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Posted by Kelley
on November 04, 2000 at 07:27:07:
In Reply to: Re: Kelley posted by Kay S on November 02, 2000 at 08:59:11:
: I asked my therapist about Tegretol and she said stay away from it. She said it can cause problems with the blood and other things. Since I have high blood pressure I think she's right. I started taking 75mg of Effexor yesterday and I'm worried about some side effects I seem to be having. I started feeling more numb (tingly) around my face and this morning I woke up at 2:30 and couldn't go back to sleep because I my muscles kept jerking. All this time I thought it was from the muscle spasms from my back problems but now I think it could be from the Effexor. Have you ever heard of this? I'm going to call my doctor and find out what she thinks.
: : Some of the best researched drugs for your kind of pain are either Tegretol (Carbamezapine)(a mood stabilizer in psychiatry, an antiepileptic in nonpsychiatry, and a good pain drug anytime), or the tricylcic antidepressants such as Nortriptyline. You could do better all around with one or both of these.
: : Sincerely,
: : Kelley
Kay, I don't know what problems your doctor was referring to. If one takes a look in the Physicians Desk Reference, both Effexor and Tegretol have equally serious possible adverse effects. Rare, but possible. Neither one is more dangerous than the other. If anything, it is Effexor, not Tegretol, known to cause increased blood pressure. My doctor had me try Tegretol once, and I have to admit it was one of the mildest safest drugs I've ever tried. There is a lot of research supporting its use in pain. Not so with Effexor. Minimal research supporting Effexor for pain. Tricyclic antidepressants are also proven useful for pain. It just so happens Tegretol's molecular structure looks very similar to tricyclics. It can work as good as tricyclics for pain except without all the side effects of tricyclics.
I'm not sure what your doctor was referring to. Sounds like a bit of personal preference to me. You might want to ask some more questions. Lots and lots of people have, and do, take Tegretol without problems. It is actually milder than Effexor in terms of side effects. At least in my own trials of these drugs anyway.