I have Type 1 TN and the first neurologist I went to (whom I didn't like) put me on 900 mgs of Neurontin. It did nothing. When I finally got into a very "hard to get into see" Neurologist at a top University where I live, she added 400 mgs of Tegretol (200 at a time, until tolerated, but I got to 400). I never really tolerated it. I walked into walls, I fell, I tripped, I could somewhat function until my 3:00 dose of Neurontin -- that is when I fell asleep until my husband, who had to then make dinner for us, woke me for that dinner. I was so groggy I could hardly enjoy it. I would get a second wind until my 8 p.m. dose of both medications and I would fight to keep my eyes open so I would sleep at night. Our social life no longer exists, and our friends no longer call, except to see how I am feeling.
The pain began to under be control at this time. I waited until my next visit to the neurologist. She ignored my pleas about the side effects of the medicines and since the pain was everyday almost all day, she added another 900 mgs of Neurontin.
I need to interject something at this point (and by the way, I am having to backspace all the time to correct my typos because I am so drowsy). I had a bad experience once withdrawing from Neurontin. It caused me extreme anxiety. I must be the only one in the world, although when I googled it on the internet, there are others. My doctor at the time of the withdrawal said he had never seen it before, but he was very kind and patient with me We had to go down 50 mg (take out half the powder from the capsule) every 5 days. I was on 400 mgs at the time and it took about a month to get off of it. It was a nightmare and I swore I would never go on that medicine again. Ha! My current neurologist doesn't even believe me, but finally said because I suffer from anxiety, and Neurontin is sometimes used for anxiety, when I was taken off of it, the anxiety was returning.
But now that I have called her to help me withdraw from the Neurontin she acts like she never heard me tell her about this. First of all, she (no, her secretary, didn't call me back for 3 days.)
When her secretary called me back she told me to cut back by 300 mgs every day! HASN'T SHE BEEN LISTENING TO ME?????? When I told her secretary that the doctor knew I needed to cut back by 50 mg every 5 days, her secretary said that the doctor would probably never go for that because it's not scientific enough to pour that powder out -- not exact enough. I told her it worked! So what's the difference!
I'm very disappointed in the medical profession right now. 3 days to call me back? I've never in my life had a doctor not call me back in the same day before! And when I told the secretary that I had another thought - that maybe we could cut out the Tegretol, and not the Neurontin at all, she asked me what would happen when I start feeling pain? I told her it would be the same thing if we cut back on the Neurontin - only it would save me the withdrawal pain.
Now I probably won't hear from her about cutting out the Tegretol until Monday, is my guess.
If only the doctor would LISTEN, everything would be so much easier.
I just had to vent. Thank you for listening.
Barb