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What Is Neurontin? | Epilepsy
 
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Watch more Epilepsy & Seizure Disorders videos: http://www.howcast.com/videos/502061-What-Is-Neurontin-Epilepsy Patty McGoldrick: Neurontin is also known as gabapentin and it's another medication that can be used for control of seizures and epilepsy. It's well tolerated, it's used for generalized, impartial seizures. It's available both in pills that can be crushed or it's available in an oral formulation, so a liquid for small children. Dr. Steve Wolf: The major side effects is sedation. Patty: Right. Dr. Wolf: Sleepiness. It can cause a little bit of an increased appetite and weight gain, so you need to monitor that very closely. Though it's also useful for patients who are having trouble sleeping at night. It already helps to sort of increase the sleep control. Patty: And actually we use it a lot for people who are having difficulties sleeping. It's also used for pain, for neuropathic pain. Dr. Wolf: So it's a good medication Another option in our armory of people with difficult to control seizures but not one of your first line kind of drugs. Patty: So Neurontin or gabapentin, third or fourth line drug for control of generalized, impartial seizures. A big side effect is drowsiness. It's also used for pain and it's well tolerated for the most part.
Просмотров: 6914 Howcast
Is It Safe To Take Gabapentin While Pregnant?
 
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High dose folic acid has to be prescribed by a doctor advice and warnings for the use of gabapentin during pregnancy. Googleusercontent search. Healthy child while taking gabapentin throughout her pregnancy, what i am worrid about is 43 and have an unexpected pregnancy take place on neurontin 400mgs two times a day. Pregnancy outcomes following gabapentin use ncbi nihneurontin while pregnant may increase risk of birth defects. I just wish i could find a balance of safe meds and limited pain feb 14, 2016 should you take gabapentin during pregnancy can be considered to only when the physicians recommend it nov 23, 2014 if become pregnant while taking gabapentin, talk your healthcare collect information about safety antiepileptic drugs. However, despite the increasing number of patients receiving gabapentin, there is only limited information regarding safety this medication when used during pregnancy i am really worried about gabapentin taking and whether or not it think would be safe as they say to take advil while pregnant may 19, 2015 neurontin increase risk birth defects (also known generically gabapentin) an epilepsy position stop harming baby epileptic seizure, leaving experts divided other similar drugs dec 13, 2011 data reproductive. Fda pregnancy category c risk cannot be ruled out the drug was approved by us food and administration for use in epilepsy 1993 subsequently neuropathic pain 2002. Regarding the marketing of prescription drug neurontin (gabapentin) gabapentin (neurontin) may be used in early pregnancy and then has not been enough pregnancies to know that it is safe use. If you take too much gabapentin, call your healthcare provider or for those of who gabapentin (neurontin) just curious what side effects i know that neurontin will be stopped as it is not safe to while pregnant mar 17, 2017 can drink alcohol taking gabapentin? Although if i'm breastfeeding? The safety dec 7, 2012 the women needed on average until about half way further data was available use during pregnancy. Gabapentin cautions, monitoring, pregnancy, breastfeeding. If you become pregnant or plan to while taking gabapentin, be sure consult your i was on lyrica 150mg a day before got but switched haven't taken gabapentin pregnant, did take different medication these types of meds just 'haven't been proven safe;' there's no webmd provides important information about neurontin oral such as if can when are nursing jun 10, 2011 trying for all it make me gain weight. Gabapentin during pregnancy & breastfeeding (neurontin wondering if any other bumpers have used gabapentin there what you should know about taking neurontin oral when (kinda long sorry!) june 2011 babies and amitriptyline? August 2015 whattoexpect. Severe morning sickness patients get relief from anti seizure drug neurontin (gabapentin) and pregnancy breastfeeding. Can i take gabapentin while pregnant can. Gabapentin side effects, uses, dosage, overdose, pregnancy neurontin while pregnant medhelp. A psycho
Просмотров: 230 U Answers
How safe is gabapentin & its contraindications? - Dr. Vykunta Raju K N
 
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Gabapentin is drug introduced in earlier days for treating epilepsy. But nowadays usually the usage of gabapentin is less common compared to other newer drugs. This is one of the safe drugs, usually safe to take. You use this drug whether is a problem with the liver or kidney or some other problem because this will not cause any side effects involved with the kidney and the liver and also they cause when they are taking any other medication because the drugs interaction is also less like if we are taking cancer medication, or diabetes sugar medication or hypertensive medication or if somebody is suffering from HIV or cancer also. So interaction with other medication is also less and also causing damage to other organs also for them. So this is one of the safest medicines available. As such there is no specific contraindication for gabapentin. As I told, it is one of the safest drug, but only if they are hypersensitive to this compound, then only it is contraindicated. Otherwise this is one of the safest drugs available for treating epilepsy.
What Is Phenobarbital? | Epilepsy
 
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Watch more Epilepsy & Seizure Disorders videos: http://www.howcast.com/videos/502062-What-Is-Phenobarbital-Epilepsy Dr. Steve Wolf: Phenobarbital is one of our oldest anti-seizure medications that have been around. It's indicated for both seizure types. The major problem with it is sedation, sleepiness. That's why the newer medications have a lot less sleepiness and side effects and waking issues. Patty McGoldrick: Now it still is used a lot of times in infants, children who present with neonatal seizures, and that's one of the first medications that's given to them. It's also used for people who present in status, which is prolonged seizures, and who may be in the emergency room. Not necessarily as the first medication that's used for that, but somewhere down the line. Dr. Wolf: The problem is in the emergency room, when you use it, it can really knock you out, and put you to sleep. And of course, if you give too much of it, it actually can affect your respiration. Patty: Now, the other big issue with phenobarbital is that we've been using it for years to control seizures in newborns and in infants. And actually, the latest research has shown it can cause much more cognitive damage than we initially thought. So we're trying not to use that as rapidly as we did in the past. We use some of the newer medications. We try to get children off phenobarbital pretty quickly if they were using it. Dr. Wolf: There were studies in the 80's showing that it can affect hyperactivity in young children, as well as reading scores and attention scores. So again, this drug can have a lot of potential cerebral side effects. That's why it's nice about some of the newer medications that are out there that might have less cognitive effects. So it's important to discuss with the people taking care of you whether this is the right medication for you, and what are the other choices.
Просмотров: 10755 Howcast
Can gabapentin be prescibed for Partial Seizures in children? - Dr. Vykunta Raju K N
 
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Gabapentin is newer antiepileptic drugs. It can be used for treating epilepsy, especially partial epilepsy. It can be used in children also. But nowadays the antiepileptic drugs usage is less. Nowadays the more commonly is used for neuropathic pain. So it can be used for seizures, especially if there is any problem with the liver, kidney and the heart problem or if they are receiving medication for other disorders like cancer medications, BP medications, diabetic medications, heart medications because interaction is less common and causing injury to the other organs is also less. So it can be used for partial seizures, especially if they are refractive to the other drugs. As a first line of drugs, nowadays not suing many of them and have a better choice with antiepileptic drugs. It can be used to treat partial epilepsy if there is no response to other types of drugs available currently.
Lyrica Side Effects
 
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The experience I have had with a higher dosage of Lyrica for my Fibromyalgia and Neuropathy.
Просмотров: 25771 Cash00716
Side Effects of Tegretol | Dealing with Tegretol's Side Effects
 
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Check out my website for a FREE cookbook on the ketogenic diet, which is helpful in treating epilepsy - https://getfitandhealthyathome.com/free-keto-cookbook-bacon-and-butter/ You can find my book on Amazon, Seizure Free Addressing the Causes of Seizures Naturally. The side effects of tegretol will be different for everyone. Tegretol was the one of the first anticonvulsants that I was put on during my teenage years. The side effects of tegretol were subtle to me. I didn't notice how much slower I became or how much drowsier I was compared to other people my age because the doctors increased my dosage so slowly. The side effects of tegretol can range from depression to weight gain or drowsiness. I didn't experience weight gain, but I did experience the side effects of tegretol that include depression and drowsiness. Your experience will be different and based on how healthy your body is functioning, you may or may not experience these side effects of tegretol. Tegretol's side effects can be countered by a healthier lifestyle so that there isn't so much stress and strain on the body as you put more toxins in it. You can eliminate some of these toxins through a few clay bath detoxes, a change of diet and exercise. This will help your body in dealing with tegretol's side effects. 0:01 side effects of tegretol video begins 0:20 My experience with the side effects of tegretol 0:40 Learn more about the side effects of tegretol on my blog and through my book
Просмотров: 18308 Melinda Curle
Trying to decrease neurontin (gabapetin)...
 
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Tue March 28. EDIT: FINALLY ATE A SMALL DINNER AND BREAKFAST AFTER THID VIDEO. CONTINUED W NEURONTIN DECREASE. WENT BACK TO SCHOOL TUES MORNING. HAD NOT PEE'D SINCE MONDAY AT 7PM AND ITS WEDNESDAY AT 3:50PM HE FINALLY PEE'D FOR ADAM AFTER SCHOOL. STARTING TO GET BACK TO NORMAL... AFTER DR.HENRYS APPT. YEST I GAVE HIM ENEMA AND HE RELEASED HUGE LUMP OR VERY ALMOST FIRM B.M. AND SOOO MUCH GAS (THEN FINALLY ATE AFTER.) Not having muscles spasms but arms bent and neck, shoulder and face pain... arms bent again. Still has not had a wet diaper since yest after IV fluids and yest urine was super dark. It is 7:30pm now. He has drank 20 ounces so far since being home from ER and kept ot down but if shown food he literally gags... and again, it seems like the liquid is just sitting in his stomach and his stomach is soooooo bloaded. He slept today way earlier but cried out in pain all night last night amd didnt sleep AT ALL last night. Dropping neurontin also seems like he is having a hard time swallowing too. Going to move forward with bringing neurontin down however and see what happens. Will start second new dose of clozapam prescribed by Dr.Henry tomorrow. If no wet diaper by tomorrow must call doctors. Also, hoping he keeps the fluids down.
Просмотров: 69 Chryssy Tsolakidis
Why Do We Snort Things?
 
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When people do certain drugs, they snort them. Why do humans snort things? Read More: Drugs: The Real Facts http://www.drugs.health.gov.au/internet/drugs/publishing.nsf/content/campaign/$file/bkFact.pdf What Is Snorting Drugs? http://addictions.about.com/od/drugdictionary/g/What-Is-Snorting.htm “Snorting drugs is a method or route of administration of a powdered drug, typically an illicit drug such as cocaine or amphetamine.” ____________________ DNews is dedicated to satisfying your curiosity and to bringing you mind-bending stories & perspectives you won't find anywhere else! New videos twice daily. Watch More DNews on TestTube http://testtube.com/dnews Subscribe now! http://www.youtube.com/subscription_center?add_user=dnewschannel DNews on Twitter http://twitter.com/dnews Trace Dominguez on Twitter https://twitter.com/tracedominguez Julia Wilde on Twitter https://twitter.com/julia_sci DNews on Facebook https://facebook.com/DiscoveryNews DNews on Google+ http://gplus.to/dnews Discovery News http://discoverynews.com Download the TestTube App: http://testu.be/1ndmmMq
Просмотров: 579969 Seeker
Do I Need to Avoid Being Around Infants After a Shingles Vaccine?
 
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Paul A. Offit, MD, discusses a common concern grandparents who plan to or recently did get the shingles vaccine have. Visit the Vaccine Education Center to learn more about vaccines, http://vaccine.chop.edu.
Просмотров: 2348 The Children's Hospital of Philadelphia
What Is Lamictal? | Epilepsy
 
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Watch more Epilepsy & Seizure Disorders videos: http://www.howcast.com/videos/502059-What-Is-Lamictal-Epilepsy Lamictal or Lamotrigine is another great medication that's used to control epilepsy. It's been out for a number of years. In fact it is now available in a generic formalization but it's also available in a extended release and in a o d t, which is a oral disintegrating tablet. So it's a pill you can place on your tongue. It's great for little kids and it just dissolves. It's another sodium channel drug which is interesting. It's good for both partial complex seizures as well as generalized seizures. It also has a FDA approval for bipolar disorder as well. And it's really well tolerated. Very few side effects. The big side effect and the big black box warning with Lamotrigine is that you can develop a bad rash from it. It's called a Stevens Johnson reaction. So what happens is if you start the dose abruptly or you try to treat it too quickly and raise the dose to quickly, or if you use in combination with other medications. You can develop this rash that's sort of a red raised rash. Usually on the trunk and the chest. It gets worse, it can spread to the mouth. If that happens it's something that needs to get treated in the hospital with steroids, but usually you can avoid that happening at by slowly increasing the dose, by telling the patients about the possibility of this rash developing. And if the rash develops you hold the medication and give them benadryl. But the rash shouldn't stop you from thinking about using this medication. Very few people get the rash. The rash is usually easily manageable, because it's such a great medication with few cognitive side effects. No weight gain. Only rarely have people complained about insomnia with lymictal. But in overall it's a great medication. It works well and it's used for a bunch of different seizure types. Works on sodium channels. Well tolerated and it's also another one that can be used in pregnancy at lower doses not at higher doses.
Просмотров: 10523 Howcast
What Is Topamax? | Epilepsy
 
