Carbamazepine

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 lowering the dose of psychiatric drugs help to reduce the manic episodes in my son?

Query: Hi doctor, My 25-year-old son just came out of the psychiatric hospital and the medication given to him makes him more manic, delusional with side effects, but the doctor did not listen to them. Now I need to adjust quickly because he is escalating. This has happened after every release. They incre...  Read Full »


Dr. Seikhoo Bishnoi

Psychiatrist, Sexologist, Psychotherapist

Answer: Hello, Welcome to icliniq.com. Stopping the medicines abruptly might precipitate withdrawal. But you can reduce the doses gradually. Tegretol can be reduced to 100 mg twice daily, and then after a week evening dose can be stopped. Dose of Temazepam can be halved, and then this can be stopped aft...  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 »


Dr. Ashok Kumar Choudhary

Andrologist, General Practitioner, Geriatrician, Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist

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 Carbamazepin...  Read Full »

Why do I have pain in my ear when I chew?

Query: Hi doctor, I am a 31 year old unmarried male. I am getting very sharp and heavy pain in left ear side, inside center part of the ear, whenever I chew or eat food. This was started 4 days back. But, it was not that much noticeable and today morning it has increased. Please help.  Read Full »


Dr. Divakara P

Diabetologist, Endocrinologist, General Medicine Physician, Internal Medicine Physician, Pain Medicine Physician, Pulmonologist

Answer: Hi, Welcome to icliniq.com. Your ear pain could be either due to a dental problem or nerve problem, a condition called trigeminal neuralgia. If it is dental problem it has to be addressed by a dentist. The treatment is either tooth extraction or a root canal treatment. Hence, first kindly get exa...  Read Full »

Why am I imbalanced with sharp pains in head while leaning forward?

Query: Hello doctor, I am on no medications other than Neurofen and Panadol. I got tested my reflexes, balance, ears, optical nerve, bloods, blood pressure, strength, temperature and all came back good. I am experiencing the intermittent short feeling.  Read Full »


Dr. Aida Quka

Neurologist

Answer: Hello, Welcome to icliniq.com. Please try to provide more information on your concern. I cannot understand your complaints. You are experiencing short....? Headache, or dizziness, or tingling? What is the location? How long seconds, or minutes, or hours? What is your past medical history? When...  Read Full »

Does Carbamazepine affect implant contraceptive?

Query: Hello doctor, I took Carbamazepine 200 mg for the first (and last) time, at the beginning of this year and stopped right after experiencing some side effects from it. A month later, I discovered that this actually interacts with contraceptive implants, which I have been on for one year. Looking ba...  Read Full »


Dr. Ateeqa

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. Why did you take Carbamezepine? Do you have epilepsy?  Read Full »

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 nur...  Read Full »


Dr. Poonam Patel Vasani

Pain Medicine Physician

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, shooti...  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 for about 7 times that would last for almost a minute per attack. Our neurologists are out of town so we just needed an opinion on the following interventions we ...  Read Full »


Dr. Aida Quka

Neurologist

Answer: Hello, Welcome to icliniq.com. I would recommend 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 seizures become frequent despite therapy, I would recommend b...  Read Full »

Is my mother's epileptic treatment going the right way?

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 »


Dr. Aida Quka

Neurologist

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 i...  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 »


Dr. Sonal Prasad

Childbirth Educator, Lactation Counselor, Obstetrician And Gynaecologist

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 gaining weight, ...  Read Full »

My mom was treated for trigeminal neuralgia, with no relief. What to do?

Query: Hello doctor, My 58 year old mother has a history of trigeminal neuralgia from the past four years. She was initially treated with Carbamazepine, but she had a severe allergic reaction, due to which it was stopped. Oxcarbazepine was tried, and it caused allergy too. Pregabalin, phenytoin, and sod...  Read Full »


Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hello, Welcome to icliniq.com. You seem to have tried all the possible treatments. I would suggest trying a medicine known as Tapentadol at doses of 50 mg twice daily, along with Gabapentin 600 mg per day. Consider radiofrequency ablation or alcohol injection into the nerve again, if no relief is ob...  Read Full »

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