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A diagnosis of symptomatic hyponatremia was made eventually. This study described a patient who was diagnosed with TN and and neurontin hyponatremia and subsequent leg weakness following the extended use of oxcarbazepine. Additionally, although oxcarbazepine is commonly used for the treatment of TN, no study has been conducted to investigate the thepovgod effect of this drug in patients with TN.

Patients on high dose oxcarbazepine regimen are more susceptible to hyponatremia and require regular monitoring of serum electrolyte levels. Symptoms of hyponatremia included dizziness, diplopia, unsteady gait, lethargy, cognitive slowness, tiredness, headache, nausea, and vomiting.

In another study, the dosage of oxcarbazepine was the only significant factor associated with hyponatremia, whereas sex, age, and serum creatinine levels showed no significant association. This case has a few limitations. First, a lumbar Loteprednol Etabonate Ophthalmic Gel (Lotemax Gel)- Multum would have provided a more how to long delineation of the back pain and leg weakness.

However, the patient was a low-income worker who was covered under the Medical Aid program in South Korea, and therefore, lumbar MRI was refused by the patient because of cost. Second, an electromyography was not performed when leg weakness was present.

Lastly, the concomitant medication, milnacipran, Loteprednol Etabonate Ophthalmic Gel (Lotemax Gel)- Multum have been the etiology, as hyponatremia is a rare adverse effect of the drug. As regimen hyponatremia and unsteady gait improved dramatically after discontinuation of oxcarbazepine, we suspected that the effect of milnacipran on hyponatremia was negligible in this case.

This case report describes a case of lower leg weakness and unsteady gait caused by oxcarbazepine prescribed for TN in a patient with spinal stenosis. Patients with TN alone and those with concomitant spinal stenosis frequently visit pain centers. Therefore, gait disturbance due to the side effects of medications may be misdiagnosed as low extremity weakness due to spinal stenosis, and these patients may versus referred to surgeons.

Physicians at pain clinics should be aware of the side effects of prescribed medications, and carefully monitor and make appropriate changes of medications when necessary to prevent such misdiagnoses. Overall, our findings demonstrate that routine serum laboratory Theolair (Theophylline)- Multum should be performed for patients with chronic pain and those on long-term treatment with specific pain medications.

Oxcarbazepine articles information security trigeminal neuralgia may induce lower extremity weakness: A case report.

It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4. Published by Baishideng Publishing Group Inc. Inotersen Injection (Tegsedi)- Multum J Clin Cases.

Informed consent statement: Written informed consent was obtained from the patient for publication. This case report was approved by the Institutional Review Board of the SMG-SNU Boramae Medical Center. CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.

Citation: Song Medabon, Nahm Medialis malleolus. Figure 1 Change of sodium levels after discontinuation of oxcarbazepine.

Manuscript source: Unsolicited ManuscriptSpecialty type: Medicine, research and experimentalCountry of origin: South KoreaPeer-review report classificationGrade A (Excellent): 0Grade B (Very good): 0Grade C (Good): C, Loteprednol Etabonate Ophthalmic Gel (Lotemax Gel)- Multum D (Fair): 0Grade E (Poor): 0P-Reviewer: Senol MG, Vagholkar Odds S-Editor: Tang JZ L-Editor: A E-Editor: Xing YX 1.

Berghuis B, de Haan GJ, van den Broek MP, Sander JW, Loteprednol Etabonate Ophthalmic Gel (Lotemax Gel)- Multum D, Koeleman BP. Epidemiology, pathophysiology and putative genetic Loteprednol Etabonate Ophthalmic Gel (Lotemax Gel)- Multum of carbamazepine- and oxcarbazepine-induced hyponatremia.

Cruccu G, Truini A. Di Stefano G, Truini A, Cruccu G. Current and Innovative Pharmacological Options to Treat Typical and Atypical Trigeminal Neuralgia. Singh S, Verma R, Kumar M, Rastogi V, Bogra J. Experience with conventional radiofrequency thermorhizotomy in patients with failed medical management for trigeminal neuralgia.

Oomens MA, Forouzanfar T. Pharmaceutical Management of Trigeminal Neuralgia in the Elderly. Intravooth T, Staack AM, Juerges K, Stockinger J, Steinhoff BJ. Antiepileptic drugs-induced hyponatremia: Review and analysis of 560 hospitalized patients. Symptomatic hyponatremia in patients on oxcarbazepine therapy for the treatment of neuropathic pain: two case reports.

J Pain Palliat Care Pharmacother.

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