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Watch more Epilepsy & Seizure Disorders videos: http://www.howcast.com/videos/502063-What-Is-Topamax-Epilepsy Topamax or Topiramate is one of the medications used to control epilepsy. Its big side effect is that it can decrease appetite, some people think that it can cause some cognitive dulling or some word finding issues, but it hasn't been that much our experience. You know, nickname they give it is Dopamax, uh, and it's word finding difficulties, you can't find the word or such, so this has been certainly described, and it seems like older people are more sensitive to it than children are. There's a risk of kidney stones, um, a risk of glaucoma and blurry vision, so if you experience some blurry vision with it you need to get checked out and make sure that's okay, and also in some younger children, they don't sweat on it, which can be a problem in the summer. It's also used for migraines, to prevent migraines, so it's pretty commonly used. It also gives some side effects of tingling in your fingers and toes, which is dose related and goes away by itself. It's one of the new medications that we use in children and small children and in infants because it has some neuroprotective qualities, so it prevents seizures as well as stopping the seizures that are currently occurring. So it's important if you're on this medication to describe to the people taking care of you whether you are experiencing some difficulties finding words, if you find confusion, you're losing your car keys all the time, something like that, because that could be a side effect of the medication. That as well as the numbness and tingling and again, it's a good medication to use in neonates and newborn babies to prevent and control their seizures.
Просмотров: 4643 Howcast
Neuroplex 300 Capsules by Herb Technology
 
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View product details: http://bit.ly/2a3tHJq Tissue Growth Regulation Formula.;nutritional Support: Supports the health and function of the immune Boldo Leaf (peumus boldus), Celandine (chelidonium majus), Gum Benzoin (styrax benzoin), Red Raspberry (rubus idaeus), Gotu Kola (centella asiatica).;contents per capsule, 556 mg. *note: These statements have been evaluated by the Food and Drug Administration. products are intended to diagnose, treat, cure or prevent any disease. Customer Reviews Average Review: yet rated Write an online and share your thoughts with others. There are no reviews;suggested Use: 20 day short-term. 2-5 long-term.
Просмотров: 254 Franklyn Poland
Phenobarbital PHARM Assignment
 
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Просмотров: 1747 MntMann
Equipment simulates drug addiction scenes
 
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A drug prevention museum in east China's Shandong province is using interactive equipment to simulate what it's like to be a drug addict, to warn people the danger of drugs.
Просмотров: 59 New China TV
What Is Zonegran? | Epilepsy
 
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Watch more Epilepsy & Seizure Disorders videos: http://www.howcast.com/videos/502069-What-Is-Zonegran-Epilepsy Patty: Zonegran is another medication indicated for the treatment of epilepsy. It's been out for a number of years. It is generic. It has five different mechanisms of action so it covers a lot of bases. It comes in capsules that can be opened and sprinkled in food for kids who can't swallow pills yet. The only big side effects are really some minor cognitive issues and you can also get kidney stones from it, but it's rare. Dr. Steve Wolf: So Zonegran, zonisamide, is not in your first top three of medications to pick, this is for the more the difficult to control patients with epilepsy, those that have had problems on some of the other medications. But again, as Patty said, a great medication to think of when other medications are failing. A good option and again, it's nice because it's generic so it's actually pretty reasonably priced. Patty: So Zonegran for epilepsy control. Side effects are kidney stones, rarely, and some mild cognitive issues.
Просмотров: 3008 Howcast
Seroquel Serious Side Effects
 
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I was prescribed Seroquel for Anxiety as well as a possible mood disorder. I had HORRIBLE side effects from Seroquel. I gained over 10 pounds in a week, felt like I had the flu constantly, had horrible headaches, felt like my blood sugar was out of whack, super sleepy but couldn't sleep still, joint pain and swelling, and numbness with tingling in my feet. Then, I woke up to find my face swollen along with 3+ pitting edema in both legs. The Doctor had me stop the Seroquel instantly without weaning down and didn't have me on anything for 3.5 weeks. I felt crazier than I have ever felt in my entire life. I keep on fighting and I know that any of you going through any sort of mental illness can do so too!
Просмотров: 62156 Iva Marie Gutowski
Tramadol (Ultram) Warnings ⚠ and my withdrawal story..
 
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I share a bit of my withdrawal story with you a long with many warnings and side effects to look for when taking Tramadol and Ultram. SUBSCRIBE to be a part of my spoonie family! www.youtube.com/eviekoehler11 Hi there! Online I am known as Fibro Mom, my name is Evie. I am awful at vlogging but started a channel here on youtube to connect with others that live and struggle with all types of "invisible" diseases..diagnosed or not. Everything from chronic pain to mental illnesses. I want to help remind all Spoonies that they are not alone and I'm here to be a friend. I share videos of my family, life tips to all sorts of different topics. My channel is a lot like my life...unorganized and all over the place but filled with love and great intentions! Not your normal, gorgeous, perfect youtuber but I'm me so come say hi! https://www.drugs.com F E W V I D E O S Who is Fibro Mom? https://www.youtube.com/watch?v=BLJngjIs0dw Sex and chronic illnesses https://www.youtube.com/watch?v=8oZqtna3z2E How To Survive A Flare Up? What Does Fibromyalgia Feel Like https://www.youtube.com/watch?v=mfDbI4g6Z9w Sex And Chronic Pain https://www.youtube.com/watch?v=8oZqtna3z2E How To Stay Positive With A Chronic Illness https://www.youtube.com/watch?v=1HJxrXuf-SA What Is Fibro Fog *tips https://www.youtube.com/watch?v=M83FPGoAnUM Fibromyalgia Is NOT real RANT https://www.youtube.com/watch?v=gdNaVZ3dgeA My 5 year old does my makeup https://youtu.be/KrPFtGR0uX4 Are YOU vitamin D deficient? https://youtu.be/35FPXj2yLW0 Embarrassing POOP Problems https://www.youtube.com/watch?v=Bznaul5rUg0 Fibromyalgia and Pregnancy..my story https://www.youtube.com/watch?v=pWdDQuppi4E Movies that mock chronic and mental illnesses https://www.youtube.com/watch?v=BaKoIPgGESM Fibromyalgia Medications | My story https://www.youtube.com/watch?v=hjVheSro5GM Food Stamps and Disability https://www.youtube.com/watch?v=YHgqu0pNuR4 Best Treatment For Fibromyalgia! https://www.youtube.com/watch?v=kukkVWhDBTc Fibromyalgia Isnt Real! RANT https://www.youtube.com/watch?v=gdNaVZ3dgeA APPLE CIDER VINEGAR BENEFITS AND USES https://www.youtube.com/watch?v=46VSurKKJ5c THUMBS UP if you enjoyed (helps us out) **COME TALK TO ME** FACEBOOK (support group for all invisible diseases) www.facebook.com/fibromyalgiapain Twitter /FIBROMOM11 Google+ FIBROMOM Instagram www.instagram.com/fibromom11/ Snapchat fibromom11 Blog http://fibromom11.blogspot.com/ WANT TO MAIL ME? #SpoonieMail Fibromom P.O.Box #64 Prentice, WI 54556 Would you like to help spread awareness for all "invisible" diseases? Check the Spoonie Merchandise! https://shop.spreadshirt.com/100045225?noCache=true xoxo Spreading awareness one video at a time xoxo For business OR collab inquires www.fibromom11@gmail.com #SpoonieFamily #spoonie #support #spreadawareness #chronicpain #chronicillness #mentalhealth #findacure #butyoudontlooksick #fibromom #Fibromyalgia #MS #CFS #lymes #IBS #crohns #Endomeotris #cancer #ADHD #Autism #Spinalinjury #fibromom #spooniefamily #spooniestruggles
Просмотров: 26814 FIBRO MOM
What Are Antipsychotics Prescribed For?
 
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Antipsychotic medication for bipolar uses & side effects webmdantipsychotic medications mental health center medical antipsychotic drugs behavioral and psychological should you take an drug to treat depression children drugs? Scientific american. Each formulation of antipsychotic medication is if you are prescribed a medication, be sure that tell the doctor about all fda lists following side effects medicines drowsiness 23 sep 2016 learn more from experts at webmd new medications (and older ones) effective in some drugs may also help lessen bipolar depression. Pills on blank prescription paper antipsychotics also known as neuroleptics or major tranquilizers, are of medication in this indication it is common practice for the psychiatrist to prescribe combination an atypical antipsychotic and antidepressant learn about mental health info includes addiction, anxiety, depression, food diet, sex, stress, work related issues other drugs prescribed people with dementia done so 'off label'. Here to antipsychotic medication sane australianimh mental health medications. This means that the doctor can prescribe them if they have good reason to although antipsychotics were developed treat schizophrenia, newer ones are regarding marketing of prescription drug neurontin (gabapentin) 1 mar 2014 modern antipsychotic drugs increasingly prescribed children and adolescents diagnosed with a broad variety ailments. Children with 'adhd' commonly prescribed antipsychoticsantipsychotic medications and sleep disorders other info safely prescribing antipsychotic better health channeltuck. How antidepressant and antipsychotic medications work. The choice of antipsychotic prescribed depends upon what is being treated, how severe your antipsychotics are psychiatric drugs which available on prescription, and licensed to treat types mental health problems whose symptoms include psychotic experiences antipsychoticsthis leaflet may be helpful if you have been medication; A friend or relative has note that agents also other conditions apart from schizophrenia. This is referred to as off label prescribing and includes 11 may 2017 along with psychosis, you experience other mental health issues, like depression, mania, anxiety, the 'negative' symptoms of schizophrenia. The drugs help 30 jan 2017 despite little evidence for benefit, and substantial risk of harm, antipsychotics are commonly prescribed to children diagnosed with adhd antipsychotic medications can reduce or relieve symptoms psychosis, such most people who take over a longer term now the 14 jul 2015 low doses treat sleep disorders like insomnia. Googleusercontent search. Older antipsychotics include drugs such as antipsychotic medications don? T cure mental illnesses, but they can reduce, for information on prescription, over the counter and complementary medicines 20 feb 2017 second generation are ones in use today like other prescription approved by fda labeled. Antipsychotic medication sane australia. Drugs how do th
Просмотров: 36 Question Bag
Zoloft side effects | side effects of zoloft | zoloft weight gain | zoloft withdrawal | side effects
 
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Zoloft side effects can lead to zoloft weight gain and zoloft withdrawal. I hope you enjoy the video and find it to be helpful. http://www.youtube.com/watch?v=5H8eXE-sfKE
Просмотров: 4777 whataresideeffects
What Is Midazolam Nasal Spray? | Epilepsy
 
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Watch more Epilepsy & Seizure Disorders videos: http://www.howcast.com/videos/502068-What-Is-Midazolam-Nasal-Spray-Epilepsy Midazolam, uh, name brand is Versed, is another rescue medication that's available for patients with intractable epilepsy. It's not FDA approved for this indication in the United States. It's mainly used for intravenous. But in Europe, they're using it, if someone's having a seizure, and it's a prolonged seizure, to help break the seizure from happening. And so what they do is they use the IV formulation. But they give it iii, which is in the corner of your mouth, or they give in inter-nasally. So the medication is drawn up into the syringe, and then shot into the nose or mouth. It's a great option for people who don't wanna use rectal valium, are Diastat. Or when you're out in public, and you're not able to do that. So it's quick, it's easy to use. Just squirt it in there, let it kick in. It'll kick in within, you know, 5 to 15 minutes, whether it goes up the nose or into the mouth. Very few side effects. The sedation thing is really not that bad. We're not worried about respiratorily depressing them with the dose that the Versed is. Biggest problem is there's been a shortage of it in the United States. And it's not FDA approved for this indication. But it is a great alternative, especially for teenagers and young adults. And for people who are in wheelchairs. Multiply handicapped in wheelchairs, where it's difficult to get them out of the wheelchair to give the rectal Valium or the Diastat. So if you're looking for a rescue medication, and Diastat, which is a rectal suppository, is really not what you wanna use in a public place. Speak to your practitioners and see if this is a good option for you to use. And let them teach you how to use it.
Просмотров: 26798 Howcast
Epilepsy illnesses side effects other health conditions
 
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We may have epilepsy, my child does too... but we are just as human as others. There are many answers and more to come. Cannot always blame epilepsy for everything, sometimes there is more tied in to the genes--such as my daughter. She has anxiety from my mother's side, ADHD from her biological father...so I just didn't get it when she was placed on an IEP in school---as for I was passing just fine, and on a much strong med... and my seizures weren't controlled. But we have to realize there is a reason for everything-and to know He gives us strength. My heightened time is prior that time of the month... I will have 10 more seizures than normal. So women out there... might want to log theirs. Blessings to you all.
Просмотров: 1231 Heather Siebens
Seeing Pain:  New approach to diagnosing and treating nerve damage | Chris McCurdy | TEDxUM
 
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Peripheral nerve injury, as a consequence of trauma, surgery, inflammation, or other causes, is a major medical problem. Diagnosis and treatment are still considered as unmet medical needs. This TED talk discusses exciting new paths to treating nerve damage. Chris McCurdy is Professor of Medicinal Chemistry and Pharmacology, Research Professor in the Research Institute of Pharmaceutical Sciences. The reality of drug abuse is that people become addicted so quickly that withdrawal becomes intolerable and the addicts are stuck. McCurdy’s work is to rescue people from addiction to drugs like cocaine, heroin, and methamphetamine. He does this by working to make withdrawal more endurable and thus more likely to succeed. His work uses kratom, a mixture common in Southeast Asia used to treat more common ailments. This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at http://ted.com/tedx
Просмотров: 6657 TEDx Talks
What Is In Strattera 40 Mg?
 
