Hi.
Thanks for asking in Healthcare Magic.

Any type of tingling, burning or numbness is usually related to sensory nerve damage. Paresthesia means altered sensation and indicates nerve entrapment or some pressure exerted on nerve or a disease condition.The possible causes are either Diabetic neuropathy, Trigeminal neuralgia, cervical radiculopathy or pain due to dental origin.

Trigeminal neuralgia is characterized by shooting or jabbing pain like an electric shock. Any mouth movement like chewing or speaking and at times even touching the face can trigger spontaneous attacks. The pain can last for either few seconds or few minutes. The areas involved are mouth, cheek, jaw, teeth, gums, lips and sometimes the eye.

Pain is most often present on ONE SIDE. But, you are already taking the drugs given for the treatment of severe pain in trigeminal neuralgia and in Diabetic neuropathy like Clonazepam and Fluoxamine. So the pain could be due to cervical radiculopathy. You should also rule out the pain due to dental origin. Sometimes, pain of myocardial infarction may present like this.

None of the drugs you are taking will result in such pain. Even the interaction between Clonazepam and Paroxetin will only result in drowsiness and inability to concentrate in some people.

You can take analgesic and anti inflammatory drugs like Ibuprofen to relieve pain. But if pain worsens then you should consult your treating Dr. for further evaluation as severe uncontrolled pain is always a cause of concern.

I hope this helps. Please address to me if you have any further concerns.
Regards.

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