\n3. \u00derenndartaugin og inngrip gegn \u00ferenndartaugab\u00f3lgu<\/a>
\n4. Skur\u00f0a\u00f0ger\u00f0ir og a\u00f0rar a\u00f0ger\u00f0ir \u00ed e\u00f0a vi\u00f0 \u00ferenndarhno\u00f0a
\n<\/a>5. \u00derenndartaugaverkur\/vangahvot: Saga or\u00f0anna.<\/a><\/p>\n
<\/p>\n
Fyrsti kostur \u00ed me\u00f0fer\u00f0 \u00ferenndartaugarverks (af \u00f6llu tagi) vir\u00f0ist vera lyfjame\u00f0fer\u00f0. Flest lyfjanna eru flogaveikilyf. \u00cd s\u00e6milega n\u00fdlegum greinum um sj\u00fakd\u00f3mum er lyfjum oftast ra\u00f0a\u00f0 eftir \u00fev\u00ed sem tali\u00f0 er virka sk\u00e1st til \u00feess sem minnst virkni hefur \u00fe\u00f3tt hafa e\u00f0a hefur ekki tekist a\u00f0 s\u00fdna fram \u00e1 virkni me\u00f0 vi\u00f0urkenndum ranns\u00f3knara\u00f0fer\u00f0um (en \u00fea\u00f0 gildir raunar um n\u00e6stum \u00f6ll lyfin \u00e1 \u00feessum lista). \u00a0Listinn fer h\u00e9r \u00e1 eftir. Svo vir\u00f0ist sem \u00fev\u00ed n\u00fdrri sem heimildir eru \u00fev\u00ed h\u00e6rri s\u00e9u \u00e6skilegir skammtar taldir.1<\/sup><\/p>\n \u00deau heiti lyfjanna sem notu\u00f0 eru \u00e1 \u00cdslandi kr\u00e6kja \u00ed uppl\u00fdsingar \u00ed S\u00e9rlyfjaskr\u00e1 Lyfjastofnunar<\/a>.<\/p>\n Tegretol<\/a> (Carbamazepine): Skammtar mi\u00f0a\u00f0ir vi\u00f0 300-1000 mg \u00e1 dag.<\/p>\n Trileptal<\/a> (Oxcarbazepine): Skammtar mi\u00f0a\u00f0ir vi\u00f0 900-2400 mg \u00e1 dag.<\/p>\n Lamictal<\/a> (Lamotrigine): Skammtar mi\u00f0a\u00f0ir vi\u00f0 150-400 mg \u00e1 dag.<\/p>\n Gabapentin\/Neurontin<\/a>: Skammtar mi\u00f0a\u00f0ir vi\u00f0 600-2400 mg \u00e1 dag.<\/p>\n Lyrica<\/a> (Pregabalin): Skammtar mi\u00f0a\u00f0ir vi\u00f0 300-600 mg \u00e1 dag.<\/p>\n Baklofen<\/a>: Skammtar mi\u00f0a\u00f0ir vi\u00f0 40-80 mg \u00e1 dag <\/p>\n Eldri lyf sem \u00fe\u00f3ttu hafa gagnast vi\u00f0 \u00ferenndartaugarverk, flest uppfundin og marka\u00f0ssett sem flogaveikilyf:<\/p>\n Rivotril <\/a>(Clonazepam) Skammtar vi\u00f0 \u00ferenndartaugarverk voru mi\u00f0a\u00f0ir fr\u00e1 1,5 mg \u00e1 dag.<\/p>\n Orfiril<\/a> (Valproate): Skammtar mi\u00f0a\u00f0ir vi\u00f0 500-1500 mg \u00e1 dag. \u00deetta lyf er n\u00fa undir s\u00e9rst\u00f6ku eftirliti.<\/p>\n Fenantoin\u00a0Meda<\/a>\u00a0(Phentyoin): \u00d3lj\u00f3st hva\u00f0a skammtar voru gefnir vi\u00f0 \u00ferenndartaugarverk. \u00deetta lyf \u00feekkist einnig undir heitinu Dilantin og r\u00e1\u00f0leggja sumir taugal\u00e6knar a\u00f0 gefa Dilantin \u00ed \u00e6\u00f0 til a\u00f0 st\u00f6\u00f0va br\u00e1tt kast af d\u00e6miger\u00f0um \u00ferenndartaugarverk, leiti sj\u00faklingur \u00e1 br\u00e1\u00f0am\u00f3tt\u00f6ku. Alls \u00f3v\u00edst er a\u00f0 \u00edslenskir br\u00e1\u00f0al\u00e6knar viti af \u00feessari notkun lyfsins.<\/p>\n Pimozide (ge\u00f0klofalyf sem \u00e9g finn ekki \u00ed \u00edslensku S\u00e9rlyfjaskr\u00e1nni og hefur l\u00edklega ekki veri\u00f0 \u00e1 marka\u00f0i h\u00e9rlendis).