me entirely. Constantly, I have a dull ache in the left jaw area and a tingling or burning sensation on the lower outside portion of t... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Your symptoms are atypical. As bright light indirectly activates the spinal trigeminal nociceptors, it explains the mechanism of trigeminal nociceptor sensitization that increases the pain quality by bright light. On the other hand, it can be ... Read Full »
Are there epilepsies that do not cause physical seizures?
Query: Hello doctor, I have been suffering from a wide array of mental symptoms for around nine years. Some years ago, I went to see a neurologist. He took an EEG, and found "epileptiform activity", I think in temporal lobes. So he said I have epilepsy and prescribed Valproate. He said my depersonalisation... Read Full »
Answer: Hi, Welcome to icliniq.com. EEG (electroencephalogram)is not a diagnostic tool in itself. EEG can show abnormality in a normal person and also can be normal in epilepsy patients. Few EEG changes can be seen in normal and abnormal conditions. As you mentioned that your symptom is psychotic like, t... Read Full »