Interesting that you had a similar (brain fog) experience with Tegretol Lynda..My doctor told me that it is usually the first thing prescribed for TN, and considering that information, I'm shocked by how many times I've seen people say they had a horrible experience...It made me feel less of a freak for reacting badly to it, but also upset me to think of others needlessly going through a hellish time like I did when it doesn't work.
I can't complain about being a diabetic, as I'm type 2 and it was self inflicted...I'm working extremely hard on getting myself healthier (I was diagnosed September 2010) so to suddenly wake up with suspected TN after all my hard work was kind of a kick in the teeth...But you move on, and work with what you've got, and I try hard not to panic about what my future might be like, considering this usually happens to people older than I am. Your choice of looking at TN as a visitation rather than a life sentance is very inspiring :)
Curiously enough, in my browsings into supplements and the like I picked up a little tag that was of personal interest...Supposedly the diabetes medication Metformin (which I take) can interfere with the B group of vitamins in the body....And the B group being something that seems to be linked with helping TN...I found that to be an interesting (though whether correct or not I don't know) bit of information. The magnesium seems to have eased my RLS since I've been taking it too, another blessing.
In terms of diagnosis, my GP referred me to an ENT team in November, and I was sent a letter in December advising me that I'd hear from them in 10-12 weeks advising me of an actual appointment, and that it would be some time in the 6 months after that date....So expecting that appointment confirmation any time now. If that turns up no answers she'll refer me to a neurologist I think. Fingers crossed :)
The pain hasn't been severe since early December...After the Tegretol doing not alot and then the Norpress taking a little while to get into my system, November was definately the worst. I got into the habit of logging the jolts, except the clusters which came so fast I just counted the entire episode as one...My worst day, I got up to 152...On the Norpress...I now go days at a time where I don't get even one, provided I'm careful as what I eat now seems to be my main trigger, rather than just the act of eating itself. November, things that set me off: Applying lip balm, rubbing in moisturizer (which is an hourly ritual on account of bad skin) brushing my teeth, flossing my teeth, swirling water around my mouth to rinse, yawning, licking my lips, chewing food, sucking through a straw, sucking in general eg a lozenge, talking, swallowing, smiling, moving my tongue from side to side, and sometimes, no dang reason at all. I developed such a fear of the pain that I would attempt to 'freeze' my face, holding my mouth completely still, not letting my teeth touch together, not moving my tongue, nothing..And they still sometimes happened..Very very gross, but for 9 days when it was that bad, I couldn't brush my teeth and ended up getting thrush on my tongue because the Tegretol seemed to stop me producing saliva. I found that hard, as I'm a habitual twice a day brusher...Thankfully, none of those things seem to cause pain now, except on very rare occasions....I can even chew gum as long as its sugar free and I'm careful - Every so often it'll jolt but they seem to be far less intense and I can deal with them happening. The clusters would crumple me to the floor in silent agony, wanting to scream but too scared to open my mouth :(
I lost so much weight in November because I struggled to even swallow something like broth or a protein shake to keep my strength up, and it's still working to keep my weight in check in it's own way lol, as my biggest food triggers seem to be carbs and sugar (which as a diabetic I'm not supposed to have anyway!)...Bread being the absolute worst. Without fail, a few bites in on something bread-y and I get what I consider a warning shock...And it reminds me to quit eating it!