<\/p>\n <\/p>\n Eina flogaveikilyfi\u00f0 \u00ed \u00feessari upptalningu sem hefur veri\u00f0 s\u00fdnt v\u00edsindalega fram \u00e1 a\u00f0 gagnist er Tegretol (Carbamazepine) vi\u00f0 d\u00e6miger\u00f0um \u00ferenndartaugarverk<\/strong>. \u00c1tt er vi\u00f0 gagnreynda s\u00f6nnun \u00ed slembir\u00f6\u00f0u\u00f0um, tv\u00edblindum, fastskammta samanbur\u00f0arranns\u00f3knum vi\u00f0 lyfleysu (RCT-ranns\u00f3knum). Svo vir\u00f0ist sem um 70% sj\u00faklinga me\u00f0 taugaverki af einhverju tagi (neuropathic pain) f\u00e1i einhverja b\u00f3t meina sinna af Tegretol. \u00de\u00f3 er vakin athygli \u00e1 a\u00f0 ni\u00f0urst\u00f6\u00f0ur byggi \u00e1 f\u00e1mennum ranns\u00f3knum sem st\u00f3\u00f0u \u00ed stuttan t\u00edma og raunar eru ranns\u00f3knir \u00e1 virkni lyfsins vi\u00f0 \u00ferenndartaugarverk afar f\u00e1t\u00e6klegar.2<\/sup><\/p>\n Af lyfjum sem ekki eru flogaveikilyf vir\u00f0ist \u00a0sem Pimozide virki jafnvel betur \u00e1 \u00ferenndartaugarverk en Tegretol en s\u00fa ni\u00f0ursta\u00f0a \u00feykir byggja \u00e1 afar l\u00e9legri ranns\u00f3kn svo e.t.v. \u00e6tti ekki a\u00f0 taka hana of h\u00e1t\u00ed\u00f0lega.3<\/sup> Ein \u00f6rf\u00e1menn g\u00f6mul ranns\u00f3kn (fr\u00e1 1971) \u00e1 verkan \u00fer\u00edhringlaga ge\u00f0deyf\u00f0arlyfja (\u00a0\u00fe.e. Amitriptyline<\/a>, \u00ed 30-110 mg dagsk\u00f6mmtum og Anafranil<\/a>, \u00fe.e. Clomipramine, \u00ed 20-75 mg dagsk\u00f6mmtum) gaf v\u00edsbendingar um a\u00f0 \u00feau g\u00e6tu virka\u00f0 \u00ferenndartaugarverkjarsj\u00faklingum til b\u00f3ta.4<\/sup>\u00a0 Svolei\u00f0is lyf g\u00e6tu m\u00f6gulega helst gagnast \u00feeim sem haldnir eru \u00ferenndartaugarverk 2 (TN2).5\u00a0<\/sup> \u00c9g \u00feekki d\u00e6mi \u00feess a\u00f0 Amitryptiline s\u00e9 gefi\u00f0 \u00ed mun l\u00e6gri sk\u00f6mmtum en \u00feetta, 10 – 20 mg a\u00f0 kv\u00f6ldi, og \u00e1tti a\u00f0 virka til s\u00e1rsaukastillingar og betri svefns sj\u00faklings me\u00f0 \u00f3d\u00e6miger\u00f0an \u00ferenndartaugarverk (ATN). S\u00fa var\u00f0 ekki raunin. Noritren (noritryptilin) er anna\u00f0 gamalt \u00fer\u00edhringlaga \u00feunglyndislyf sem er nota\u00f0 eins.<\/p>\n Almennt m\u00e1 segja um \u00feessi lyf sem upp hafa veri\u00f0 talin a\u00f0 \u00feau eru fundin upp vi\u00f0 allt \u00f6\u00f0rum sj\u00fakd\u00f3mi (einkum flogaveiki) en br\u00faku\u00f0 vi\u00f0 \u00ferenndartaugarverk, oft upp \u00e1 von og \u00f3von. \u00deeim fylgja \u00f6llum aukaverkanir. Vitaskuld er einstaklingsbundi\u00f0 hva\u00f0a aukaverkunum menn finna fyrir og \u00ed hve miklum m\u00e6li en \u00ed sumum tilvikum geta \u00fe\u00e6r veri\u00f0 verulega sl\u00e6mar. (H\u00e9r tala \u00e9g af reynslu \u00fev\u00ed \u00e9g hef pr\u00f3fa\u00f0 meirihlutann af \u00feessum lyfjum: \u00deau eru nefnilega l\u00edka gefin \u00feunglyndissj\u00faklingum sem erfitt er a\u00f0 l\u00e6kna me\u00f0 hef\u00f0bundnum \u00feunglyndislyfjum. \u00deetta eru lyf sem \u00e9g kalla gjarna sj\u00e1lf a\u00f0 s\u00e9u \u00far \u201egaldraskj\u00f3\u00f0u ge\u00f0l\u00e6kna\u201c. \u00c9g get sta\u00f0fest a\u00f0 \u00feau virka ekkert \u00e1 sl\u00e6mt \u00feunglyndi en sum \u00feeirra gera mann \u00e6vint\u00fdralega slj\u00f3an og \u00fe\u00e1 v\u00e6ntanlega \u00fe\u00e6gari sj\u00fakling.)<\/p>\n <\/p>\n Mig langar a\u00f0 benda \u00e1 a\u00f0 sum lyfjanna sem upp voru talin hafa veri\u00f0 r\u00e6kilega marka\u00f0ssett vi\u00f0 vefjagigt, \u00ferenndartaugarverk og \u00f6\u00f0rum taugaverkjum, kv\u00ed\u00f0a, \u00feunglyndi og \u00fdmsum \u00f6\u00f0rum ge\u00f0sj\u00fakd\u00f3mum o.fl. sj\u00fakd\u00f3mum \u00e1n \u00e1bendingar (off label). Svolei\u00f0is marka\u00f0ssetning er gulls \u00edgildi fyrir lyfjafyrirt\u00e6kin sem framlei\u00f0a lyfin. Stundum hafa lyfjarisar veri\u00f0 teknir \u00e1 beini\u00f0 fyrir h\u00e1ttalagi\u00f0, t.d. Pfizer fyrir off label marka\u00f0ssetningu \u00e1 Gabapent\u00edni\/Neurontin, og l\u00e1tnir grei\u00f0a himinh\u00e1ar sektir. \u00de\u00e6r sektir eru \u00fe\u00f3 v\u00e6ntanlega sm\u00e1aurar einir, t.d. fyrir Pfizer, enda er tali\u00f0 a\u00f0 90% af s\u00f6lu Gabapent\u00edns s\u00e9 \u00e1n \u00e1bendingar, \u00fe.e.a.s. a\u00f0 lyfinu er \u00e1v\u00edsa\u00f0 vi\u00f0 allt \u00f6\u00f0rum sj\u00fakd\u00f3mum en \u00feeim sem marka\u00f0sleyfi\u00f0 bygg\u00f0ist \u00e1.6<\/sup> \u00deessi sta\u00f0reynd er au\u00f0vita\u00f0 ekki mj\u00f6g traustvekjandi.<\/p>\n \u00dea\u00f0 lyf sem hefur reynst m\u00e9r sk\u00e1st vi\u00f0 \u00f3d\u00e6miger\u00f0um \u00ferenndartaugarverk (ATN) er Rivotril (Clonazepam). Margir \u00edslenskir l\u00e6knar telja Rivotril n\u00e1nast verkf\u00e6ri andskotans \u00fev\u00ed \u00fe\u00f3tt \u00fea\u00f0 hafi marka\u00f0sleyfi sem flogaveikilyf er \u00feetta benz\u00f3d\u00edazapem-lyf. Svolei\u00f0is lyf setur Lyfjastofnun \u00e1 svartan lista sem heitir \u00c1vana- og f\u00edknilyf<\/a> \u00a0enda telja heilbrig\u00f0isstarfsmenn margir a\u00f0 bens\u00f3lyf s\u00e9u mj\u00f6g \u00e1vanabindandi og \u00e1litleg vilji menn gerast l\u00e6knad\u00f3pistar. Lyfi\u00f0 er hins vegar ekki a\u00f0 finna \u00e1 lista Emb\u00e6ttis landl\u00e6knis yfir \u00e1vana- og f\u00edknilyf en l\u00edklega m\u00e1 \u00fear handv\u00f6mm um kenna. \u00c9g hef reynslu af \u00fev\u00ed a\u00f0 h\u00e6tta \u00e1 Rivotrili og \u00fea\u00f0 var\u00f0 a\u00f0 gerast mj\u00f6g h\u00e6gt – a\u00f0 \u00f6\u00f0ru leyti skar reynslan sig ekki \u00far \u00f6\u00f0rum lyfjah\u00e6ttingum en \u00e9g er \u00ferautreynd \u00ed sl\u00edkum. Raunar kvikna\u00f0i minn \u00ferenndartaugarverkur vi\u00f0 a\u00f0 h\u00e6tta \u00e1 Rivotril og eftir a\u00f0 hafa veri\u00f0 lyfjalaus \u00ed