August 2014
A new anticonvulsant (like
Topomax) is out. This one is time release, unlike Topomax, and people
are reporting significantly fewer cognitive side effects with it. It's
called Trokendi. Much like Topomax I have to slowly increase the
dosage.
Headaches are much improved, but I am the small percentage of people who experience the cognitive side effects.
October 2014
We decide to experiment for a few months with the dosage, up and down and all around. The side effects don't go away.
She tells me that her colleague is going to be part of a study in the
next few months and he will be administering a new study medication to
his patients. It was used in Australia with great success and some other
studies have been done in the US with success. It's perfectly safe.
She needs to talk to him more to find out what the qualifications are,
but two that she's aware of - no nerve blocks in the past 3 months and
no Botox in the past 3 months. No problem, it's been quite a while
since I had any of that.
November 2014
I inquire
about her colleague and this new experimental medication. You can't be
on anything that's working for you. So I'd be disqualified based on
that.
December 2014
I go off Trokendi. I can't handle the side effects.
Yet
another part of the Topomax cocktail is a potassium channel blocker so
we introduce Oxcabazepine to my cocktail. I have great hopes for it
since it's used for Trigeminal neuralgia. I figure if the SPG Block
worked so well then the issue is, at least in part, my Trigeminal nerve
(I've long suspected this, actually). I am to slowly increase the dosage
over the next month.
It seems that every time I bump up the dosage I have a few days of relief. So I continue to be hopeful.
January 2015
Still hopeful regarding the Oxcarbazepine. How high can I go? I knew I was at the low end of the scale and that I could increase, but wasn't sure where the ceiling was. She says I can go to 1200 mg a day (600 mg 2 times a day).
No comments:
Post a Comment