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Strattera (atomoxetine hydrochloride) drug medicine information. Nonmedicinal ingredients pregelatinized starch, dimethicone, your doctor has weighed the risks of you taking strattera against 40 mg capsules are coloured opaque blue and marked with 'lilly', see images (atomoxetine), including medication its packaging. Learn about the reported side effects, related class drugs, and how these medications will i would like to chat specifically with anyone that has used strattera only. Has anyone just used strattera for adhd? Never anything else. Atomoxetine compare prices and print coupons for strattera (atomoxetine) other adhd drugs at cvs, 30 tablets of atomoxetine 40mg a small number people (especially children teenagers) who take attention deficit hyperactivity disorder (adhd) may experience worsening (brand name strattera) is norepinephrine (noradrenaline) reuptake inhibitor additionally, 40. Html url? Q webcache. Strattera oral uses, side effects, interactions, pictures, warnings strattera (atomoxetine) dosage, interactions drugsstrattera 10mg, 18mg, 25mg, 40mg, 60mg, 80mg or 100mg hard canoe. Each capsule contains atomoxetine hcl equivalent to 10, 18, 25, 40, 60, 80, or 100 mg of. Shop safely and save money on prescription medication today strattera cost 40 mgwe ship all orders in discreet packaging. Just for your info i just started strattera 40 mg on saturday morning harde capsules. See what i am currently on 40 mg, but working up to 80mg once a day. Discount on prescriptions to american citizens. Adderall what to know about each healthline. Mm each opaque blue and white capsule marked 'lilly 3229' contains atomoxetine 40 mg. Strattera (atomoxetine) increased the risk of suicidal ideation in short term 25 mg (opaque blue, opaque white), 40 blue) strattera oral capsule 40mg drug medication dosage information. I highly 8 jun 2015 strattera 40 mg capsules hard capsule, opaque blue, imprinted with lilly 3229 and in black ink, approximately 15. Lets bijsluiter informatie voor de gebruiker strattera 10 mg harde 40 price comparisons online pharmacies and certified pharmacy cost. Strattera (atomoxetine hcl) side effects, interactions, warning strattera uses, dosage, effects drugs. Strattera oral capsule 40mg drug medication dosage information. Alternatively, the dose may be administered as 20 mg orally twice a day, in morning and late afternoon early evening 1 jun 2017 strattera capsules are intended for oral administration only. Blue teva 7593 atomoxetine 40mg capsule. Strattera images and labels goodrx. The capsule shells contain gelatin, sodium lauryl sulfate, and other inactive ingredients 4 aug 2016 although strattera adderall are both used to treat adhd, they're 10 mg, 18 25 40 60 80 100 oral tablet 5 find patient medical information for on webmd including its uses, side effects safety, interactions, pictures, warnings user ratings 31 jul 2014 (atomoxetine) is prescribedto children adults diagnosed with adhd), one of the most blue, capsule,
Просмотров: 344 A Big Question
Central Pain Syndrome CPS
 
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Focal Pain Syndrome (CPS). What is focal agony disorder?. Harm to the focal sensory system (CNS) can cause a neurological issue called focal torment disorder (CPS). The CNS incorporates the cerebrum, brainstem, and spinal string. A few different conditions can cause it like: *a stroke. *brain injury. *tumors. *epilepsy. Individuals with CPS commonly feel distinctive sorts of torment sensations, for example, *aching. *burning. *sharp torments. *numbness. The side effects fluctuate generally among people. It can begin quickly after an injury or other condition, or it might take months or years to create. No cure for CPS is accessible. Torment pharmaceuticals, antidepressants, and different sorts of drugs can for the most part help give some alleviation. The condition can drastically influence personal satisfaction. What are the side effects of focal torment disorder?. The fundamental side effect of CPS is torment. The agony changes enormously among people. It can be any of the accompanying: *constant. *intermittent. *limited to a particular body part. *widespread all through the body. Individuals for the most part depict the agony as any of the accompanying: *burning. *aching. *prickling or shivering, which is here and there called "sticks and needles". *stabbing. *itching that turns agonizing. *freezing. *shocking. *tearing. The torment is commonly direct to extreme. The agony may even be depicted as anguishing by a few people. In extreme cases, individuals with CPS may have torment notwithstanding when touched daintily by garments, covers, or a solid breeze. An assortment of components may exacerbate the torment. These variables incorporate the accompanying: *touch. *stress. *anger. *other compelling feelings. *movement, for example, work out. *reflexive, automatic developments, such as wheezing or yawning. *loud clamors. *bright lights. *temperature changes, particularly icy temperatures. *sun presentation. *rain. *wind. *barometric weight changes. *altitude changes. As a rule, CPS remains a long lasting condition. What causes focal torment disorder?. CPS alludes to torment that originates from the cerebrum and not from the fringe nerves, which are outside of the mind and spinal line. Consequently, it contrasts from most other agony conditions. Torment is generally a defensive reaction to a destructive jolt, for example, touching a hot stove. No hurtful jolt causes the agony that happens in CPS. Rather, damage to the cerebrum makes the impression of agony. This damage as a rule happens in the thalamus, a structure inside the mind that procedures tactile signs to different parts of the cerebrum. The most well-known conditions that can prompt CPS include: *brain discharge. *a stroke. *multiple sclerosis. *brain tumors. *an aneurysm. *a spinal line damage. *a horrendous mind damage. *epilepsy. *Parkinson's infection. *surgical methods that include the mind or spine. The Central Pain Syndrome Foundation evaluates that about 3 million individuals in the United States have CPS. How is focal agony disorder analyzed?. CPS can be hard to analyze. The agony might be broad and may appear to be irrelevant to any damage or injury. No single test is accessible to empower your specialist to analyze CPS. Your specialist will survey your indications, play out a physical exam, and get some information about your therapeutic history. It's critical to illuminate your specialist about any conditions or wounds you have now or may have had before, and any meds you're taking. CPS doesn't create without anyone else's input. It just happens following damage to the CNS. How is focal torment disorder treated?. CPS is hard to treat. Torment meds, for example, morphine, are now and again utilized however aren't generally effective. A few people can deal with their torment with antiepileptic or energizer pharmaceuticals, for example, *amitriptyline (Elavil). *duloxetine (Cymbalta). *gabapentin (Neurontin). *pregabalin (Lyrica). *carbamazepine (Tegretol). *topiramate (Topamax). Extra prescriptions that may help include: *transdermal creams and fixes. *medical maryjane. *muscle relaxants. All Photos Licensed Under CC Source : www.pexels.com www.pixabay.com www.commons.wikimedia.org
Просмотров: 5006 Red Health Care
What Does It Mean To Take Medicine 4 Times A Day?
 
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S times have 4 a day (qid). Four times a day, really? . It doesn't usually mean you have to wake the child up in night take medicine feb 7, 2013 i was medication 4 times a day approximately 6 hours apart. Pill, 4 times a day crohn's disease healingwell forum. When a doctor says 4 times day, how many hours apart are they? Drugs day 573329. What does 3 times a day mean to you re medication? Forums. Medicine familydoctor. When a doctor says 4 times day, how many hours apart are they? . Take 1 pill 4 times a day antibiotics topics medschat. You can drink alcohol while taking flucloxacillin. How to give your child medicine familydoctor. The challenge(s) when do you take it? So instead, we should have divided the 15 hours by 4 time periods giving us 3. Is a day nov 29, 2016 if the bottle says take '4 times day,' does that mean 4 in 24 hours or during daytime? Should i medicine with food your is prescribed three time day, it means it's effects will expire after some while more ambiguous, not all at once, as doses anytine. Close to how it's prescribed as possible, and will tell you what do if answered nov 15 '15 at 4 02 jan 20, 2012 en espaol. Jul 2, 2017 when a medication is prescribed qid (4 times day) it most often assumed that the will be taken 4 day spread out over waking hours. What when should she take her medicine? Robert kaplinskyflucloxacillin antibiotic to treat infections nhs. If one drug's label says take twice a day, and second every 12 hours, does that mean the same thing? And could you confused about instructions on your medication bottle? Ask if it's three times doesn't tell when to it, davis. This means that the healthcare consumer, doctor, and payer a medication you're to take 1 pill, 4 times day, what hours do you those pills? So basically, instead of taking 2 pills i day. 0900, 1300 every 4 hours. The usual dose of flucloxacillin is 250mg to 500mg taken 4 times a daythat said, i do not interrupt sleep give meds, so with my girls, it bottle says take food will absorb quicker if meal. It did not seem appropriate for an adherence spokesperson to be nonadherent. Talk with your doctor about the possible risks of using this medication for nhs medicines information on flucloxacillin what it's used for, side effects, dosage means 30 to 60 minutes before a meal or snack, at least 2 hours after. If the amount of drug in your bloodstream at any one time during a 24 hour day is important, taking set interval recommended tandard medication administration. Doctors prescribe medicine using terms like 3 times a day. Take 4 times a day, does that mean in 24 hours or during dec 9, 2009 and when they are prescribed, take every last pill do not stop just can keep you from taking antibiotics appropriately, meaning may get the ideally, taken three four day should be jan 6, 2014 if advice is to them 'three daily' what this mean? The calculate correct medicine i have heard impact of medication lessens dosage doesn't it looses affect after 10 hour gap. Ask t
Просмотров: 718 Call into Question
How Long Do I Have To Take Isoniazid?
 
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https://goo.gl/6U6t22 - Subscribe For more Videos ! For more Health Tips | Like | Comment | Share: Thank you for watching Our videos: ▷ CONNECT with us!! #HealthDiaries ► YOUTUBE - https://goo.gl/6U6t22 ► Facebook - https://goo.gl/uTP7zG ► Twitter - https://twitter.com/JuliyaLucy ► G+ Community - https://goo.gl/AfUDpR ► Google + - https://goo.gl/3rcniv ► Blogger - https://juliyalucy.blogspot.in/ Watch for more Health Videos: ► How To Avoid Unwanted Pregnancy Naturally: https://goo.gl/hRy93e ► Period Hacks || How To Stop Your Periods Early: https://goo.gl/dSmFgi ► Cold and Flu Home Remedies: https://goo.gl/biPp8b ► Homemade Facial Packs: https://goo.gl/NwV5zj ► How To Lose Belly Fat In 7 Days: https://goo.gl/EHN879 ► Powerfull Foods for Control #Diabetes: https://goo.gl/9SdaLY ► Natural Hand Care Tips At Home That Work: https://goo.gl/YF3Exa ► How to Tighten #SaggingBreast: https://goo.gl/ENnb6b ► Natural Face Pack For Instant Glowing Skin: https://goo.gl/gvd5mM ► Get Rid of Stretch Marks Fast & Permanently: https://goo.gl/ZVYvQZ ► Eating Bananas with Black Spots: https://goo.gl/gXuri6 ► Drink this Juice every day to Cure #Thyroid in 3 Days: https://goo.gl/L3537H ► How Garlic Improves Sexual Stamina? https://goo.gl/GNcbYU ► Benefits of using Egg Shells: https://goo.gl/hAUyUS ► Home Remedies to Gain Weight Fast: https://goo.gl/jBVVQh ► Amazing Benefits of Olive Oil for Health: https://goo.gl/R3583v ► Rapid Relief of Chest Pain (Angina): https://goo.gl/idAFZR ► Home Remedies for Joint & Arthritis Pains Relief: https://goo.gl/jRbNkh ► SHOCKING TRICKs For #Diabetes Control: https://goo.gl/ATDDsV ► Doctors Are Shocked! #Diabetics: https://goo.gl/ZeQddJ ► Home Remedies for Gastric Troubles: https://goo.gl/72VR1b ► Juice for #Diabetics Type 2: https://goo.gl/3vDMqR --------- Ask your doctor if you have any questions about why isoniazid has been prescribed for youit is very important that continue taking tablets as long. Stopping isoniazid too soon may cause bacteria to become resistant 21 2014 you will need take several medicines treat tb is just one of if drink a lot alcohol, or do not eat sufficient amount. Rifinah (rifampicin, isoniazid) netdoctor. If your dose is different, do not change it unless doctor tells you to so. If tests show you have tb, should be treated as soon possible. Html url? Q webcache. Isoniazid livertox national institutes of healthtuberculosis (tb) treatment overview webmdisoniazid tablets drug and medication user reviews on rxlistlatent tb (tuberculosis) infection (ltbi) minnesota deptisoniazid health translations directory. There is an ongoing debate in south africa about how long ipt should be given. If we take the medication, i'm thinking not soon enough! related reading lupus i have been on isoniazid for 8 1 2 months of a 9 month treatment. The amount what treatment do i need for latent tb? You may be given rifampicin and isoniazid three months (which it is possible to become ill with active tb many years after you breathe in how take medication? . Because the tb it does not take place of talking to your doctor or pharmacist. However, despite future plans of expanded access, rifapentine is currently only registered in the united states. Or close friend can be your 'treatment buddy' and remind you to take medicine 27 jul 2012 taking isoniazid preventive therapy for one year reduces the risk of tb in people receiving art furthermore, whether it is safe ipt with. I had a positive skin test and long treatment is required because antibiotics work only when the bacteria are some people who do not have take inh their why should i medicine if don't feel sick? What tb germs will sleep as your body can fight them off. How long do i have to take isoniazid for mycobaterium? is it tb online questions and answers about tbmedicines childrenisoniazid tuberculosis (tb)patient. Your child will have to take this medicine for at least 3 6 months cure their tb 15 dec 2016 tell your doctor if you or ever had liver disease, do not more less of it often than prescribed by. About the treatment truth about tb. She had no previous history of liver disease and did not drink alcohol or take 27 sep 2013 treatment with isoniazid should be stopped abruptly, even if you feel antacids, may reduce absorption at least 2 hours apart consult your doctor before using this drug have epilepsy, for people who cannot 9 months, sometimes a 6 month chest x ray that suggests tb infection complete course child needs to the medicine called (say eye soe nye zid). 28 sep 2009 1 answer posted in isoniazid answer isoniazid therapy may need to be continued for up to 9 months. The study does not have statistical power to evaluate this waning you will need take tb medicine make sure all the germs in your body are as long body, they can wake
Просмотров: 934 IS QAs
Atarax Tablet & Syrup Benifit & Uses & Side Effects (Hydroxyzine Uses )
 
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हेलो दोस्तो आज के इस वीडियो में हम बात करने वाले है Atarax Tablet के बारे में जोकि काफी से इस्तेमाल में बीमारी में किया जाता है जैसे कि एलर्जी, खुजली,और भी बहुत सी शिकायतों में खास दवाई है आज के इस वीडियो में हम बात करने वाले है Atarax Syrup के फायदे और नुकसान और इस्तेमाल के बारे में आपको यह वीडियो को देखने के लिए धन्यवाद।
Просмотров: 963 Galaxy Nuskhe
Bipolar I Disorder - Dosage Change
 
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What has been happening with my me and my meds.
Просмотров: 276 My Life My Journey
How Long Does It Take For Paracetamol To Get Into Your System?
 
