Recently Answered Questions
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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 T... 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 »
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 »
Answer: Hi, Welcome to icliniq.com. Why did you take Carbamezepine? Do you have epilepsy? Read Full »
Should I do salpingectomy to remove 6cm fibroid?
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 »
Will Oxcarbazepine for trigeminal neuralgia mess up with the effect of Lamictal?
Query: Hello doctor,I have complicated migraines and simple partial seizures which are controlled by Lamictal. I have a long time of pain from sound intake and it has worsened in my face. Other sensory triggers the pain. It has become just way too much to handle. I sought advice from friends groups and nur... 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 and post-herpetic neuralgia. Sometimes dental causes of facial pain can mimic TN. Trigeminal neuralgia has sharp... 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 soone... 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 »
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 »
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 »
What does it mean to have a sharp pain on one side of the neck while swallowing?
Query: Hi doctor, Every time I swallow food, it brushes against the left side of my neck, and I get burning dull pain on the back of the left side of my head. My neck and my trapeze, especially on my left side, are sore. The pain is on and off for the whole day. I had a bump on the side of my neck. My doc... Read Full »
Dr. Florilyn Joyce Chulsi Bentrez
Answer: Hello, Welcome to icliniq.com. Thank you for the query. If you have unilateral pain triggered by swallowing, you might have glossopharyngeal neuralgia. Since you have a bump on the neck, I suggest doing a cranial MRI (magnetic resonance imaging) and neck ultrasound. It is advisable to consult a s... Read Full »
How to control atonic drop seizures?
Query: Hi doctor, I am a 39-year-old woman diagnosed with epilepsy. I have been having focal seizures for the past two years and early last year. Just recently, I have had atonic drop attacks. Looking at the description, it is what I believe to be happening to me. I lost consciousness for a brief moment, ... Read Full »
Answer: Hello, Welcome to icliniq.com. Both Tegretol (Carbamazepine) and Levetiracetam can help against atonic attacks too. Anyway, I would recommend checking carbamazepine plasma levels to adjust the dose of Tegretol if necessary. Otherwise, if it is fine, I would recommend increasing the dose of Levetir... Read Full »