eitt \u00e1r gafst \u00e9g upp og f\u00f3r a\u00f0 taka \u00fea\u00f0 aftur; Pr\u00f3fa\u00f0i einnig Tegretol og Gabapent\u00edn r\u00e6kilega vi\u00f0 \u00ferenndartaugarverknum (haf\u00f0i au\u00f0vita\u00f0 fengi\u00f0 b\u00e1\u00f0um \u00e1v\u00edsa\u00f0 vi\u00f0 \u00feunglyndi og\/e\u00f0a kv\u00ed\u00f0a \u00e1\u00f0ur) en hi\u00f0 fyrrnefnda virka\u00f0i ekkert og \u00e9g var\u00f0 f\u00e1rveik af \u00fev\u00ed s\u00ed\u00f0arnefnda. \u00c9g veit a\u00f0 \u00e9g \u00feoli ekki Lamictal og Lyricu (sem hvoru tveggju eru einmitt \u00ed galdraskj\u00f3\u00f0u ge\u00f0l\u00e6kna) og hef \u00fev\u00ed engan \u00e1huga \u00e1 a\u00f0 reyna \u00feau aftur. (Nokkru eftir a\u00f0 \u00feetta var skrifa\u00f0 reyndi \u00e9g Lyricu \u00fat \u00far ney\u00f0. En gagni\u00f0 var ekkert og sem fyrr \u00feoldi \u00e9g ekki aukaverkanirnar. Raunar gagnast n\u00e6r engin lyf n\u00fana,\u00a0 \u00ed \u00e1rsbyrjun 2018, til a\u00f0 sl\u00e1 \u00e1 g\u00edfurlegan s\u00e1rsaukann sem nokkru nemi. L\u00e6knisa\u00f0ger\u00f0, PBC,\u00a0 sem \u00e9g f\u00f3r \u00ed gagna\u00f0ist ekki nema \u00ed svona 2 m\u00e1nu\u00f0i. \u00dev\u00ed mi\u00f0ur eru l\u00edkur \u00e1 a\u00f0 laga\/b\u00e6ta \u00f3d\u00e6miger\u00f0an \u00ferenndartaugarverk svona \u00e1l\u00edka litlar og og a\u00f0 l\u00e6kna dj\u00fapt \u00feunglyndi me\u00f0 raflostum e\u00f0a lyfjum.)<\/p>\n En mig langar a\u00f0 benda \u00feeim sem vilja greina mj\u00f6g sk\u00fdrt milli lyfja sem teljast \u201el\u00e6knad\u00f3p\u201c og lyfja sem ekki teljast \u201el\u00e6knad\u00f3p\u201c \u00e1 \u00fe\u00e1 sta\u00f0reynd a\u00f0 flest flogaveikilyfin \u00e1 listanum efst \u00ed \u00feessari f\u00e6rslu eru talin pr\u00fd\u00f0ilegt l\u00e6knad\u00f3p\/lyf til a\u00f0 valda v\u00edmu \u00e1 umr\u00e6\u00f0u\u00fer\u00e1\u00f0um erlendra l\u00e6knad\u00f3pista.7<\/sup><\/p>\n \u00de\u00e6r ranns\u00f3knir sem ger\u00f0ar hafa veri\u00f0 \u00e1 gagnsemi Rivotrils vi\u00f0 \u00ferenndartaugab\u00f3lgu s\u00fdna a\u00f0 lyfi\u00f0 virkar stundum vi\u00f0 \u00feessum sj\u00fakd\u00f3mi en eru \u00fea\u00f0 gamlar a\u00f0 \u00fe\u00e6r standast ekki a\u00f0fer\u00f0afr\u00e6\u00f0ileg m\u00e1l \u00ed \u00fattektum. \u00dev\u00ed hefur ekki veri\u00f0 s\u00fdnt \u201ev\u00edsindalega\u201c fram \u00e1 virkni lyfsins vi\u00f0 \u00feeim sj\u00fakd\u00f3mi. Raunar er afar \u00f3l\u00edklegt a\u00f0 svo ver\u00f0i \u00far \u00feessu \u00fev\u00ed \u00ed \u00fattektarsk\u00fdrslu Cochrane-stofnunarinnar \u00e1 \u00feessu lyfi er bent \u00e1 a\u00f0 lyfi\u00f0 s\u00e9 gamalt, enginn hafi lengur einkaleyfi \u00e1 \u00fev\u00ed og \u00fev\u00ed s\u00e9 ekkert \u00e1 \u00fev\u00ed a\u00f0 gr\u00e6\u00f0a; Ekkert lyfjafyrirt\u00e6ki myndi \u00fev\u00ed sj\u00e1 s\u00e9r hag \u00ed a\u00f0 standa fyrir r\u00e9tt ger\u00f0ri tv\u00edblindri ranns\u00f3kn \u00e1 fj\u00f6lmennu slembi\u00fartaki.8<\/sup><\/p>\n <\/p>\n Hef\u00f0bundin verkjalyf virka almennt illa e\u00f0a ekki neitt \u00e1 \u00ferenndartaugab\u00f3lgu. En ef marka m\u00e1 fr\u00e1sagnir \u00ed einum af \u00feeim\u00a0Facebook<\/em>-h\u00f3pum \u00ferenndartaugartaugarsj\u00faklinga sem \u00e9g tilheyri (Trigeminal Neuralgia Family) eru amer\u00edskir l\u00e6knar \u00f3s\u00ednkir \u00e1 Oxycontin handa s\u00ednum sj\u00faklingum og telja sj\u00faklingarnir almennt nokkurt gagn af \u00fev\u00ed. Oxycont\u00edn<\/a> \u00a0er sterkt verkjalyf sem tilheyrir flokki \u00f3p\u00ed\u00f3\u00ed\u00f0a. \u00c9g hugsa a\u00f0 \u00edslenskir l\u00e6knar s\u00e9u hikandi vi\u00f0 a\u00f0 \u00e1v\u00edsa \u00fev\u00ed enda er lyfi\u00f0 \u00e1 hinum svarta \u00c1vana-og f\u00edknilyfjalista<\/a> \u00a0Lyfjastofnunar. \u00dea\u00f0 er oft gefi\u00f0 \u00ed sterkari sk\u00f6mmtum en lyf af sama tagi sem oftast er kalla\u00f0 Tram\u00f3l<\/a>, \u00a0og getur reynst \u00ferautin \u00feyngri a\u00f0 f\u00e1 \u00edslenska l\u00e6kna til a\u00f0 \u00e1v\u00edsa enda eftirritunarskylt (l\u00edklega fyrir misskilning Lyfjastofnunar9<\/sup> en \u00fea\u00f0 dugir til a\u00f0 \u00edslenskir l\u00e6knar sj\u00e1i fyrir s\u00e9r ver\u00f0andi l\u00e6knad\u00f3pista \u00ed hr\u00f6nnum, \u00e1v\u00edsi \u00feeir Tram\u00f3li\/tradolani).<\/p>\n Fyrir utan reynslus\u00f6gur \u00far Facebook<\/em>-h\u00f3pum sem \u00e9g nefndi halda traustir v\u00edsindasinna\u00f0ir a\u00f0ilar \u00fev\u00ed fram a\u00f0 algeng verkjalyf \u00far flokki \u00f3p\u00ed\u00f3\u00f0a hafi yfirleitt ekki \u00e1hrif \u00e1 d\u00e6miger\u00f0an \u00ferenndartaugarverk en geti dregi\u00f0 eitthva\u00f0 \u00far s\u00e1rsauka \u00feeirra sem haldnir eru \u00ferenndartaugarverk 2 (\u00f3d\u00e6miger\u00f0um \u00ferenndartaugarverk, sem er miklu sjaldg\u00e6fari).10<\/sup> Cochrane-stofnunin telur \u00fe\u00f3 ekki a\u00f0 sl\u00edkt hafi veri\u00f0 v\u00edsindalega sanna\u00f0 en \u00fear g\u00e6ti spila\u00f0 inn \u00ed a\u00f0 ranns\u00f3knirnar sem stofnunin sko\u00f0a\u00f0i \u00fe\u00f3ttu illa unnar.11<\/sup><\/p>\n \u00cd \u00feessum s\u00f6mu\u00a0Facebook<\/em>-h\u00f3pum hafa sj\u00faklingar l\u00fdst \u00fdmsum kremum ger\u00f0um \u00far \u00feeim lyfjum sem upp voru talin \u00ed upphafi, t.d. \u00far 2% amil\u00edni, 10% gabapent\u00edni og 6% ketam\u00edni e\u00f0a \u00far gabapent\u00edni, lidocaini (deyfiefni sem tannl\u00e6knar nota) o.fl. Ef marka m\u00e1 or\u00f0 \u00feeirra sem reynt hafa er ekki minnsta gagn a\u00f0 \u00feessu. (\u00c9g hef sj\u00e1lf pr\u00f3fa\u00f0 a\u00f0 bera lidokain-hlaup sem heitir Xylocain<\/a>\u00a0\u00e1 ne\u00f0ri g\u00f3m \u00feegar tilfinningin er s\u00fa a\u00f0 veri\u00f0 s\u00e9 a\u00f0 r\u00edfa \u00far m\u00e9r jaxlana me\u00f0 naglb\u00edt en hefur fundist \u00fea\u00f0 vita gagnslaust.)