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However normally takes 1 2 hour to work, it has come down though not normal levels. Acetaminophen codeine how does one wean them selves off 11 answers posted in back pain, tramadol answer it should work with the first dose. Long term use of paracetamol could also cause internal bleeding, but the takes up to an hour work. How long should paracetamol take netmums. And from experience, i've often 12 jun 2014 the truth about your painkillers is panadol rapid actually rapid? June major factor that affects how long it takes for a painkiller to kick in whether or not you have eaten. For headaches or migraine too often for long can actually make them worse. How long does a paracetamol normally take to work? Paracetamol nhs choices. Much time does it take for paracetamol to effect? Quora. It varies between individuals but paracetamol seems to trusted information about paracetamol, including how it works, when take and possible side effects with regards long takes panadol work. Paracetamol codeine what is in this leaflet medsafe. If you take paracetamol regularly and miss a dose, it as soon remember10 mar 2015 how long does gabapentin to work doctor get them increased see go, i mine with ibuprofen too, 26 jul 2011 hi there have used tramadol find but my body has forte any day which only 30mg of codine 500mg should do this properly will leave system after 18 sep 2014 panadol work? How panadol? Taking painkiller for headaches too often or can actually make the 23 2016 extra Do not more than 8 tablets in 24 hours. Panadol extra (paracetamol and caffeine) netdoctornurofen vs panadol in children what do you think? Essential baby. How long does it take before a paracetamol starts working? . Life and style paracetamol for adults painkiller to treat aches, pains fever how long does gabapentin take work tramadol work? Addiction blog. Does paracetamol do you more harm than good? . Can i take panadol extra while pregnant or breastfeeding? . It is thought to work by reducing the central pain messengers in body. Thats alot paracetamol, also known as acetaminophen, helps to relieve pain and reduce fever. That pill needs to be broken cherry blackmore, housewife, unable work due severe ra i normally try avoid taking them but took one half an hour ago no effect yet find out who can take paracetamol, how it, what the possible side effects are and do if you too much. But knowing tramadol like i do, know how long does it take for paracetamol to have cleared enough not sent into the bloodstream,and then actually excreted out of body. Cetamol how long does it take to get out of your system? Drug paracetamol work? Medicinehow. Yahoo acetaminophen codeine how long will it take for the pill to kick in does tramadol start working? Drugs. For severe and chronic pain, you may take 2 tablets three times a day. The truth about your painkillers is panadol rapid news. Drugs get absorbed into your bloodstream and travel through entire circulatory system acting where they needed paracetamo
Просмотров: 163 Wen Wen
ABC: Prescription for Pain 8-06 (Zoloft suicidal homicidal)
 
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Interview with Amy Philo, Mary Ann Block, Yolanda Walker (Antidepressants don't work, they cause psychosis, suicidal and homicidal urges, and are linked to killings like the Andrea Yates case, Dena Schlosser who cut off her baby's arms, and more. Psychiatric drugs are very dangerous. Please don't take them. If you are on them please withdraw very slowly and carefully with supervision.) http://www.thepetitionsite.com/1/stop-the-dangerous-and-invasive-mothers-act Please sign our petition. Read the bill at http://www.uniteforlife.org/billcomments.htm Say yes to life, and NO WAY to The MOTHERS Act!!! For contact information for the 21 senators on the HELP Committee, please go to http://www.uniteforlife.org/senatecontactlist.htm To read more about the bill, as well as who is cosponsoring it besides Barak Obama and Hillary Clinton, go to http://www.uniteforlife.org/MOTHERpress.htmStop The MOTHERS Act (S. 1375 / H.R.20) Go to www.uniteforlife.org for more information on the bill and to sign our petition. Antidepressants double the risk of suicide according to the FDA and increase the likelihood of psychosis for new moms tenfold. Effexor, which Andrea Yates was taking when she murdered her children carries the words "homicidal ideation" on the label. These drugs double the risk of spontaneous abortion, and cause stillbirth, SIDS, heart and lung defects in babies which can be fatal. (SSRIs, antidepressants, postpartum depression, PPD, PPP, Melanie Blocker Stokes, federal laws, regualtions, screening, psychiatry, death, suicide, homicide, infanticide, mass murder, campus shootings, mall shootings, Wendy's shooting, Dena Schlosser, Eric Harris, Drug Awareness, FDA, Congress, Obama, Clinton, Hillary, Barak, Kennedy) Stop The MOTHERS Act (S. 1375 / H.R.20) Go to www.uniteforlife.org for more information on the bill and to sign our petition. Antidepressants double the risk of suicide according to the FDA and increase the likelihood of psychosis for new moms tenfold. Effexor, which Andrea Yates was taking when she murdered her children carries the words "homicidal ideation" on the label. These drugs double the risk of spontaneous abortion, and cause stillbirth, SIDS, heart and lung defects in babies which can be fatal. (SSRIs, antidepressants, postpartum depression, PPD, PPP, Melanie Blocker Stokes, federal laws, regualtions, screening, psychiatry, death, suicide, homicide, infanticide, mass murder, campus shootings, mall shootings, Wendy's shooting, Dena Schlosser, Eric Harris, Drug Awareness, FDA, Congress, Obama, Clinton, Hillary, Barak, Kennedy)
Просмотров: 7381 Amy James
What Is Banzel? | Epilepsy
 
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Watch more Epilepsy & Seizure Disorders videos: http://www.howcast.com/videos/502049-What-Is-Banzel-Epilepsy Banzel otherwise known as Rufinamide is one of the newer anti-seizure medications. It’s really indicated for children with Lennox-Gastaut syndrome. Lennox-Gastaut Syndrome is one of the more difficult to control epilepsies with multiple seizure types. These are kids who have drop seizures, abson seizures, as well as generalized tonic colonic seizures and this is one of those newer medications. It’s a newer medication it’s used again for Lennox-Gastaut and difficult to treat seizures. It can be used twice a day up to three times a day. You start a lower dose and gradually push it up. The biggest side effects are stomach upset, they can get drowsy on it. And what people need to keep in mind is that you need to push through the side effects and get to a point to where you can stop the seizures, and then maybe slowly cut down on the dose to cut down on the side effects. So it’s important to speak to the people who are taking care of you, if this is a good medication for you or your child. Go over the risks and benefits of the medication, make sure you are the right seizure type for this anti-epiletic. And make sure your doctors push it to the maximum dose, because if they don’t go high enough we might not get good control.
Просмотров: 1912 Howcast
Lets Hold Grants (Epilepsy)
 
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Meet Grant and his condition Epilepsy! Epilepsy is a disorder in which nerve cell activity in the brain is disturbed, causing seizures. Epilepsy is usually treated by medications and in some cases by surgery, devices, or dietary changes. During a seizure, a person experiences abnormal behavior, symptoms, and sensations, sometimes including loss of consciousness. There are few symptoms between seizures. Symptoms: Muscular: rhythmic muscle contractions or muscle spasms Cognitive: amnesia or mental confusion Sensory: aura or pins and needles Whole body: fainting or fatigue Psychological: depression or fear Also common: seizures, anxiety, headache, sleepiness, staring spells, or temporary paralysis after a seizure Treatment: Carbamazepine (Tegretol), Diazepam (Valium), Topiramate (Topamax), Lamotrigine (Lamictal), Oxcarbazepine (Trileptal), Midazolam by injection, Gabapentin (Neurontin), Levetiracetam by injection or by mouth (Keppra), Clonazepam (Klonopin), Phenobarbital, Primidone (Mysoline), Ethosuximide (Zarontin), Pregabalin (Lyrica), Felbamate (Felbatol), Phenytoin by mouth (Dilantin) or by injection, Valproic acid (Depakene) More Information: More than 200,000 US cases per year Can't be cured, but treatment may help Requires a medical diagnosis Lab tests or imaging often required Chronic: can last for years or be lifelong Epilepsy may occur as a result of a genetic disorder or an acquired brain injury, such as a trauma or stroke. During a seizure, a person experiences abnormal behavior, symptoms, and sensations, sometimes including loss of consciousness. There are few symptoms between seizures. Epilepsy is usually treated by medications and in some cases by surgery, devices, or dietary changes. Check out these Websites: https://www.aesnet.org/ https://www.epilepsy.com https://www.epilepsy.org/ https://www.epilepsysociety.org.uk/
Просмотров: 178 Vibrations
Obsessive Compulsive Disorder - OCD Part 2
 
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Obsessive Compulsive Disorder - Part 1 Dr. John Breeding, Ph.D. psychologist discusses what is termed obsessive compulsive disorder or OCD. Dr. Breeding discusses potential psychological causes of an obsession or a compulsion as well as how to discharge negative emotion and love oneself. Psychiatry often prescribes psychotic medications for obsessions and compulsions. Off label medication are often prescribed for this problem including mood stabilizers, antipsychotics, anxiety medications, antidepressants, etc. Common OCD medications include Paxil, Prozac, Luxox, Zoloft, Lexapro as well as a number of SSRI antidepressants. Other medications often prescribed but not necessarily approved for OCD by the FDA include, Neurontin, Lamictal, Zyprexas and Risperdal. All of these medications have undesireable side effects and do not address the underlying cause of the psychological disorder. None of these drugs are actual cures. Dr. Breeding discusses how to address obsessions and compulsions for a psychological model. Visit Dr. Breeding's website at http://www.wildestcolts.com This video was produced by http://www.youtube.com/psychetruth http://www.myspace.com/psychtruth This video can be seen in an higher quality and unedited from on LiveVideo.com http://www.livevideo.com/psychetruth
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Mine, mine, mine!
 
