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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Taking Tegretol For Epilepsy Cause Headaches After A Thyroid Surgery?

I have a lot of health issues. I have been on tegretol and Depakote for epilepsy since 1983. no side effect that I have been aware of. 4 years ago I had pheocromacitoma and had an adrenal gland removed. I all the testing they discovered I had a growth on my thyroid and removed it within a month of that surgery. after these two surgeries I started having headaches and I get this feeling like electricity is running through my body, especially in my legs. my sodium is getting low. I was also on statins for high cholestoral. after many trips to the ER to get me settled down my general doctor and the hospital doctor thought it was the statins so they took me off it. this was last July. I seem to go ok the rest of year, but avoided any outside activity to avoid sweating. I had started taking salt tablets to try to bring up my sodium throughout this. after feeling better, thinking the statins was the cause it hit me again last month after doing work outside. now, I am going through this again. I have literally eaten spoonfuls of salt to get my level back up which has stopped my nerves going crazy. my endocrinologist thinks it s the tegretol I have been on since 1982. I think it is something with these surgeries of the thyroid and or adrenal gland removal. if it was the tegretol why hasn t it caused an issue before the surgeries? after the two surgeries I can show him the levels of the sodium started dropping.
Sat, 15 Sep 2018
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General & Family Physician 's  Response
Hello,

As per my clinical experience, the head ache with alterations in sodium levels indicate possible issue with hormone homeostasis in terms of parathyroid hormones or else.

A detailed lab evaluation is must to get the diagnosis rather than blaiming tegretol for headache.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Purva Patel, General & Family Physician
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Does Taking Tegretol For Epilepsy Cause Headaches After A Thyroid Surgery?

Hello, As per my clinical experience, the head ache with alterations in sodium levels indicate possible issue with hormone homeostasis in terms of parathyroid hormones or else. A detailed lab evaluation is must to get the diagnosis rather than blaiming tegretol for headache. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Purva Patel, General & Family Physician