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How long does Carbamazepine take to work? Trigeminal Neuralgia (poss atypical!).

(5 Posts)
Draylon Fri 20-Nov-15 09:27:42

My GP put me on this 9 days ago, and I reached the proper dose 3 days ago (600mg a day).

It's making me mildly nauseous, rather spaced out- but isn't working. As in I still need 4 lots of over-the-counter pain medication (Ibuprofen and Paracetamol) every day.

My pain is atypical in that it isn't short-term and electric-shock or stabby in nature, nothing triggers it and my face isn't tender during that attack; it's grinding, 'deep' in the angle of my jaw and lasts for hours. Or would if I wasn't taking horse-tranquillizer doses of Ibuprofen! The worst I've had since I've been on the Carb was at midnight last night. I was in agony for 45 mins til either the Ibuprofen worked, the pain went away by itself, or the Carb 'worked', (though I thought the point of the Carb was to prevent the pain happening in the first place?)

So my question/s is:

Is Carb a drug that takes ages to become effective? As in it builds up gradually in your bloodstream til it suddenly becomes effective?

Or if, after 9 days, I am still getting attacks that make suicide feel like an option, can I safely say Carb isn't working?

And, IF Ibuprofen is getting on top of the pain, is it possible this isn't TN at all?

As an aside, I have the dentist later as I was embarking, as do many TN patients, on a course of tooth re-filling to try and uncover the source of the pain (lower 6 completely done, lower 8 half done); I have to have a 'sedative' (ha!) filling removed from my lower 8 and replaced with a permanent filling, again. I assume she'll use local- well, I've heard that true TN pain isn't stopped by dental local, so it will be -ahem- interesting to see if that is the case.

Pleasemrstweedie Fri 20-Nov-15 10:33:59

It worked instantly for me in terms of pain relief, from the first dose, although sadly it wasn’t a long term solution as I was simply unable to stay awake.

It then turned out I did not have TGN anyway, but a very rotten tooth which my dentist was monitoring but had not seen fit to mention to me.

Draylon Fri 20-Nov-15 12:42:44

Update: Dentist didn't touch me as she was worried about stirring up yet more pain! The temporary filling is working fine for now.

StillMedusa Fri 20-Nov-15 16:55:40

Carbamazapine didn't work for me..just made me feel spaced out and sick.
I was switched to Pregabalin (Lyrica) on a HUGE dose, ramped up over a week or so and that stopped the TN. Once under control I then was switched to Gabapentin (cheaper) which works fine and I'm still on it, now at a lower dose.

Please go back ..if it's not working for you, you should be tried on another.

My pain was more like yours (though started with a 'stab') and I lost two healthy teeth at the dentists before I was dx!

Draylon Fri 20-Nov-15 17:06:27

Thanks for the advice, Medusa- I am beginning to think that Carb is a drug that ought to start working pretty quickly, like, say paracetamol does; but as opposed to say Prozac which I believe needs to build up in your system in order to work.

My appt with the GP is Dec 3rd but I think I will have to bring it forwards as this is ridiculous!

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