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Transverse Myelitis

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Hi

She has been taking 200mg I believe since July, but haven't got the

exact date. She has just seen the neurologist again and he has advised

her to up the dose gradually to 800mg.

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Blimey, not just a small amount then.

The question for her is perhaps , how much is prepared to increase versus the

side effects, and for how long. Well, and before that, Is it working? It might

be that a high dose is effective for a short period of time, gets her through

the acute episode which quickly resolves , and then over to you for the wider

picture of why the episode occurred, preventing future ones and addressing the

fallout of a short burst of toxic medication.

Chances are it won't be like this, the higher and higher does of Carbomazapine

won't touch it, and the acute condition will get 'stuck'. Then you have to work

out strategies between you. The thing to be clear is which herbs potentate adn

which lower the dosage. Hypericum is likely to fall into the latter categorie,

so it is not increasing the likeyhood of toxicity, just counter productive if

she is exploring the efficacy of increasing the dose. There may be an issue of

photo sensitivity - but well it's hardly the weather for it! For that reason it

may be Ok to include as a specific anti-herpetic.

An approach in this instance would be to carefully introduce the herbs that you

think appropriate to the person , and monitor , monitor, monitor. Am giving my

patients scoring charts, more and more lately, for loads of things, but is

especially helpful in relation to pain. But it could also include anticipated

side- effects, interactions.

And there is always the possibility of really focussing on topical preparations,

initially or ongoingly. Something like gelsemium, Liquorice, capsicum,

hypericum.(careful with the capsicum) Perhaps in the form of tinctures painted

on..

Good luck,

Transverse Myelitis

Hi

She has been taking 200mg I believe since July, but haven't got the

exact date. She has just seen the neurologist again and he has advised

her to up the dose gradually to 800mg.

Verity

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15:30

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