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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Trigeminal Neuralgia

I take 800 mg/day of carbamazepine for trigeminal neuralgia. Over 18 yrs dosage has changed. I have been told that the changes in my mouth are caused by this drug. Changes: sensitivity to all acidic foods--tomatoes, citrus, peppers, onions, vinegar, pickles, black pepper seasoning. Ulcer looking places have developed on the sides of my tongue. Dentist thought I was cancer and sent me to oral surgeon; no cancer, no explanation. Are these events the cause of carbamazepine and I a doomed to oatmeal, cream of wheat, cantaloupe, etc for the rest of my life?
Mon, 5 Jun 2017
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General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Events of food sensitivity are not related to Carbamazepine.

Sorry to say but certain ailments in the medical field are life-long, miserable even after taking molecules you are not cured of it, just partial symptoms relief.

If fed up with it since years, have to take a risk of MVD (microvascular decompression) surgery in which they relieve abnormal compression of a cranial nerve.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel
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Suggest Treatment For Trigeminal Neuralgia

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Events of food sensitivity are not related to Carbamazepine. Sorry to say but certain ailments in the medical field are life-long, miserable even after taking molecules you are not cured of it, just partial symptoms relief. If fed up with it since years, have to take a risk of MVD (microvascular decompression) surgery in which they relieve abnormal compression of a cranial nerve. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel