carbamazepine

[daniel_2k8]

My G.P has prescribed me carbamazepine for my back, shoulder and neck pain and to help me sleep at night. Anyone used this stuff before for the same or similar reasons.

[braindx]

Do you know why you are having the pain?

Tight mucles?

Do you sleep on your side or stomach? If so.... SLEEP ON YOUR BACK!


Medication can mask the symptoms... but solving the problem is the better idea.

[daniel_2k8]

Do you know why you are having the pain?

Tight mucles?

Do you sleep on your side or stomach? If so.... SLEEP ON YOUR BACK!


Medication can mask the symptoms... but solving the problem is the better idea.

I have been trying to find the cause of my pain for the last 5 years with no sucess. The pain seem's to be more joint related but as i am under alot of stress and have sleeping problems because of the pain the doctor decided to gice this drug a try.

I sleep on my back.

[braindx]

I have been trying to find the cause of my pain for the last 5 years with no sucess. The pain seem's to be more joint related but as i am under alot of stress and have sleeping problems because of the pain the doctor decided to gice this drug a try.

I sleep on my back.

Is your posture good?

Any family history of congenital bone/muscle/etc. defects?


Might wanna go to a ortho if it's probably joint in nature.

[ben3133]

Have you tried other (non-opioid) medications? Carbamazepine is a strange one to try first off...

[daniel_2k8]

Is your posture good?

Any family history of congenital bone/muscle/etc. defects?


Might wanna go to a ortho if it's probably joint in nature.

My posture is terrible, i am working on it.

There is no family history of any problems.

I have seen a ortho, they are terrible over here with the n.h.s.

[daniel_2k8]

Have you tried other (non-opioid) medications? Carbamazepine is a strange one to try first off...

I have tried codeine which i am allergic to and ******** which does not agree with me. He tried me with quine bisulphate to help relax the muscles but it did not do anything which i expected anyway. I have tried a number of differen't nsaid which only help a little but once stopped eveything just returns to normal. I can't think of the names of others as iv'e had so many differen't types in the past.

Do you know of any that could help?

[ben3133]

The general way of approaching pain management is: (starting at 1, then moving onward)
1) paracetamol/acetaminophen
2) #1 + codeine
3) #2 + stronger opiate (or ********) ** a couple of attempts can be made at this step by varying the opiate
4) #3 + adjunct
* NSAIDs can be added to any

So you can see it is a pyramid in terms of medications used. It isn't "try this, if it works scrap it and try that instead", it's "try this, if it doesn't work add that". "Adjunct" can refer to things like antidepressants (at sub-antidepressant dosages), anticonvulsants (like carbamazepine), muscle relaxants, gabapentin/pregabalin.

[daniel_2k8]

The general way of approaching pain management is: (starting at 1, then moving onward)
1) paracetamol/acetaminophen
2) #1 + codeine
3) #2 + stronger opiate (or ********) ** a couple of attempts can be made at this step by varying the opiate
4) #3 + adjunct
* NSAIDs can be added to any

So you can see it is a pyramid in terms of medications used. It isn't "try this, if it works scrap it and try that instead", it's "try this, if it doesn't work add that". "Adjunct" can refer to things like antidepressants (at sub-antidepressant dosages), anticonvulsants (like carbamazepine), muscle relaxants, gabapentin/pregabalin.

Iv'e tried paracetamol combined with a nsaid first and it only helped a little but the problem returned once i stopped using them. Like i said, i am allergic to codeine and ******** casues palpatation's. I uses naproxen at a dosage of 1500mg for 2 months before. I have had gabapentin in the past aswell.

The problems i have has been going on for 5 years now so treatment has become a problem.

[braindx]

Yeah dude I would strongly suggest seeing a competent ortho... or maybe a physical therapist.

I dunno about the quality of health care professionals over there though.

Good luck.. keep us updated.

[melon]

Carbamazepine certainly wouldn't be my choice of drugs to treat pain, but then I don't know your situation fully.

Generally people on carbamazepine don't experience any trouble. If you suddenly come up in a nasty rash, go and see your doctor immediately. Also, make sure you are getting your regular screening blood tests as carbamazepine can cause agranulocytosis.

[ben3133]

If you suddenly come up in a nasty rash, go and see your doctor immediately.

And stop taking the drug! I would suggest going to the ED not your doctor as this is something that needs to be treated urgently as it can be fatal (telling the OP, not you melon ).