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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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On Tegretol For Brain Surgery For Trigeminal Neuralgia, Stopped Now. Highly Moody. Why ?

I had brain surgery for trigeminal neuralgia 9 days ago. I have been told by my family that I m being mean and making them feel as tho I m always mad at them tho in my heart I don t feel mad. Yesterday my neurologist also stopped my tegretol. I don t know what s going on but this evening I started crying uncontrolably and just can t stop. I don t know if this is due to stopping the tegretol the ansthesia or just the surgery its self. Please help me I REALLY need to quit crying I have a 11 & 6yr old............ my family thinks I m losing it.
Mon, 11 Mar 2013
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Internal Medicine Specialist 's  Response
hi
Thanks for query.
I would like to ask one question 1 )Are you crying because it is still painful or are you crying because you are feeling depressed?
2) Were you ever diagnosed with bipolar disorder in past or you ever had depressive symptoms for which you had to seek medical help
If its due to mood swings then I must tell you following
In my neurology practise i occasionally come across patients who feel depressed after tegretol ( carbamazepine ) is stopped but scientific literature or evidence does not say so. Tegretal is also used by psychiatrists to treat bipolar disorder , stopping of which leads to depressive symptoms similar to yours.Although there is no medical evidence for this either. So hypothetically your crying can be due to tegretal withdrawl .But in my personal opinion your crying is more likely to be a coincident. I would like to prescribe medication in your case to make you feel better.Take care...you will be alright
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On Tegretol For Brain Surgery For Trigeminal Neuralgia, Stopped Now. Highly Moody. Why ?

hi Thanks for query. I would like to ask one question 1 )Are you crying because it is still painful or are you crying because you are feeling depressed? 2) Were you ever diagnosed with bipolar disorder in past or you ever had depressive symptoms for which you had to seek medical help If its due to mood swings then I must tell you following In my neurology practise i occasionally come across patients who feel depressed after tegretol ( carbamazepine ) is stopped but scientific literature or evidence does not say so. Tegretal is also used by psychiatrists to treat bipolar disorder , stopping of which leads to depressive symptoms similar to yours.Although there is no medical evidence for this either. So hypothetically your crying can be due to tegretal withdrawl .But in my personal opinion your crying is more likely to be a coincident. I would like to prescribe medication in your case to make you feel better.Take care...you will be alright