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I was diagnosed with midfacial segment pain early this year. Although I have been experiencing it for longer than that - at first it was thought it was my sinuses, as I was also at the time getting a lot of cold-like symptoms, but when my sinuses were scanned, there was nothing wrong with them.
I have been prescribed amitriptyline, current dosage 50mg. This seemed to work well for a while. However, since mid June I have been getting a lot of pain again.
My doctor at one time advised me to keep a record of when the pain comes to try and identify the trigger, but the thing is there appear to be a number of triggers! I.e. when I get a cold and it affects my sinuses, when I get neck pain (which I'm also prone to), cold wind, stress/anger (NB: I am not a particularly angry or stressy person!), time of the month (where I used to get migraines, I now get the facial pain instead).
Also, I think the amiltryptiline is making me tired at this dosage (I do take at night), so I wouldn't like a further increased dosage.
Has anyone had any experience of this type of pain, and were you able to resolve it? Are there any other medications that have worked for you?
Also, my doctor mentioned referring me to a pain doctor, has anyone had any experience of these?
I'm getting rather fed up! I thought the amiltryptiline had resolved it
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