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I Feel Sudden Episode That Has Ignited The Symptoms With The TN2 On The Left Side

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Posted on Mon, 6 Jan 2025
Question: Hi, Dr. Spaho. It's been a while and I hope all is well with you. Reason I'm writing again is due to a sudden episode that has ignited the symptoms with the TN2 on the left side. It was relatively quiet for some time, had no significant dental work done there but for some reason that front tooth (that is dead from root canal) has once again exploded in pain. Recently, my family doctor had me taking an antibiotic and the oral steroid prednisone for an unrelated issue and suggested these meds may be a component in aggravating this neuralgia. Just wanted to get any thought u may have on that. Thanks so much.
doctor
Answered by Dr. Dr. Erion Spaho (11 hours later)
Brief Answer:
Use some painkillers, the affected tooth should be treated.

Detailed Answer:
Hello again and thanks for your question.

In my opinion, if the prednisone and the antibiotic use triggered the pain, these drugs should be discontinued.

The tooth responsible for the pain should be treated definitely by the Dentist.

You can use something for the pain for few days too. ( gabapentin, pregabalin, diclofenac etc.).

Discuss with your Dentist for the treatment of the affected tooth.

Hope you found the answer helpful.

Feel free to ask if you have further questions.



Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Erion Spaho (13 hours later)
Hi, doctor and thanks for your answer. I have both Lyrica and neurontin here at home but as you say, do need a painkiller until I can first get this dentally resolved. So I ask for the right one, could u please suggest one painkiller name that would both work for pain as well as have least side effects (i.e. - dizziness, feeling sick). Any one u can suggest without codeine - tried one with codeine in it once and was violently ill. Thanks so much.
doctor
Answered by Dr. Dr. Erion Spaho (21 hours later)
Brief Answer:
You can try combinations of paracetamol/tramadol for example.

Detailed Answer:
Hello again.

There are a number of painkillers that may be used in your case.

I would say that you can try combinations such as those containing paracetamol and tramadol for example ( doses 325mg/37.5 mg three times a day).

Discuss with your Doctor for a prescription for a painkiller.

Hope this helps.

Take care.

Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Dr. Erion Spaho (3 days later)
Doctor, one quick follow up question. The TN2 on that upper left side has gotten a lot worse with symptoms I never had before - now in the lip and in the left nostril. I know about the meds but would u know of any other thing I can do to alleviate the pain there - such as a topical, etc? Thanks so much as always.
doctor
Answered by Dr. Dr. Erion Spaho (27 hours later)
Brief Answer:
I would explain as follows.

Detailed Answer:
Hello again.

There is no definitive treatment or any drug that may be tried to treat TN2, however, I think that you could use topical cream of diclofenac 1%.

This can be used only with a scope of temporary relief.

Hope this helps.

Take care.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4501 Questions

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I Feel Sudden Episode That Has Ignited The Symptoms With The TN2 On The Left Side

Brief Answer: Use some painkillers, the affected tooth should be treated. Detailed Answer: Hello again and thanks for your question. In my opinion, if the prednisone and the antibiotic use triggered the pain, these drugs should be discontinued. The tooth responsible for the pain should be treated definitely by the Dentist. You can use something for the pain for few days too. ( gabapentin, pregabalin, diclofenac etc.). Discuss with your Dentist for the treatment of the affected tooth. Hope you found the answer helpful. Feel free to ask if you have further questions.