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Просмотров: 13 Holly Scheppe
Topamax hiccups
 
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Seriously?? This is a side effect?
Просмотров: 452 Tricia Dennis
Is Seroquel Good For Anxiety
 
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Seroquel may help depression, anxiety webmd how well does seroquel work for and panic attacks, is it a drugs i have problems with major depression as 458544. Html url? Q webcache. Googleusercontent search. B seroquel (quetiapine) for anxiety disorders an atypical treatment. I'm definitely i think 25mg is the standard dose for anxiety. I stopped taking it more teeth gone and weight gain, anxiety just being a zombie but their off label use for depression, anxiety, other non psychotic with quetiapine as the most recent addition to list, is good idea add this drug dec 7, 2011 lazymum, know i've been prescribed same dose. Seroquel for depression and anxiety medhelp. For one it's not fda approved for anxiety, or panic attacks, sleep 'seroquel is like the silver bullet. Seroquel is the fifth best selling drug in us and dec 20, 2013 consumer reports antipsychotics last resort for anxiety, adhd, low dose seroquel does work insomnia, half a 25 mg pill works better received an overall rating of 7 out 10 stars from 50 reviews. Seroquel may help depression, anxiety webmd. It not only relieved me of my anxiety, it also makes feel positive, serene and generally in a good mood! i am on 125 mg at apr 2, 2016 anyone have used seroquel for anxiety ptsd herereply didn't know was. Effexor, klonopin, neurontin, seroquel, depression, anxiety, panic disorder, generalized anxiety and stress. Consumer reports antipsychotics 'last resort' for anxiety, adhd seroquel reviews should you take xr to treat your depression quetiapine anxiety anyone? Forum discussing at patient. People hi all, my doctor has just prescribed quetiapine for anxiety, i am already on 40mg of citalopram a day anxiety and depression also take (when needed) he put me seroquel along with other meds (geodon buspar) while that's great someone like me, it's no good. Good luck! liked by may 6, 2008 (washington) the antipsychotic drug seroquel help battle major depression and generalized anxiety disorder, two new studies suggest. Seroquel (quetiapine) social anxiety forum. Seroquel in low doses for anxiety medhelp. Seroquel be used for anxiety? . Benzos) how is seroquel for anxiety bluelight. I am on effexor 100 mg for panic disorder. Is quetiapine effective for anxiety? Seroquel and anxiety how long does it take? Panic seroquel really works!!!!!! no more panic. Patient experiences insomnia anxiety depression seroquel? . Sep 24, 2016 among non responders to conventional anxiolytics, administering a potent antipsychotic like seroquel is often extremely effective for anxiety an atypical used in the management of d2 inhibitors are never good that 'feel good' factor anxious people need sep 13, 2011 hi there, i know typically anti physcosis, but it was am not at all opposed medication, it's just always hear common questions and answers about depression my best friend on wellbutrin small amount zoloft she awful only sleep schizophrenia bipolar had ex who got prescription four 25mg pills day many adult child client
Просмотров: 414 Green Help
Unnecessary dangers of psychiatric medication
 
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Hey guys, this is my first vid. This is my story and first hand experience with psychiatry and a medication called Zyprexa. Inform yourself; do not become the next disposable patient
Просмотров: 834 Glyn Gillard
6-6 Microvascular Decompression MVD Dr. Parrish Neurosurgeon
 
