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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Long Does It Take For Carbamazepine To Work For Treating Trigeminal Neuralgia?

I was diagnosed with trigeminal neuroglia on Tuesday morning approximately 2 am due to severe sharp pain in my left temple, left jaw and left tooth and gum area. I was placed on Carbamazepine 100 mg once a day for 3 days and 2 a day every day after that. Today is the 1st day taking 2. The pain has not gone down at all. How long does it take for this medication to work. Even my pain medication, Percocet 10 mgs only work a little bit for a short time.
Thu, 28 Mar 2019
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Dentist 's  Response
Hi..

As per your question it seems that you are suffering from neurotic pain like Trigeminal Neuralgia or Tic Doloreux..

Trigeminal neuralgia can occur due to disturbances associated with the fifth cranial nerve that is the Trigeminal nerve..

You need to consult a Neurophysician and get evaluated for the exact cause of the nerve induced pain as there can be some causes like the most common one is a large artery impinging over the nerve causing damage of the Myelin Sheath [ a protective cover over the nerve] leading to severe electric shock like pain..

Other causes are disorders like Multiple sclerosis, tumour compressing the nerve, physical trauma etc..

The common drugs given to relieve neurotic pain are Carbamazipine that is the first line drug while others like Gabapantin, baclofen, oxycarbazipine etc but in case if the pain does not subside then a detailed evaluation and tests like MRI SCAN can be done to rule out the underlying cause and treatment of the same can relieve..

It can take a some time for the pain to subside but if there is no relief you need to get re checked..

If there is any artery impinging the nerve Microvascular decompression in which the compression over the artery is surgically removed is done..
Other procedures like Balloon decompression,gama knife radiosurgery, glycerol injection etc can be done to relieve pain..

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Honey Arora, Dentist
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How Long Does It Take For Carbamazepine To Work For Treating Trigeminal Neuralgia?

Hi.. As per your question it seems that you are suffering from neurotic pain like Trigeminal Neuralgia or Tic Doloreux.. Trigeminal neuralgia can occur due to disturbances associated with the fifth cranial nerve that is the Trigeminal nerve.. You need to consult a Neurophysician and get evaluated for the exact cause of the nerve induced pain as there can be some causes like the most common one is a large artery impinging over the nerve causing damage of the Myelin Sheath [ a protective cover over the nerve] leading to severe electric shock like pain.. Other causes are disorders like Multiple sclerosis, tumour compressing the nerve, physical trauma etc.. The common drugs given to relieve neurotic pain are Carbamazipine that is the first line drug while others like Gabapantin, baclofen, oxycarbazipine etc but in case if the pain does not subside then a detailed evaluation and tests like MRI SCAN can be done to rule out the underlying cause and treatment of the same can relieve.. It can take a some time for the pain to subside but if there is no relief you need to get re checked.. If there is any artery impinging the nerve Microvascular decompression in which the compression over the artery is surgically removed is done.. Other procedures like Balloon decompression,gama knife radiosurgery, glycerol injection etc can be done to relieve pain.. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora, Dentist