How to reduce the dose of conventional medicines?

Carbamazepine is actually an anticonvulsant (epilepsy) which is found to be effective in many cases as long as taken for a long period. Carbamazepine may not be as effective for Atypical Trigeminal Neuralgia.

Side effects:

1. Overdose of carbamazepine could prove fatal, deaths have been reported rarely, with very large doses, without supervision of a doctor.
2. Early side effects are drowsiness, fatigue, dizziness, or nausea.
3. Memory loss and a sense of exhaustion are observed commonly.
4. Weight gain is a major and common side effect.
5. Osteoporosis (loss of calcium) is a common adverse effect demanding extra dose of calcium supplement.
6. Nystagmus (side to side movement of the eye ball.)
7. Damage in vision is a major long term side effect.
8. Altered thought process is a significant side effect in some patients.
9. Skin rash and lowered blood pressure may prove serious problem in some patients, calling for urgent medical attention.
10. Low level of sodium (Hyponatremia) is a serious side effect on long term use.
11. Hematologic (blood related), hepatic (liver related), cardiovascular (heart related) and dermatologic reactions, which require discontinuation of therapy.
12. Psychiatric symptoms likes hallucinations (visual or acoustic), depression, sometimes, talkativeness, agitation, loss of appetite, restlessness, aggressive behavior, confusion, activation of psychosis may be observed.

Source: Several text books of medicine, neurology, pharmacology.

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