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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Trigeminal Neuralgia While Having MS

I have recently been diagnosed with AS but feel that the diagnosis did not cover all of my concerns. I also have trigeminal neuralgia which can be a side effect of MS. The biological drugs they want to put me on for the AS can make neurological symptoms worse. I m confused as to what to do and how to proceed. I don t see the neurologist until January.
Thu, 18 Jan 2018
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Neurologist,  's  Response
Hello!

Welcome on Healthcaremagic!

You should know that biological treatment for MS, usually help prevent possible relapses. They do not worsen trigeminal neuralgia.
If active plaques are seen in the brain MRI, a short term treatment with IV methylprednisolone would help improve your situation.
Meanwhile, I would also recommend starting anti-epileptic drugs (carbamazepine, gabapentine, etc.) to help against the pain. It is OK to use these drugs concomitantly with your biological drugs for MS, as long as you check your blood lab tests periodically.

Hope you will find this answer helpful!
Kind regards, Dr. Aida
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Suggest Treatment For Trigeminal Neuralgia While Having MS

Hello! Welcome on Healthcaremagic! You should know that biological treatment for MS, usually help prevent possible relapses. They do not worsen trigeminal neuralgia. If active plaques are seen in the brain MRI, a short term treatment with IV methylprednisolone would help improve your situation. Meanwhile, I would also recommend starting anti-epileptic drugs (carbamazepine, gabapentine, etc.) to help against the pain. It is OK to use these drugs concomitantly with your biological drugs for MS, as long as you check your blood lab tests periodically. Hope you will find this answer helpful! Kind regards, Dr. Aida