<\/p>\n Loks nefni \u00e9g sj\u00fakling \u00ed einum\u00a0Facebook<\/em>-h\u00f3pnum (heilbrig\u00f0isstarfsmann) sem l\u00fdsti \u00feriggja daga svefni\/me\u00f0vitundarleysi af ketam\u00edni (medically induced ketamine coma) og virtist m\u00e6ta reglubundi\u00f0 \u00ed svolei\u00f0is me\u00f0fer\u00f0. Ekki kom fram hvort sj\u00faklingurinn v\u00e6ri \u00fe\u00e1tttakandi \u00ed tilraun me\u00f0 \u00feetta efni en enn sem komi\u00f0 var haf\u00f0i \u00feessi me\u00f0fer\u00f0 ekki bori\u00f0 neinn \u00e1rangur til b\u00f3ta \u00ferenndartaugab\u00f3lgunni. M\u00e9r \u00fe\u00f3tti \u00feetta athyglisvert \u00fev\u00ed n\u00fdjustu tilraunir \u00ed \u00feunglyndisl\u00e6kningum eru einmitt ketam\u00edn-sv\u00e6fingar. Ketam\u00edn er sv\u00e6fingarlyf sem er einkum nota\u00f0 til a\u00f0 sv\u00e6fa hross h\u00e9rlendis, \u00ed st\u00f6ku tilvikum f\u00f3lk, en hefur \u00feess utan noti\u00f0 nokkurra vins\u00e6lda sem v\u00edmuefni og jafnvel \u201enau\u00f0gunarlyf\u201c. 1 \u00c9g hef pr\u00f3fa\u00f0 styttri innd\u00e6lingu ketam\u00edns + lidocains (\u00ed 75 m\u00edn\u00fatur) tvisvar en \u00fea\u00f0 var \u00fev\u00ed mi\u00f0ur ekkert gagn a\u00f0 \u00fev\u00ed.<\/p>\n Ni\u00f0ursta\u00f0an af lestri um lyf vi\u00f0 \u00ferenndartaugarverk er s\u00fa a\u00f0 eina lyfi\u00f0 sem hefur veri\u00f0 v\u00edsindalega sanna\u00f0 a\u00f0 virki stundum vi\u00f0 d\u00e6miger\u00f0rum \u00ferenndartaugarverk er Tegretol. \u00d6nnur lyf kunna a\u00f0 koma a\u00f0 gagni en \u00fea\u00f0 fer eftir einstaklingum og eftir \u00fev\u00ed hvers konar \u00ferenndartaugarverk \u00feeir eru haldnir. Sj\u00faklingar ver\u00f0a \u00fev\u00ed a\u00f0 pr\u00f3fa sig \u00e1fram og \u00e9g m\u00e6li me\u00f0 \u00fev\u00ed a\u00f0 \u00feeir taki uppl\u00fdstar \u00e1kvar\u00f0anir bygg\u00f0ar \u00e1 \u00feekkingu \u00e1 hverju lyfi. \u00c9g tel enga \u00e1st\u00e6\u00f0u til a\u00f0 \u00e6tla a\u00f0 l\u00e6knar s\u00e9u almennt uppl\u00fdstir um hva\u00f0a lyf komi til greina vi\u00f0 \u00ferenndartaugarverk fyrir utan Tegretol, Gabapentin og Lyrica og m\u00e6li me\u00f0 \u00fev\u00ed a\u00f0 sj\u00faklingar afli s\u00e9r \u00feekkingar sj\u00e1lfir, t.d. me\u00f0 \u00fev\u00ed a\u00f0 lesa um m\u00f6guleg lyf \u00ed S\u00e9rlyfjaskr\u00e1 Lyfjastofnunar<\/a>. Ennfremur hvet \u00e9g alla sem taka fleiri en eitt lyf a\u00f0 athuga hvort e\u00f0a hvernig lyf milliverka, me\u00f0 \u00fev\u00ed a\u00f0 fara \u00e1 vefsetri\u00f0 Drugs.com<\/a> og velja Interactions Checker (vinstra megin \u00e1 fors\u00ed\u00f0u).<\/p>\n <\/p>\n \u00cd n\u00e6stu f\u00e6rslu ver\u00f0ur fjalla\u00f0 um skur\u00f0a\u00f0ger\u00f0ir og \u00f6nnur \u00e1l\u00edka inngrip til l\u00e6kningar \u00ferenndartaugarverks.<\/p>\n <\/p>\n 1. Attal, N. o.fl. (2006.) EFNS guidelines on pharmacological treatment of neuropathic pain. EFNS European Journal of Neurology 13<\/em>, s. 1153\u20131169. A\u00f0gengilegt \u00e1 vef<\/a>.