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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Amitriptyline Advisable For Nerve Pain In Face And Jaws?

I have been diagnosed with "nerve pain" by an ENT and she suggested a drug call amtripaline. I have had pain for at least a year in my face, my teeth all ache daily, pains in my head, sore tongue, and many other symptoms of something too numerous to list. My dentist first diagnosed "burning mouth syndrome" and then suggested "dry mouth" and hence an ENT. Can you give me any help? Thanks
Wed, 1 Jul 2015
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Dentist,  's  Response
Hello and Welcome to Healthcaremagic.

I will try to the best of my ability to help you with your concern.

Well amitriptyline is a antidepressant drug . But it can also be use to relive nerve pain . It affects the neurotransmitter like serotonin in brain and should be taken under the prescription of doctor .

It seems to me that you have a problem of clenching of teeth at night that is bruxism , which results in pain in teeth and headache . Because pain in teeth along with headache doesn't seems to be a nerve pain.

Simply getting a night guard from dentist can solve problem along with muscle relaxants and giving physical therapy to facial muscle.

As far as sore tongue is concern it could be due to dry mouth , but dry mouth is just a symptom there must be some underlying cause like infection ,side effect of certain medicine and nerve problem.

So i would suggest you to :-

- Consult dentist again to find out exact cause of sore tongue .

- Keep your self hydrate by drinking at least 8-9 glasses of water .

- Avoid food like sugary and fatty food , which can increase dryness of mouth .

- Suck on sugar free candy to keep your mouth moist.

I hope it helps.
Thanks
Dr Harry Maheshwari
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Is Amitriptyline Advisable For Nerve Pain In Face And Jaws?

Hello and Welcome to Healthcaremagic. I will try to the best of my ability to help you with your concern. Well amitriptyline is a antidepressant drug . But it can also be use to relive nerve pain . It affects the neurotransmitter like serotonin in brain and should be taken under the prescription of doctor . It seems to me that you have a problem of clenching of teeth at night that is bruxism , which results in pain in teeth and headache . Because pain in teeth along with headache doesn t seems to be a nerve pain. Simply getting a night guard from dentist can solve problem along with muscle relaxants and giving physical therapy to facial muscle. As far as sore tongue is concern it could be due to dry mouth , but dry mouth is just a symptom there must be some underlying cause like infection ,side effect of certain medicine and nerve problem. So i would suggest you to :- - Consult dentist again to find out exact cause of sore tongue . - Keep your self hydrate by drinking at least 8-9 glasses of water . - Avoid food like sugary and fatty food , which can increase dryness of mouth . - Suck on sugar free candy to keep your mouth moist. I hope it helps. Thanks Dr Harry Maheshwari