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Click More http://www.MyTrigeminalNeuralgiaStory.com AWC 4398 6-6 Microvascular Decompression MVD Click Dr.Parrish Neurosurgeon TN Tic douloureux Facial Pain Electric Shocks. TNA BrianNelson123 Suicide Painful Jannetta Association Teflon Nerve THIS WEBSITE IS DESIGNED TO HAVE EACH TRIGEMINAL NEURALGIA patient tell there story from the beginning of the problem to the current status which is understandably changing daily as the body processes more of the pain. My personal story is very long and and be seen at w htttp[://www.IamFightingCancer.com Important words found on this site. Trigeminal Neuralgia Minneapolis TN Pain Personal Story, Balloon Compression Mentor, dysesthesia, bad feeling constant spasm. excruciating pains, Henry, Pneumonia Electrical Shocks, Shirley, Shelly Wilson, Support Group, Education, Association, Stabbing, Jolts, Suicide Disease, Neuropathic, rare Disorder, Treatment, destructive surgery, Procedure, Microvascular Decompression, tic douloureux Marge Prietz Trigeminal Neuralgia Extreme Facial Pain TN Websites insert. YouTube. From NelsonIdeas.com Trigeminal Neuralgia Extreme Facial Pain TN Websites insert. Websites insert. My Trigeminal Neuralgia Extreme Facial Pain TN Websites http:/./www.NelsonIdeas.com Click Dental Education Trigeminal Neuralgia Extreme Facial Pain http://www.NewMedicalDirectories.com/Trigeminal-Neuralgia-Dental/Dentist-Dentists.html Click Trigeminal Neuralgia Patient Painful-Stories http://www.BrianNelsonConsulting.com/trigeminal-neuralgia-tn/patient-painful-stories.html Click My Trigeminal Neuralgia (TN) Story only http://www.PartyTentCity.com/mytnstory.html Click My Story on TN Brian N http://www.PartyTentCity.com/trigeminal-neuralgia-tn-tmj-my-story/directory.html Click Trigeminal Neuralgia Slide Show Story of Pain http://www.NewMedicalDirectories.com/Trigeminal-Neuralgia-Slide-Show/Draft.html Click Medical Data Base Medical Costs More Expensive Due to Non Use of Technology http://www.briannelsonconsulting.com/medical-data-base/faq-info.html Click MyTrigeminal Neuralgia Story Directory http://www.MyTrigeminalNeuralgiaStory.com Click Slide Show Draft for New TN Patients. http://www.newmedicaldirectories.com/Trigeminal-Neuralgia-Slide-Show/Draft.html Click-Trigeminal Neuralgia Assn Page 1 http://newmedicaldirectories.com/Trigeminal-Neuralgia-Association/TN-Facial-Pain.html Click-Trigeminal Neuralgia Assn Page 2 http://newmedicaldirectories.com/Trigeminal-Neuralgia-Association/TN-Facial-Pain-2.html Click What is Trigeminal Neuragia? Portland,OR Slide Show http://www.NewMedicalDirectories.com/Trigeminal-Neuralgia-Slide-Show/Draft.html Click Trigeminal Neuralgia National Conference http://www.NewMedicalDirectories.com/Trigeminal-Neuralgia-Slide-Show/Draft.html Click Trigeminal Neuralgia Brian's Journal Tic Douloureux (TN) FacialPain-Cancer http://www.BrianNelsonConsulting.com/trigeminal-neuralgia-tn/faq-info.html http://www.BrianNelsonConsulting.com/trigeminal-neuralgia-tn/faq-info.html Click Page 1. Trigeminal Neuralgia http://www.BrianNelsonConsulting.com/trigeminal-neuralgia-tn/faq-info.html Click Page 2 Trigeminal Neuralgia http://www.briannelsonconsulting.com/trigeminal-neuralgia-tn/faq-info2.html Click Page 3 Trigeminal Neuralgia http://www.briannelsonconsulting.com/trigeminal-neuralgia-tn/faq-info3.htm Click Page 4 Trigeminal Neuralgia http://www.BrianNelsonConsulting.com/trigeminal-neuralgia-tn/faq-info4.html Click MyTrigeminal Neuralgia Stories Directory http://www.MyTrigeminalNeuralgiaStory.com/Index.html Click Brian's TN Story Quck Version http://www.MyTrigeminalNeuralgiaStory.com/BrianNelson/TN1.html Click Shirley's Story Trigeminal Neuralgia http://www.MyTrigeminalNeuralgiaStory.com/ShirleyH/TN3.html Click Sand's Story TN WHAT IS TRIGEMINAL NEURALGIA? TN (Trigeminal Neuralgia) is a pain that is described as among the most acute known to mankind. TN produces excruciating, lightning strikes of facial pain, typically near the nose, lips, eyes or ears. It is a disorder of the trigeminal nerve, which is the fifth and largest cranial nerve. TN (Trigeminal Neuralgia / tic douloureux) is a disorder of the fifth cranial (trigeminal) nerve that causes episodes of intense, stabbing, electric shock-like pain in the areas of the face where the branches of the nerve are distributed - lips, eyes, nose, scalp, forehead, upper jaw, and lower jaw. By many, it's called the "suicide disease". A less common form of the disorder called "Atypical Trigeminal Neuralgia" may cause less intense, constant, dull burning or aching pain, sometimes with occasional electric shock-like stabs. Both forms of the disorder most often affect one side of the face, but some patients experience pain at different times on both sides. Onset of symptoms occurs most often after age 50, but cases are known in children and even infants. Something as simple and routine as brushing the teeth, putting on makeup or even a slight breeze can trigger an attack, resulting in sheer agony for the individual. Trigeminal neuralgia (TN) is not fatal, but it is universally considered to be the most painful affliction known to medical practice. Initial treatment of TN is usually by means of anti-convulsant drugs, such as Tegretol or Neurontin. Some anti-depressant drugs also have significant pain relieving effects. Should medication be ineffective or if it produces undesirable side effects, neurosurgical procedures are available to relieve pressure on the nerve or to reduce nerve sensitivity. Some patients report having reduced or relieved pain by means of alternative medical therapies such as acupuncture, chiropractic adjustment, self-hypnosis or meditation. http://www.MyTrigeminalNeuralgiaStory.com/SandiW/TN4.html What is Trigeminal Neuralgia? Trigeminal neuralgia (TN), also called tic douloureux, is a chronic pain condition that causes extreme, sporadic, sudden burning or shock-like face pain that lasts anywhere from a few seconds to as long as 2 minutes per episode. The intensity of pain can be physically and mentally incapacitating. TN pain is typically felt on one side of the jaw or cheek. Episodes can last for days, weeks, or months at a time and then disappear for months or years. In the days before an episode begins, some patients may experience a tingling or numbing sensation or a somewhat constant and aching pain. The attacks often worsen over time, with fewer and shorter pain-free periods before they recur. The intense flashes of pain can be triggered by vibration or contact with the cheek (such as when shaving, washing the face, or applying makeup), brushing teeth, eating, drinking, talking, or being exposed to the wind. TN occurs most often in people over age 50, but it can occur at any age, and is more common in women than in men. There is some evidence that the disorder runs in families, perhaps because of an inherited pattern of blood vessel formation. Although sometimes debilitating, the disorder is not life-threatening. The presumed cause of TN is a blood vessel pressing on the trigeminal nerve in the head as it exits the brainstem. TN may be part of the normal aging process but in some cases it is the associated with another disorder, such as multiple sclerosis or other disorders characterized by damage to the myelin sheath that covers certain nerves. Is there any treatment? Because there are a large number of conditions that can cause facial pain, TN can be difficult to diagnose. But finding the cause of the pain is important as the treatments for different types of pain may differ. Treatment options include medicines such as anticonvulsants and tricyclic antidepressants, surgery, and complementary approaches. Typical analgesics and opioids are not usually helpful in treating the sharp, recurring pain caused by TN. If medication fails to relieve pain or produces intolerable side effects such as excess fatigue, surgical treatment may be recommended. Several neurosurgical procedures are available. Some are done on an outpatient basis, while others are more complex and require hospitalization. Some patients choose to manage TN using complementary techniques, usually in combination with drug treatment. These techniques include acupuncture, biofeedback, vitamin therapy, nutritional therapy, and electrical stimulation of the nerves. What is the prognosis? The disorder is characterized by recurrences and remissions, and successive recurrences may incapacitate the patient. Due to the intensity of the pain, even the fear of an impending attack may prevent activity. Trigeminal neuralgia is not fatal. What research is being done? Within the NINDS research programs, trigeminal neuralgia is addressed primarily through studies associated with pain research. NINDS vigorously pursues a research program seeking new treatments for pain and nerve damage with the ultimate goal of reversing debilitating conditions such as trigeminal neuralgia. NINDS has notified research investigators that it is seeking grant applications both in basic and clinical pain research. An Alternate Strategy Instead of waiting for the pain to become intractable or the medications toxic, an individual with trigeminal neuralgia has the option to request early surgery. This has a number of potential advantages: • Avoid years of medication and intermittent pain • Avoid facing surgery when old or infirm • If the person has a vascular loop, early microvascular decompression will increase the possibility of a successful operation with decreased risk of recurrence (evidence suggests better outcomes and lower recurrence rate the shorter the interval between onset of symptoms and nerve decompression) How To Find Out If You Have a Vascular Loop The conventional MRI scans used to rule out the presence of a brain tumor or multiple sclerosis as a cause of a patients face pain are not adequate to visualize the trigeminal nerve or an associated blood vessel. Fortunately, the continued improvement in MRI neuro-imaging now makes it possible to visualize both. The technique, which is called 3-D volume acquisition, is performed with contrast injection and utilizes thin cuts (0.8mm), without gaps similar to what was developed for MRI angiography and venography. The trigeminal nerve is easily visualized in the axial plane when the MRI series is centered at the midpoint of the fourth ventricle. To ensure an adequate evaluation, the nerve should be seen on three adjacent cuts. Early studies indicate that when an offending vessel is present it will be detected 80% of the of the time. With continued imaging improvements this percentage will definitely increase. Click here for UCSD Trigeminal Neuralgia Sequence Parameters for Seimens and GE MR Scanners. Surgical Options: Non-Destructive Procedures The only non-destructive procedure which reliably relieves the symptoms of Trigeminal Neuralgia is Microvascular Decompression (MVD). This involves surgical exploration with the operating microscope and visualization of the junction where the Trigeminal nerve enters the base of the brain, followed by coagulation or moving and padding away any compressing blood vessels. The advantage is pain relief without numbness in the majority of patients, which usually lasts indefinitely. If the pain recurs after a MVD, which it does in 10-15% of patients, it can usually be controlled with low dose Tegretol® or Neurontin®. If the pain continues, it will require a repeat MVD or one of the destructive procedures. Surgical Options: Destructive Procedures There are multiple destructive procedures which are beneficial in the treatment of Trigeminal Neuralgia. The most common of which are glycerol injections, gamma knife radiation, electrocoagulation, and balloon compression. These procedures are all based on interrupting the pain by partial damage to Trigeminal nerve fibers. Generally the more numbness they produce, the longer they last. The specific advantages and disadvantages need to be discussed with the surgeon performing the procedure. These procedures are recommended for patients who have failed MVD or are not candidates for major surgery. Comments Treatment is always individualized. All of the options above should be considered in consultation with a neurosurgeon familiar in their use. Recommendations Based on the data currently available, and in an effort to maximize quality of life, we recommend the following: Patients with less than 10 year life expectancy Refer for destructive procedure if pain not controlled medically without significant side effects Patients with more than 10 but less than 20 year life expectancy Consider destructive procedure May abolish need for continued increasing medications Will make medical therapy easier even if fails Patients with more than 20 year life expectancy Perform thin cut MRI with 3-D Volume Acquisition If vessel present recommend MVD 25 ARTICLE SECTIONS From the Mayo Clinic. Trigeminal neuralgia http://www.mayoclinic.com/health/trigeminal-neuralgia/DS00446 Introduction Signs and symptoms Causes When to seek medical advice Screening and diagnosis Treatment Coping skills Introduction Imagine having a jab of lightning-like pain shoot through your face when you brush your teeth or put on makeup. Sound excruciating? If you have trigeminal neuralgia, attacks of such pain are frequent and can often seem unbearable. You may initially experience short, mild attacks, but trigeminal neuralgia can progress, causing longer, more frequent bouts of searing pain. These painful attacks can be spontaneous, but they may also be provoked by even mild stimulation of your face, including brushing your teeth, shaving or putting on makeup. The pain of trigeminal neuralgia may occur in a fairly small area of your face, or it may spread rapidly over a wider area. Because of the variety of treatment options available, having trigeminal neuralgia doesn't necessarily mean you're doomed to a life of pain. Doctors usually can effectively manage trigeminal neuralgia, either with medications or surgery. Signs and symptoms An attack of trigeminal neuralgia can last from a few seconds to about a minute. Some people have mild, occasional twinges of pain, while other people have frequent, severe, electric-shock-like pain. The condition tends to come and go. You may experience attacks of pain off and on all day, or even for days or weeks at a time. Then, you may experience no pain for a prolonged period of time. Remission is less common the longer you have trigeminal neuralgia. People who have experienced severe trigeminal neuralgia have described the pain as: Lightning-like or electric-shock-like Shooting Jabbing Like having live wires in your face Trigeminal neuralgia usually affects just one side of your face. The pain may affect just a portion of one side of your face or spread in a wider pattern. Rarely, trigeminal neuralgia can affect both sides of your face, but not at the same time. Causes Branches of the trigeminal nerve CLICK TO ENLARGE The condition is called trigeminal neuralgia because the painful facial areas are those served by one or more of the three branches of your trigeminal nerve. This large nerve originates deep inside your brain and carries sensation from your face to your brain. The pain of trigeminal neuralgia is due to a disturbance in the function of the trigeminal nerve. Trigeminal neuralgia is also known as tic douloureux. The cause of the pain usually is due to contact between a normal artery or vein and the trigeminal nerve at the base of your brain. This places pressure on the nerve as it enters your brain and causes the nerve to misfire. Physical nerve damage or stress may be the initial trigger for trigeminal neuralgia. After the trigeminal nerve leaves your brain and travels through your skull, it divides into three smaller branches, controlling sensation throughout your face: The first branch controls sensation in your eye, upper eyelid and forehead. The second branch controls sensation in your lower eyelid, cheek, nostril, upper lip and upper gum. The third branch controls sensations in your jaw, lower lip, lower gum and some of the muscles you use for chewing. You may feel pain in the area served by just one branch of the trigeminal nerve, or the pain may affect all branches on one side of your face. Besides compression from blood vessel contact, other less frequent sources of pain to the trigeminal nerve may include: Compression by a tumor Multiple sclerosis A stroke affecting the lower part of your brain, where the trigeminal nerve enters your central nervous system A variety of triggers, many subtle, may set off the pain. These triggers may include: Shaving Stroking your face Eating Drinking Brushing your teeth Talking Putting on makeup Encountering a breeze Smiling Trigeminal neuralgia affects women more often than men. The disorder is more likely to occur in people who are older than 50. About 5 percent of people with trigeminal neuralgia have other family members with the disorder, which suggests a possible genetic cause in some cases. When to seek medical advice Some people mistake the pain of trigeminal neuralgia for a toothache or a headache. It's not uncommon for people to believe that their facial pain is dental-related, particularly when the pain seems to stem from the gumline or is located near a tooth. If you experience facial pain, particularly prolonged pain or pain that hasn't gone away with use of over-the-counter pain relievers, see your dentist or doctor. Screening and diagnosis If you go to your dentist, an examination of your mouth can reveal whether a problem with your teeth or gums is causing your pain. If you go to your doctor, he or she will want to ask about your medical history and have you describe your pain — how severe it is, what part of your face it affects, how long pain lasts and what seems to trigger episodes of pain. You'll also undergo a neurologic examination. During this examination, your doctor examines and touches parts of your face to try to determine exactly where the pain is occurring and — if it appears that you have trigeminal neuralgia — which branches of the trigeminal nerve may be affected. Your doctor may exclude other possible conditions based on your medical history, the examination, and a magnetic resonance imaging (MRI) scan of your head. Treatment Medications are the usual initial treatment for trigeminal neuralgia. Medications are often effective in lessening or blocking the pain signals sent to your brain. A number of drugs are available. If you stop responding to a particular medication or experience too many side effects, switching to another medication may work for you. Medications Carbamazepine (Tegretol, Carbatrol). Carbamazepine, an anticonvulsant drug, is the most common medication that doctors use to treat trigeminal neuralgia. In the early stages of the disease, carbamazepine controls pain for most people. However, the effectiveness of carbamazepine decreases over time. Side effects include dizziness, confusion, sleepiness and nausea. Baclofen. Baclofen is a muscle relaxant. Its effectiveness may increase when it's used in combination with carbamazepine or phenytoin. Side effects include confusion, nausea and drowsiness. Phenytoin (Dilantin, Phenytek). Phenytoin, another anticonvulsant medication, was the first medication used to treat trigeminal neuralgia. Side effects include gum enlargement, dizziness and drowsiness. Oxcarbazepine (Trileptal). Oxcarbazepine is another anticonvulsant medication and is similar to carbamazepine. Side effects include dizziness and double vision. Doctors may sometimes prescribe other medications, such as lamotrignine (Lamictal) or gabapentin (Neurontin). Some people with trigeminal neuralgia eventually stop responding to medications, or they experience unpleasant side effects. For those people, surgery, or a combination of surgery and medications, may be an option. Surgery The goal of a number of surgical procedures is to either damage or destroy the part of the trigeminal nerve that's the source of your pain. Because the success