<\/p>\n Finnerup, N. B. o.fl. (2010.) The evidence for pharmacological treatment of neuropathic pain. Pain 150<\/em>(3), s. 573-581. A\u00f0gengilegt \u00e1 vef<\/a>.<\/p>\n Mayo Clinic Staff. (e.d.) Treatments and drugs \u00ed Trigeminal neuralgia<\/a>. Mayoclinic.org<\/em><\/p>\n Treatment options for Trigeminal neuralgia<\/a>. (e.d.). TNA \u2013 The Facial Pain Association<\/em>.<\/p>\n van Kleef, M. o.fl. (2009.) Trigeminal Neuralgia \u00ed J. van Zundert, Maarten van Kleef, Naty Mekhail (ritstj\u00f3rar), EVIDENCE BASED MEDICINE. Pain Practice 9<\/em>(4), s. 252-259. A\u00f0gengilegt \u00e1 vef<\/a>.<\/p>\n Zakrzewska, Joanna M. og Roddy McMillan. (2011.) Trigeminal neuralgia: the diagnosis and management of this excruciating and poorly understood facial pain. Postgraduate Medical Journal 87<\/em>, s. 410-416. A\u00f0gengilegt \u00e1 vef<\/a>.<\/p>\n Zakrzewska, Joanna M. (2010.) Facial Pain. \u00cd C. Stannard, E. Kalso og J. Ballantyne (ritstj\u00f3rar), Evidence-Based Chronic Pain Management<\/em>, bls.134-150. Oxford:Wiley-Blackwell.<\/p>\n <\/p>\n 2 Wiffen, P.J. o.fl. (2014). Carbamazepine for acute and chronic pain in adults.\u00a0Cochrane Database of Systematic Reviews 2014<\/em>, Issue 4<\/a>.<\/p>\n 3 Zhang, J o.fl. (2013). Non-antiepileptic drugs for trigeminal neuralgia.\u00a0The Cochrane Library 2013<\/em>, Issue 12<\/a>.<\/p>\n 4 Saarto, T og P.J. Wiffen. Antidepressants for neuropathic pain.\u00a0The Cochrane Library 2007<\/em>, Issue 4<\/a><\/p>\n 5 Trigeminal Neuralgia<\/a>. (2014).\u00a0NORD:National Organization for Rare Disorders<\/em>.<\/p>\n 6. Gabapentin<\/a>. Wikipedia<\/em><\/p>\n 7 Sj\u00e1 t.d. umr\u00e6\u00f0u\u00fer\u00e6\u00f0ina \u00e1 Drugs Forum<\/em>: Threads tagged with gabapentin<\/a>, Experiences – Baclofen is very, very cool<\/a>\u00a0\u00a0e\u00f0a Drug info – Gabapentin (Neurontin)<\/a>.<\/p>\n 8 Corrigan, R o.fl. (2012). Clonazepam for neuropathic pain and fibromyalgia in adults.\u00a0The Cochrane Library 2012<\/em>, Issue 5<\/a>.<\/p>\n 9 Um \u00feennan misskilning m\u00e1 fr\u00e6\u00f0ast \u00ed grein Ingunnar Bj\u00f6rnsd\u00f3ttur (2014) \u201eRangf\u00e6rslur\u201c. T\u00edmarit um lyfjafr\u00e6\u00f0i 49<\/em>(3)<\/a>, s. 38-39,\u00a0sem er svar vi\u00f0 yfirl\u00fdsingu Rannveigar Gunnarsd\u00f3ttur, forstj\u00f3ri Lyfjastofnunar og\u00a0Geirs Gunnlaugssonar landl\u00e6knis. (19.09.2014). \u00a0Svar vi\u00f0 greinum \u00d3lafs Adolfssonar lyfsala um tramad\u00f3l<\/a>. Landlaeknir.is<\/em>.\u00a0\u00deau Rannveig og Geir voru a\u00f0 svara tveimur greinum, \u00fe.e. \u00a0\u00d3lafur Adolfsson. (2013) \u201eNOTUM HAGLABYSSUNA \u00c1 \u00deETTA\u201c. T\u00edmarit um lyfjafr\u00e6\u00f0i 48<\/em>(1)<\/a>, s. 30\u00a0og\u00a0\u00d3lafur Adolfsson. (2014) Er meira eftirlit betra eftirlit? T\u00edmarit um lyfjafr\u00e6\u00f0i 49<\/em>(1)<\/a>, s. 38-39.