How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Bob Your Own Question
Dr. Bob
Dr. Bob, Neurologist (MD)
Category: Neurology
Satisfied Customers: 5330
Experience:  Neurology & Int Medicine (US Trained): 20 yrs experience
Type Your Neurology Question Here...
Dr. Bob is online now
A new question is answered every 9 seconds

Tegretol seem to work in day time but no inthe evening JA:

Customer Question

Tegretol seem to work in day time but no inthe evening
JA: OK. The Neurologist will need to help you with this. Please give me a bit more information, so the Neurologist can help you best.
Customer: i have tn attack for a week.
I had tn diagnosed 2 years ago and 499 mg worked fine.
JA: Anything else I can tell the Neurologist before I connect you two?
Customer: Now the attacks are much more severe, 600mg of Tegretol a day works until the evening then stops.
JA: I'm sending you to a secure page on JustAnswer so you can place the $5 fully refundable deposit now. While you're filling out that form, I'll tell the Neurologist about your situation and connect you two.
Submitted: 1 year ago.
Category: Neurology
Expert:  Dr. Bob replied 1 year ago.
Hi there. Have you discussed this with your doctors? Breakthrough pain may indicate a progression of your condition. If you have not already had an MRI, I would suggest you ask your doctor about ordering one.
Expert:  Dr. Bob replied 1 year ago.
TN can be caused by a variety of conditions, some more serious than others. For example, it may be the result of a blood vessel pressing on the trigeminal nerve as it exits the brain stem. This compression causes the wearing away or damage to the protective coating around the nerve (the myelin sheath).
Expert:  Dr. Bob replied 1 year ago.
TN symptoms can also occur in people with multiple sclerosis, a disease that causes deterioration of the trigeminal nerve’s myelin sheath. Rarely, symptoms of TN may be caused by nerve compression from a tumor, or a tangle of arteries and veins called an arteriovenous malformation.
Expert:  Dr. Bob replied 1 year ago.
An MRI may help to rule out such causes, or the progression of a previously diagnosed cause.
Expert:  Dr. Bob replied 1 year ago.
In the meantime, control of pain in TN can be maintained in most patients with 600 to 800 mg daily. However, some patients may require as much as 1200 mg daily. Talk to your doctor about whether or not an increase in your Tegretol is indicated at this time.