of these procedures depends on damaging the nerve, facial numbness of varying degree is a common side effect. These procedures involve: Alcohol injection. Alcohol injections under the skin of your face, where the branches of the trigeminal nerve leave the bones of your face, may offer temporary pain relief by numbing the areas for weeks or months. Because the pain relief isn't permanent, you may need repeated injections or a different procedure. Glycerol injection. This procedure is called percutaneous glycerol rhizotomy (PGR). "Percutaneous" means through the skin. Your doctor inserts a needle through your face and into an opening in the base of your skull. The needle is guided into the trigeminal cistern, a small sac of spinal fluid that surrounds the trigeminal nerve ganglion (the area where the trigeminal nerve divides into three branches) and part of its root. Images are made to confirm that the needle is in the proper location. After confirming the location, your doctor injects a small amount of sterile glycerol. After three or four hours, the glycerol damages the trigeminal nerve and blocks pain signals. Initially, PGR relieves pain in most people. However, some people have a recurrence of pain, and many experience facial numbness or tingling. http://www.MyTrigeminalNeuralgiaStory.com Balloon compression. In a procedure called percutaneous balloon compression of the trigeminal nerve (PBCTN), your doctor inserts a hollow needle through your face and into an opening in the base of your skull. Then, a thin, flexible tube (catheter) with a balloon on the end is threaded through the needle. The balloon is inflated with enough pressure to damage the nerve and block pain signals. PBCTN successfully controls pain in most people, at least for a while. Most people undergoing PBCTN experience facial numbness of varying degrees, and more than half experience nerve damage resulting in a temporary or permanent weakness of the muscles used to chew. http://www.MyTrigeminalNeuralgiaStory.com Electric current. A procedure called percutaneous stereotactic radiofrequency thermal rhizotomy (PSRTR) selectively destroys nerve fibers associated with pain. Your doctor threads a needle through your face and into an opening in your skull. Once in place, an electrode is threaded through the needle until it rests against the nerve root. An electric current is passed through the tip of the electrode until it's heated to the desired temperature. The heated tip damages the nerve fibers and creates an area of injury (lesion). If your pain isn't eliminated, your doctor may create additional lesions. PSRTR successfully controls pain in most people. Facial numbness is a common side effect of this type of treatment. The pain may return after a few years. Microvascular decompression (MVD). A procedure called microvascular decompression (MVD) doesn't damage or destroy part of the trigeminal nerve. Instead, MVD involves relocating or removing blood vessels that are in contact with the trigeminal root and separating the nerve root and blood vessels with a small pad. During MVD, your doctor makes an incision behind one ear. Then, through a small hole in your skull, part of your brain is lifted to expose the trigeminal nerve. If your doctor finds an artery in contact with the nerve root, he or she directs it away from the nerve and places a pad between the nerve and the artery. Doctors usually remove a vein that is found to be compressing the trigeminal nerve. MVD can successfully eliminate or reduce pain most of the time, but as with all other surgical procedures for trigeminal neuralgia, pain can recur in some people. http://www.MyTrigeminalNeuralgiaStory.com While MVD has a high success rate, it also carries risks. There are small chances of decreased hearing, facial weakness, facial numbness, double vision, and even a stroke or death. The risk of facial numbness is less with MVD than with procedures that involve damaging the trigeminal nerve. Severing the nerve. A procedure called partial sensory rhizotomy (PSR) involves cutting part of the trigeminal nerve at the base of your brain. Through an incision behind your ear, your doctor makes a quarter-sized hole in your skull to access the nerve. This procedure usually is helpful, but almost always causes facial numbness. And it's possible for pain to recur. If your doctor doesn't find an artery or vein in contact with the trigeminal nerve, he or she won't be able to perform an MVD, and a PSR may be done instead. Radiation. Gamma-knife radiosurgery (GKR) involves delivering a focused, high dose of radiation to the root of the trigeminal nerve. The radiation damages the trigeminal nerve and reduces or eliminates the pain. Relief isn't immediate and can take several weeks to begin. GKR is successful in eliminating pain more than half of the time. Sometimes the pain may recur. The procedure is painless and typically is done without anesthesia. Because this procedure is relatively new, the long-term risks of this type of radiation are not yet known. • Coping skills Living with trigeminal neuralgia can be difficult. The disorder may affect your interaction with friends and family, your productivity at work, and the overall quality of your life. You may find that talking to a counselor or therapist can help you cope with the effects of trigeminal neuralgia, or you may find encouragement and understanding in a support group. Although support groups aren't for everyone, they can be good sources of information. Group members often know about the latest treatments and tend to share their own experiences. If you're interested, your doctor may be able to recommend a group in your area. 27 Background: Trigeminal neuralgia (TN), also known as tic douloureux, is a pain syndrome recognizable by patient history alone. The condition is characterized by pain often accompanied by a brief facial spasm or tic. Pain distribution is unilateral and follows the sensory distribution of cranial nerve V, typically radiating to the maxillary (V2) or mandibular (V3) area. At times, both distributions are affected. Physical examination eliminates alternative diagnoses. Signs of cranial nerve dysfunction or other neurologic abnormality exclude the diagnosis of idiopathic TN and suggest that pain may be secondary to a structural lesion. Pathophysiology: The mechanism of pain production remains controversial. One theory suggests that peripheral injury or disease of the trigeminal nerve increases afferent firing in the nerve; failure of central inhibitory mechanisms may be involved as well. Pain is perceived when nociceptive neurons in a trigeminal nucleus involve thalamic relay neurons. Aneurysms, tumors, chronic meningeal inflammation, or other lesions may irritate trigeminal nerve roots along the pons. An abnormal vascular course of the superior cerebellar artery is often cited as the cause. In most cases, no lesion is identified, and the etiology is labeled idiopathic by default. Uncommonly, an area of demyelination from multiple sclerosis may be the precipitant. Lesions of the entry zone of the trigeminal roots within the pons may cause a similar pain syndrome. Thus, although TN typically is caused by a dysfunction in the peripheral nervous system (the roots or trigeminal nerve itself), a lesion within the central nervous system may rarely cause similar problems. Infrequently, adjacent dental fillings composed of dissimilar metals may trigger attacks. Frequency: Internationally: TN is uncommon, with an estimated prevalence of 155 cases per million persons. Mortality/Morbidity: No mortality is associated with idiopathic TN, although secondary depression is common if a chronic pain syndrome evolves. In rare cases, pain may be so frequent that oral nutrition is impaired. In symptomatic or secondary TN, morbidity or mortality relates to the underlying cause of the pain syndrome. Sex: Male-to-female ratio is 2:3. Age: Development of trigeminal neuralgia in a young person suggests the possibility of multiple sclerosis. Idiopathic TN typically occurs in patients in the sixth decade of life, but it may occur at any age. Symptomatic or secondary TN tends to occur in younger patients. 27 Background: Trigeminal neuralgia (TN), also known as tic douloureux, is a pain syndrome recognizable by patient history alone. The condition is characterized by pain often accompanied by a brief facial spasm or tic. Pain distribution is unilateral and follows the sensory distribution of cranial nerve V, typically radiating to the maxillary (V2) or mandibular (V3) area. At times, both distributions are affected. Physical examination eliminates alternative diagnoses. Signs of cranial nerve dysfunction or other neurologic abnormality exclude the diagnosis of idiopathic TN and suggest that pain may be secondary to a structural lesion. Pathophysiology: The mechanism of pain production remains controversial. One theory suggests that peripheral injury or disease of the trigeminal nerve increases afferent firing in the nerve; failure of central inhibitory mechanisms may be involved as well. Pain is perceived when nociceptive neurons in a trigeminal nucleus involve thalamic relay neurons. Aneurysms, tumors, chronic meningeal inflammation, or other lesions may irritate trigeminal nerve roots along the pons. An abnormal vascular course of the superior cerebellar artery is often cited as the cause. In most cases, no lesion is identified, and the etiology is labeled idiopathic by default. Uncommonly, an area of demyelination from multiple sclerosis may be the precipitant. Lesions of the entry zone of the trigeminal roots within the pons may cause a similar pain syndrome. Thus, although TN typically is caused by a dysfunction in the peripheral nervous system (the roots or trigeminal nerve itself), a lesion within the central nervous system may rarely cause similar problems. Infrequently, adjacent dental fillings composed of dissimilar metals may trigger attacks. http://www.MyTrigeminalNeuralgiaStory.com
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Click More http://www.MyTrigeminalNeuralgiaStory.com AWC 4398 4-6 Microvascular Decompression MVD Click Dr.Parrish Neurosurgeon TN Tic douloureux Facial Pain Electric Shocks. TNA BrianNelson123 Suicide Painful Jannetta Association Teflon Nerve THIS WEBSITE IS DESIGNED TO HAVE EACH TRIGEMINAL NEURALGIA patient tell there story from the beginning of the problem to the current status which is understandably changing daily as the body processes more of the pain. My personal story is very long and and be seen at w htttp[://www.IamFightingCancer.com Important words found on this site. Trigeminal Neuralgia Minneapolis TN Pain Personal Story, Balloon Compression Mentor, dysesthesia, bad feeling constant spasm. excruciating pains, Henry, Pneumonia Electrical Shocks, Shirley, Shelly Wilson, Support Group, Education, Association, Stabbing, Jolts, Suicide Disease, Neuropathic, rare Disorder, Treatment, destructive surgery, Procedure, Microvascular Decompression, tic douloureux Marge Prietz Trigeminal Neuralgia Extreme Facial Pain TN Websites insert. YouTube. From NelsonIdeas.com Trigeminal Neuralgia Extreme Facial Pain TN Websites insert. Websites insert. My Trigeminal Neuralgia Extreme Facial Pain TN Websites http:/./www.NelsonIdeas.com Click Dental Education Trigeminal Neuralgia Extreme Facial Pain http://www.NewMedicalDirectories.com/Trigeminal-Neuralgia-Dental/Dentist-Dentists.html Click Trigeminal Neuralgia Patient Painful-Stories http://www.BrianNelsonConsulting.com/trigeminal-neuralgia-tn/patient-painful-stories.html Click My Trigeminal Neuralgia (TN) Story only http://www.PartyTentCity.com/mytnstory.html Click My Story on TN Brian N http://www.PartyTentCity.com/trigeminal-neuralgia-tn-tmj-my-story/directory.html Click Trigeminal Neuralgia Slide Show Story of Pain http://www.NewMedicalDirectories.com/Trigeminal-Neuralgia-Slide-Show/Draft.html Click Medical Data Base Medical Costs More Expensive Due to Non Use of Technology http://www.briannelsonconsulting.com/medical-data-base/faq-info.html Click MyTrigeminal Neuralgia Story Directory http://www.MyTrigeminalNeuralgiaStory.com Click Slide Show Draft for New TN Patients. http://www.newmedicaldirectories.com/Trigeminal-Neuralgia-Slide-Show/Draft.html Click-Trigeminal Neuralgia Assn Page 1 http://newmedicaldirectories.com/Trigeminal-Neuralgia-Association/TN-Facial-Pain.html Click-Trigeminal Neuralgia Assn Page 2 http://newmedicaldirectories.com/Trigeminal-Neuralgia-Association/TN-Facial-Pain-2.html Click What is Trigeminal Neuragia? Portland,OR Slide Show http://www.NewMedicalDirectories.com/Trigeminal-Neuralgia-Slide-Show/Draft.html Click Trigeminal Neuralgia National Conference http://www.NewMedicalDirectories.com/Trigeminal-Neuralgia-Slide-Show/Draft.html Click Trigeminal Neuralgia Brian's Journal Tic Douloureux (TN) FacialPain-Cancer http://www.BrianNelsonConsulting.com/trigeminal-neuralgia-tn/faq-info.html http://www.BrianNelsonConsulting.com/trigeminal-neuralgia-tn/faq-info.html Click Page 1. Trigeminal Neuralgia http://www.BrianNelsonConsulting.com/trigeminal-neuralgia-tn/faq-info.html Click Page 2 Trigeminal Neuralgia http://www.briannelsonconsulting.com/trigeminal-neuralgia-tn/faq-info2.html Click Page 3 Trigeminal Neuralgia http://www.briannelsonconsulting.com/trigeminal-neuralgia-tn/faq-info3.htm Click Page 4 Trigeminal Neuralgia http://www.BrianNelsonConsulting.com/trigeminal-neuralgia-tn/faq-info4.html Click MyTrigeminal Neuralgia Stories Directory http://www.MyTrigeminalNeuralgiaStory.com/Index.html Click Brian's TN Story Quck Version http://www.MyTrigeminalNeuralgiaStory.com/BrianNelson/TN1.html Click Shirley's Story Trigeminal Neuralgia http://www.MyTrigeminalNeuralgiaStory.com/ShirleyH/TN3.html Click Sand's Story TN WHAT IS TRIGEMINAL NEURALGIA? TN (Trigeminal Neuralgia) is a pain that is described as among the most acute known to mankind. TN produces excruciating, lightning strikes of facial pain, typically near the nose, lips, eyes or ears. It is a disorder of the trigeminal nerve, which is the fifth and largest cranial nerve. TN (Trigeminal Neuralgia / tic douloureux) is a disorder of the fifth cranial (trigeminal) nerve that causes episodes of intense, stabbing, electric shock-like pain in the areas of the face where the branches of the nerve are distributed - lips, eyes, nose, scalp, forehead, upper jaw, and lower jaw. By many, it's called the "suicide disease". A less common form of the disorder called "Atypical Trigeminal Neuralgia" may cause less intense, constant, dull burning or aching pain, sometimes with occasional electric shock-like stabs. Both forms of the disorder most often affect one side of the face, but some patients experience pain at different times on both sides. Onset of symptoms occurs most often after age 50, but cases are known in children and even infants. Something as simple and routine as brushing the teeth, putting on makeup or even a slight breeze can trigger an attack, resulting in sheer agony for the individual. Trigeminal neuralgia (TN) is not fatal, but it is universally considered to be the most painful affliction known to medical practice. Initial treatment of TN is usually by means of anti-convulsant drugs, such as Tegretol or Neurontin. Some anti-depressant drugs also have significant pain relieving effects. Should medication be ineffective or if it produces undesirable side effects, neurosurgical procedures are available to relieve pressure on the nerve or to reduce nerve sensitivity. Some patients report having reduced or relieved pain by means of alternative medical therapies such as acupuncture, chiropractic adjustment, self-hypnosis or meditation. http://www.MyTrigeminalNeuralgiaStory.com/SandiW/TN4.html What is Trigeminal Neuralgia? Trigeminal neuralgia (TN), also called tic douloureux, is a chronic pain condition that causes extreme, sporadic, sudden burning or shock-like face pain that lasts anywhere from a few seconds to as long as 2 minutes per episode. The intensity of pain can be physically and mentally incapacitating. TN pain is typically felt on one side of the jaw or cheek. Episodes can last for days, weeks, or months at a time and then disappear for months or years. In the days before an episode begins, some patients may experience a tingling or numbing sensation or a somewhat constant and aching pain. The attacks often worsen over time, with fewer and shorter pain-free periods before they recur. The intense flashes of pain can be triggered by vibration or contact with the cheek (such as when shaving, washing the face, or applying makeup), brushing teeth, eating, drinking, talking, or being exposed to the wind. TN occurs most often in people over age 50, but it can occur at any age, and is more common in women than in men. There is some evidence that the disorder runs in families, perhaps because of an inherited pattern of blood vessel formation. Although sometimes debilitating, the disorder is not life-threatening. The presumed cause of TN is a blood vessel pressing on the trigeminal nerve in the head as it exits the brainstem. TN may be part of the normal aging process but in some cases it is the associated with another disorder, such as multiple sclerosis or other disorders characterized by damage to the myelin sheath that covers certain nerves. Is there any treatment? Because there are a large number of conditions that can cause facial pain, TN can be difficult to diagnose. But finding the cause of the pain is important as the treatments for different types of pain may differ. Treatment options include medicines such as anticonvulsants and tricyclic antidepressants, surgery, and complementary approaches. Typical analgesics and opioids are not usually helpful in treating the sharp, recurring pain caused by TN. If medication fails to relieve pain or produces intolerable side effects such as excess fatigue, surgical treatment may be recommended. Several neurosurgical procedures are available. Some are done on an outpatient basis, while others are more complex and require hospitalization. Some patients choose to manage TN using complementary techniques, usually in combination with drug treatment. These techniques include acupuncture, biofeedback, vitamin therapy, nutritional therapy, and electrical stimulation of the nerves. What is the prognosis? The disorder is characterized by recurrences and remissions, and successive recurrences may incapacitate the patient. Due to the intensity of the pain, even the fear of an impending attack may prevent activity. Trigeminal neuralgia is not fatal. What research is being done? Within the NINDS research programs, trigeminal neuralgia is addressed primarily through studies associated with pain research. NINDS vigorously pursues a research program seeking new treatments for pain and nerve damage with the ultimate goal of reversing debilitating conditions such as trigeminal neuralgia. NINDS has notified research investigators that it is seeking grant applications both in basic and clinical pain research. An Alternate Strategy Instead of waiting for the pain to become intractable or the medications toxic, an individual with trigeminal neuralgia has the option to request early surgery. This has a number of potential advantages: • Avoid years of medication and intermittent pain • Avoid facing surgery when old or infirm • If the person has a vascular loop, early microvascular decompression will increase the possibility of a successful operation with decreased risk of recurrence (evidence suggests better outcomes and lower recurrence rate the shorter the interval between onset of symptoms and nerve decompression) How To Find Out If You Have a Vascular Loop The conventional MRI scans used to rule out the presence of a brain tumor or multiple sclerosis as a cause of a patients face pain are not adequate to visualize the trigeminal nerve or an associated blood vessel. Fortunately, the continued improvement in MRI neuro-imaging now makes it possible to visualize both. The technique, which is called 3-D volume