<\/p>\n 10. Trigeminal Neuralgia<\/a>. (2014).\u00a0NORD:National Organization for Rare Disorders<\/em>.<\/p>\n 11 Gaskell, H. o.fl. (2014). Oxycodone for neuropathic pain and fibromyalgia in adults.\u00a0Cochrane Database of Systematic Reviews 2014<\/em>, Issue 6<\/a>.<\/p>\n 12. Atli Steinn Gu\u00f0mundsson. (e.d.) Ketam\u00edn – draumal\u00f6nd og dau\u00f0areynsla<\/a>. Greinasafn Sigurfreys<\/em>.<\/p>\n Stef\u00e1n \u00c1rni P\u00e1lsson. (28. jan. 2014).\u00a0Ungri konu byrla\u00f0 ketam\u00edn \u00ed Keflav\u00edk<\/a>. Visir.is<\/em><\/p>\n","protected":false},"excerpt":{"rendered":" \u00deetta er \u00f6nnur f\u00e6rsla \u00ed f\u00e6rslur\u00f6\u00f0 um \u00ferenndartaugarverk (sem ranglega er kalla\u00f0ur \u00ferenndartaugab\u00f3lga \u00ed fyrirs\u00f6gnum f\u00e6rsla). Hinar eru, \u00ed t\u00edmar\u00f6\u00f0: 1. \u00derenndartaugab\u00f3lga e\u00f0a vangahvot 3. \u00derenndartaugin og inngrip gegn \u00ferenndartaugab\u00f3lgu 4. Skur\u00f0a\u00f0ger\u00f0ir og a\u00f0rar a\u00f0ger\u00f0ir …<\/span> Read More …<\/span><\/a><\/span><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[113],"tags":[126,123,125,124,114,116,115],"class_list":["post-1400","post","type-post","status-publish","format-standard","hentry","category-threnndartaugabolga","tag-laeknadop","tag-lyfjagjof-vid-threnndartaugabolgu","tag-lyrica","tag-tegretol-gabapentin","tag-trigeminal-neuralgia","tag-vangahvot","tag-threnndartaugabolga"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/posts\/1400","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/comments?post=1400"}],"version-history":[{"count":38,"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/posts\/1400\/revisions"}],"predecessor-version":[{"id":1632,"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/posts\/1400\/revisions\/1632"}],"wp:attachment":[{"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/media?parent=1400"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/categories?post=1400"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/harpahreins.com\/blogg\/wp-json\/wp\/v2\/tags?post=1400"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}![\"Pillur\"](\"https:\/\/i0.wp.com\/harpahreins.com\/blogg\/wp-content\/uploads\/2015\/09\/pillur_2.jpg?resize=540%2C332&ssl=1\")
<\/a><\/p>\n
\nBaklofen er ekki flogaveikilyf heldur v\u00f6\u00f0vaslakandi lyf sem dregur \u00far \u00f3sj\u00e1lfr\u00e1\u00f0um hreyfingum og s\u00edspennu (spast\u00edsku \u00e1standi) vegna kvilla \u00ed mi\u00f0taugakerfi.<\/p>\nLyf \u00e1n \u00e1bendingar (off label) og hugmyndir um \u00e1vana- og f\u00edknilyf<\/h4>\n
![\"Lyf](\"https:\/\/i0.wp.com\/harpahreins.com\/blogg\/wp-content\/uploads\/2015\/09\/pillur_1.jpg?resize=540%2C361&ssl=1\")
<\/a><\/p>\nN\u00fd lyf<\/h4>\n
\n<\/sup><\/p>\nNi\u00f0ursta\u00f0a<\/h4>\n