acquisition, is performed with contrast injection and utilizes thin cuts (0.8mm), without gaps similar to what was developed for MRI angiography and venography. The trigeminal nerve is easily visualized in the axial plane when the MRI series is centered at the midpoint of the fourth ventricle. To ensure an adequate evaluation, the nerve should be seen on three adjacent cuts. Early studies indicate that when an offending vessel is present it will be detected 80% of the of the time. With continued imaging improvements this percentage will definitely increase. Click here for UCSD Trigeminal Neuralgia Sequence Parameters for Seimens and GE MR Scanners. Surgical Options: Non-Destructive Procedures The only non-destructive procedure which reliably relieves the symptoms of Trigeminal Neuralgia is Microvascular Decompression (MVD). This involves surgical exploration with the operating microscope and visualization of the junction where the Trigeminal nerve enters the base of the brain, followed by coagulation or moving and padding away any compressing blood vessels. The advantage is pain relief without numbness in the majority of patients, which usually lasts indefinitely. If the pain recurs after a MVD, which it does in 10-15% of patients, it can usually be controlled with low dose Tegretol® or Neurontin®. If the pain continues, it will require a repeat MVD or one of the destructive procedures. Surgical Options: Destructive Procedures There are multiple destructive procedures which are beneficial in the treatment of Trigeminal Neuralgia. The most common of which are glycerol injections, gamma knife radiation, electrocoagulation, and balloon compression. These procedures are all based on interrupting the pain by partial damage to Trigeminal nerve fibers. Generally the more numbness they produce, the longer they last. The specific advantages and disadvantages need to be discussed with the surgeon performing the procedure. These procedures are recommended for patients who have failed MVD or are not candidates for major surgery. Comments Treatment is always individualized. All of the options above should be considered in consultation with a neurosurgeon familiar in their use. Recommendations Based on the data currently available, and in an effort to maximize quality of life, we recommend the following: Patients with less than 10 year life expectancy Refer for destructive procedure if pain not controlled medically without significant side effects Patients with more than 10 but less than 20 year life expectancy Consider destructive procedure May abolish need for continued increasing medications Will make medical therapy easier even if fails Patients with more than 20 year life expectancy Perform thin cut MRI with 3-D Volume Acquisition If vessel present recommend MVD 25 ARTICLE SECTIONS From the Mayo Clinic. Trigeminal neuralgia http://www.mayoclinic.com/health/trigeminal-neuralgia/DS00446 Introduction Signs and symptoms Causes When to seek medical advice Screening and diagnosis Treatment Coping skills Introduction Imagine having a jab of lightning-like pain shoot through your face when you brush your teeth or put on makeup. Sound excruciating? If you have trigeminal neuralgia, attacks of such pain are frequent and can often seem unbearable. You may initially experience short, mild attacks, but trigeminal neuralgia can progress, causing longer, more frequent bouts of searing pain. These painful attacks can be spontaneous, but they may also be provoked by even mild stimulation of your face, including brushing your teeth, shaving or putting on makeup. The pain of trigeminal neuralgia may occur in a fairly small area of your face, or it may spread rapidly over a wider area. Because of the variety of treatment options available, having trigeminal neuralgia doesn't necessarily mean you're doomed to a life of pain. Doctors usually can effectively manage trigeminal neuralgia, either with medications or surgery. Signs and symptoms An attack of trigeminal neuralgia can last from a few seconds to about a minute. Some people have mild, occasional twinges of pain, while other people have frequent, severe, electric-shock-like pain. The condition tends to come and go. You may experience attacks of pain off and on all day, or even for days or weeks at a time. Then, you may experience no pain for a prolonged period of time. Remission is less common the longer you have trigeminal neuralgia. People who have experienced severe trigeminal neuralgia have described the pain as: Lightning-like or electric-shock-like Shooting Jabbing Like having live wires in your face Trigeminal neuralgia usually affects just one side of your face. The pain may affect just a portion of one side of your face or spread in a wider pattern. Rarely, trigeminal neuralgia can affect both sides of your face, but not at the same time. Causes Branches of the trigeminal nerve CLICK TO ENLARGE The condition is called trigeminal neuralgia because the painful facial areas are those served by one or more of the three branches of your trigeminal nerve. This large nerve originates deep inside your brain and carries sensation from your face to your brain. The pain of trigeminal neuralgia is due to a disturbance in the function of the trigeminal nerve. Trigeminal neuralgia is also known as tic douloureux. The cause of the pain usually is due to contact between a normal artery or vein and the trigeminal nerve at the base of your brain. This places pressure on the nerve as it enters your brain and causes the nerve to misfire. Physical nerve damage or stress may be the initial trigger for trigeminal neuralgia. After the trigeminal nerve leaves your brain and travels through your skull, it divides into three smaller branches, controlling sensation throughout your face: The first branch controls sensation in your eye, upper eyelid and forehead. The second branch controls sensation in your lower eyelid, cheek, nostril, upper lip and upper gum. The third branch controls sensations in your jaw, lower lip, lower gum and some of the muscles you use for chewing. You may feel pain in the area served by just one branch of the trigeminal nerve, or the pain may affect all branches on one side of your face. Besides compression from blood vessel contact, other less frequent sources of pain to the trigeminal nerve may include: Compression by a tumor Multiple sclerosis A stroke affecting the lower part of your brain, where the trigeminal nerve enters your central nervous system A variety of triggers, many subtle, may set off the pain. These triggers may include: Shaving Stroking your face Eating Drinking Brushing your teeth Talking Putting on makeup Encountering a breeze Smiling Trigeminal neuralgia affects women more often than men. The disorder is more likely to occur in people who are older than 50. About 5 percent of people with trigeminal neuralgia have other family members with the disorder, which suggests a possible genetic cause in some cases. When to seek medical advice Some people mistake the pain of trigeminal neuralgia for a toothache or a headache. It's not uncommon for people to believe that their facial pain is dental-related, particularly when the pain seems to stem from the gumline or is located near a tooth. If you experience facial pain, particularly prolonged pain or pain that hasn't gone away with use of over-the-counter pain relievers, see your dentist or doctor. Screening and diagnosis If you go to your dentist, an examination of your mouth can reveal whether a problem with your teeth or gums is causing your pain. If you go to your doctor, he or she will want to ask about your medical history and have you describe your pain — how severe it is, what part of your face it affects, how long pain lasts and what seems to trigger episodes of pain. You'll also undergo a neurologic examination. During this examination, your doctor examines and touches parts of your face to try to determine exactly where the pain is occurring and — if it appears that you have trigeminal neuralgia — which branches of the trigeminal nerve may be affected. Your doctor may exclude other possible conditions based on your medical history, the examination, and a magnetic resonance imaging (MRI) scan of your head. Treatment Medications are the usual initial treatment for trigeminal neuralgia. Medications are often effective in lessening or blocking the pain signals sent to your brain. A number of drugs are available. If you stop responding to a particular medication or experience too many side effects, switching to another medication may work for you. Medications Carbamazepine (Tegretol, Carbatrol). Carbamazepine, an anticonvulsant drug, is the most common medication that doctors use to treat trigeminal neuralgia. In the early stages of the disease, carbamazepine controls pain for most people. However, the effectiveness of carbamazepine decreases over time. Side effects include dizziness, confusion, sleepiness and nausea. Baclofen. Baclofen is a muscle relaxant. Its effectiveness may increase when it's used in combination with carbamazepine or phenytoin. Side effects include confusion, nausea and drowsiness. Phenytoin (Dilantin, Phenytek). Phenytoin, another anticonvulsant medication, was the first medication used to treat trigeminal neuralgia. Side effects include gum enlargement, dizziness and drowsiness. Oxcarbazepine (Trileptal). Oxcarbazepine is another anticonvulsant medication and is similar to carbamazepine. Side effects include dizziness and double vision. Doctors may sometimes prescribe other medications, such as lamotrignine (Lamictal) or gabapentin (Neurontin). Some people with trigeminal neuralgia eventually stop responding to medications, or they experience unpleasant side effects. For those people, surgery, or a combination of surgery and medications, may be an option. Surgery The goal of a number of surgical procedures is to either damage or destroy the part of the trigeminal nerve that's the source of your pain. Because the success of these procedures depends on damaging the nerve, facial numbness of varying degree is a common side effect. These procedures involve: Alcohol injection. Alcohol injections under the skin of your face, where the branches of the trigeminal nerve leave the bones of your face, may offer temporary pain relief by numbing the areas for weeks or months. Because the pain relief isn't permanent, you may need repeated injections or a different procedure. Glycerol injection. This procedure is called percutaneous glycerol rhizotomy (PGR). "Percutaneous" means through the skin. Your doctor inserts a needle through your face and into an opening in the base of your skull. The needle is guided into the trigeminal cistern, a small sac of spinal fluid that surrounds the trigeminal nerve ganglion (the area where the trigeminal nerve divides into three branches) and part of its root. Images are made to confirm that the needle is in the proper location. After confirming the location, your doctor injects a small amount of sterile glycerol. After three or four hours, the glycerol damages the trigeminal nerve and blocks pain signals. Initially, PGR relieves pain in most people. However, some people have a recurrence of pain, and many experience facial numbness or tingling. http://www.MyTrigeminalNeuralgiaStory.com Balloon compression. In a procedure called percutaneous balloon compression of the trigeminal nerve (PBCTN), your doctor inserts a hollow needle through your face and into an opening in the base of your skull. Then, a thin, flexible tube (catheter) with a balloon on the end is threaded through the needle. The balloon is inflated with enough pressure to damage the nerve and block pain signals. PBCTN successfully controls pain in most people, at least for a while. Most people undergoing PBCTN experience facial numbness of varying degrees, and more than half experience nerve damage resulting in a temporary or permanent weakness of the muscles used to chew. http://www.MyTrigeminalNeuralgiaStory.com Electric current. A procedure called percutaneous stereotactic radiofrequency thermal rhizotomy (PSRTR) selectively destroys nerve fibers associated with pain. Your doctor threads a needle through your face and into an opening in your skull. Once in place, an electrode is threaded through the needle until it rests against the nerve root. An electric current is passed through the tip of the electrode until it's heated to the desired temperature. The heated tip damages the nerve fibers and creates an area of injury (lesion). If your pain isn't eliminated, your doctor may create additional lesions. PSRTR successfully controls pain in most people. Facial numbness is a common side effect of this type of treatment. The pain may return after a few years. Microvascular decompression (MVD). A procedure called microvascular decompression (MVD) doesn't damage or destroy part of the trigeminal nerve. Instead, MVD involves relocating or removing blood vessels that are in contact with the trigeminal root and separating the nerve root and blood vessels with a small pad. During MVD, your doctor makes an incision behind one ear. Then, through a small hole in your skull, part of your brain is lifted to expose the trigeminal nerve. If your doctor finds an artery in contact with the nerve root, he or she directs it away from the nerve and places a pad between the nerve and the artery. Doctors usually remove a vein that is found to be compressing the trigeminal nerve. MVD can successfully eliminate or reduce pain most of the time, but as with all other surgical procedures for trigeminal neuralgia, pain can recur in some people. http://www.MyTrigeminalNeuralgiaStory.com While MVD has a high success rate, it also carries risks. There are small chances of decreased hearing, facial weakness, facial numbness, double vision, and even a stroke or death. The risk of facial numbness is less with MVD than with procedures that involve damaging the trigeminal nerve. Severing the nerve. A procedure called partial sensory rhizotomy (PSR) involves cutting part of the trigeminal nerve at the base of your brain. Through an incision behind your ear, your doctor makes a quarter-sized hole in your skull to access the nerve. This procedure usually is helpful, but almost always causes facial numbness. And it's possible for pain to recur. If your doctor doesn't find an artery or vein in contact with the trigeminal nerve, he or she won't be able to perform an MVD, and a PSR may be done instead. Radiation. Gamma-knife radiosurgery (GKR) involves delivering a focused, high dose of radiation to the root of the trigeminal nerve. The radiation damages the trigeminal nerve and reduces or eliminates the pain. Relief isn't immediate and can take several weeks to begin. GKR is successful in eliminating pain more than half of the time. Sometimes the pain may recur. The procedure is painless and typically is done without anesthesia. Because this procedure is relatively new, the long-term risks of this type of radiation are not yet known. • Coping skills Living with trigeminal neuralgia can be difficult. The disorder may affect your interaction with friends and family, your productivity at work, and the overall quality of your life. You may find that talking to a counselor or therapist can help you cope with the effects of trigeminal neuralgia, or you may find encouragement and understanding in a support group. Although support groups aren't for everyone, they can be good sources of information. Group members often know about the latest treatments and tend to share their own experiences. If you're interested, your doctor may be able to recommend a group in your area. 27 Background: Trigeminal neuralgia (TN), also known as tic douloureux, is a pain syndrome recognizable by patient history alone. The condition is characterized by pain often accompanied by a brief facial spasm or tic. Pain distribution is unilateral and follows the sensory distribution of cranial nerve V, typically radiating to the maxillary (V2) or mandibular (V3) area. At times, both distributions are affected. Physical examination eliminates alternative diagnoses. Signs of cranial nerve dysfunction or other neurologic abnormality exclude the diagnosis of idiopathic TN and suggest that pain may be secondary to a structural lesion. Pathophysiology: The mechanism of pain production remains controversial. One theory suggests that peripheral injury or disease of the trigeminal nerve increases afferent firing in the nerve; failure of central inhibitory mechanisms may be involved as well. Pain is perceived when nociceptive neurons in a trigeminal nucleus involve thalamic relay neurons. Aneurysms, tumors, chronic meningeal inflammation, or other lesions may irritate trigeminal nerve roots along the pons. An abnormal vascular course of the superior cerebellar artery is often cited as the cause. In most cases, no lesion is identified, and the etiology is labeled idiopathic by default. Uncommonly, an area of demyelination from multiple sclerosis may be the precipitant. Lesions of the entry zone of the trigeminal roots within the pons may cause a similar pain syndrome. Thus, although TN typically is caused by a dysfunction in the peripheral nervous system (the roots or trigeminal nerve itself), a lesion within the central nervous system may rarely cause similar problems. Infrequently, adjacent dental fillings composed of dissimilar metals may trigger attacks. Frequency: Internationally: TN is uncommon, with an estimated prevalence of 155 cases per million persons. Mortality/Morbidity: No mortality is associated with idiopathic TN, although secondary depression is common if a chronic pain syndrome evolves. In rare cases, pain may be so frequent that oral nutrition is impaired. In symptomatic or secondary TN, morbidity or mortality relates to the underlying cause of the pain syndrome. Sex: Male-to-female ratio is 2:3. Age: Development of trigeminal neuralgia in a young person suggests the possibility of multiple sclerosis. Idiopathic TN typically occurs in patients in the sixth decade of life, but it may occur at any age. Symptomatic or secondary TN tends to occur in younger patients. 27 Background: Trigeminal neuralgia (TN), also known as tic douloureux, is a pain syndrome recognizable by patient history alone. The condition is characterized by pain often accompanied by a brief facial spasm or tic. Pain distribution is unilateral and follows the sensory distribution of cranial nerve V, typically radiating to the maxillary (V2) or mandibular (V3) area. At times, both distributions are affected. Physical examination eliminates alternative diagnoses. Signs of cranial nerve dysfunction or other neurologic abnormality exclude the diagnosis of idiopathic TN and suggest that pain may be secondary to a structural lesion. Pathophysiology: The mechanism of pain production remains controversial. One theory suggests that peripheral injury or disease of the trigeminal nerve increases afferent firing in the nerve; failure of central inhibitory mechanisms may be involved as well. Pain is perceived when nociceptive neurons in a trigeminal nucleus involve thalamic relay neurons. Aneurysms, tumors, chronic meningeal inflammation, or other lesions may irritate trigeminal nerve roots along the pons. An abnormal vascular course of the superior cerebellar artery is often cited as the cause. In most cases, no lesion is identified, and the etiology is labeled idiopathic by default. Uncommonly, an area of demyelination from multiple sclerosis may be the precipitant. Lesions of the entry zone of the trigeminal roots within the pons may cause a similar pain syndrome. Thus, although TN typically is caused by a dysfunction in the peripheral nervous system (the roots or trigeminal nerve itself), a lesion within the central nervous system may rarely cause similar problems. Infrequently, adjacent dental fillings composed of dissimilar metals may trigger attacks. http://www.MyTrigeminalNeuralgiaStory.com
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