S U N A and Trigeminal neuralgia

Posted , 5 users are following.

I have Trigeminal Neuralgia or I thought I did after seeing several Doctors and being diagnosed with it.  Then I went to the UCLH and was re diagnosed by Mr Matharu, has anybody else seen him and been diagnosed with SUNA.      I am in the middle of a flare up and although I have had it from about 2004 I am all on edge and frightened as its pattern has changed.  Anybody else feeling like this at the moment as I could do with a pain buddy.       Now 2700 Gabapentine a day, 300 Carbamazepine,  500 Lamotridgene.      I can think ok and function ok but like everybody else it's the fear.  I have heard about a very exspensive honey called something like Hana ! anybody use it with the B12.           I also have to sleep sitting up in bed so I don't get much sleep as if I lay flatter as you go to get up you get a strike.       Can anyone chat 

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  • Posted

    Hi Angie

    I can't speak to SUNA (just looked it up for the first actually) but my TN has changed symptom wise quite a bit in three years. The medication I was using is becoming much less effective and the search continues.

    I was on Carbamazepine and now I have low sodium levels in the blood so dropping the dosage looking for improvement. Gabpentine (Lyrica(?)) also less effective so the two main sources of relief are in trouble.

    Now the medicos tell me there are issues with the Parotid gland as part of the mix as well. They tried to get some cells with a fine biopsy needle and achieved not enough cells for an acurate diagnosis, and an infected wound source, and a swollen left cheek which has made the whole face more sensitive.

    Next try in a week with a REAL core sample size (that is if they can keep me strapped down long enough).

    Seems choosing just where the nerves are causing the issues is a real lottery. Most issues seem to be lower on the head and this is right up at the ear level.

    I am having enough trouble getting medicos with experience with TN without changing the diagnosis at this stage of the game.!!!

    Sorry I can't offer any type of knowledge on SUNA and for getting off topic with my issues but I will watch here to see what I can learn, Problem then is the direct injection to the brain to try and to keep the info where I can find it again.

    GOOD LUCK

     

  • Posted

    Hi,

    I looked into a variety of possibilities for the pain I had been experiencing on and off over the last 10 years or so, and initially decided that it was probably Cluster headaches. I thought this because I had suffered with Migraines over the left side of my head since teenage years and the current pains I get were (and are) focussed in my left eye. The pains seemed to fit best with CH. But then SUNA  also seemed possible. I got nowhere with my previous GP so changed surgeries (many other issues not being addressed too). Needless to say my other issues got sorted out and I am now on appropriate medications for them. But the eye pain had been put on the back burner as the other problems were more important to me at the time. However, in the last year and a half I noticed that the eye pain I had been getting changed. I had also noticed stabbing pain/electric shock like pains and tingling/numbness over other parts of my head and face (worse on the left). So a visit to the doc and description of the pain and hey-presto TN. I had actually ruled this out initially as most of the literature says that TN is most likely to occur in the mandibular or maxilliary branch. My pain was, at first, confined to eye. It soon spread elsewhere, my teeth felt as if they were on fire and my jaw had been punched repeatedly.

    I am now on Carbamazepine and have had the Amitriptyline dose increased (I take that for the other health problems) and so far there is an improvement. When the pain flares up in my eye it only lasts for about a day whereas before it would last for 6 - 7 days relentlessly. It does still wake me up but now if I get the medications right it is less prolonged and for the most part less severe.

    I can sympathise with your being frightened as the pain from TN is evil. But there is hope. There are many options once drugs have become ineffective. SUNA too has options for treatment. Research as much as you can and, as I now do following another forum member's comment, set your alarm and take your medications on the dot. It does help. 

    Personally I think there is little difference in the descriptions of the various atypical headaches such as CH, SUNA etc. They do just seem to be a variation upon a theme and all are excruiatingly painful and on a par with TN in that regard. Fortunately there is a great deal of research being done into these types of pain irrespective of their cause. There is light at the end of the tunnel (even if it does make the pain worse, at first!!)

    Best wishes.

  • Posted

    Hello what is UCHL? Sorry if I'm being dim! Also I've never heard of SUNA could you tell me more please. It was my previous Dr who diagnosed TN but then I didn't have a flare up for years. My current GP hasn't a clue if it is TN but says it is congruent with the symptoms of TN. I'm waiting to see a Neurologist, but am interested in hearing more about Mr Martharu. When the pain is quiet you live in fear that something will trigger it again!
    • Posted

      I believe UCLH is the name of a hospital in California. SUNA is Sudden Unilateral .... I forget the rest! But it is descriptive of a specific type of headache. Search this website and you can find out more.

      Best wishes.

    • Posted

      Ok, so I just checked and UCLH is University College London Hospital! Not California, whoops!! CH is Cluster headache. SUNA is short lasting unilateral neuralgiform headache! There's some excellent information on this website. X
    • Posted

      Thank you so much Susan. I must admit I did wonder if it was an American Uni Hospital. I have been meaning to research SUNA this evening, but didn't get time, but do not feel it applies to me anyway. Thanks for the info though! X
    • Posted

      You're welcome, Louisa.

      Elsewhere in this thread is a comment about opiates being no good for TN, this so true. Most opiates will have no effect on neuropathic pain and it is due to how they are designed and on which part of the pain pathway they are targeted (very complicated pharmacology!). Only the drugs designed to target neuropathic pain will have an effect, unfortunately they do take time to reach effective serum levels in the blood. Persevere as it will make a big difference.

      I did actually resort to taking some of my husband's Tramadol and his Morphine when the pain got so bad before being diagnosed and it did little if anything at all............the fact that opiates are ineffective in negating TN pain is often a diagnostic indicator of TN.

      Good luck with the research and best wishes.

    • Posted

      Hi Susan Thank you for that information. As I say the GP prescribed it to use it for the extreme pain only. So I haven't tried it yet. The GP admits that TN is not his area of knowledge. But he is the only GP in the practice that actually listens to what I'm saying and doesn't treat my like a 5 year old. 

      Its like a mine field trying to work out what's what and who I should go and see etc.

      My dilemma is have I got a jaw problem that is causing the neuregia or have I got a problem with my jaw and TN? I am hoping it is the former and if I get the jaw problem sorted then I'll no longer suffer the neuralgia. I don't want to be on medication forever, for one thing I can't afford it! 

      Thank you you for the info opiates though! Louisa x

    • Posted

      Do you live in the UK, Louisa? If you do and you are prescribed more than 3, possibly 4 medications a month (for example) you might benefit from a pre-payment certificate. My pharmacist in Boots suggested I get one, it has saved me a couple of hundred pounds already. You can apply on the website, ask your local chemist/pharmacist for the leaflet with the web address, and once you've set up a direct debit you'll be sent a card with your pre-payment status confirmation. You show it to the chemist whenever you pick up medication. It's only £10.40 per month for 10 months and is automatically renewed on the 12 month unless you tell them you no longer need it. 

      Best wishes.

    • Posted

      Do you know I've been meaning to do this I just don't seem to have the funds for the initial outlay at the moment, but it is a good scheme. This is something I must do though thank you for giving me the kick I needed! Yes I'm in England Herefordshire / Gloucestershire borders. Louisa 
    • Posted

      There's only the first direct debit payment as the initial outlay, which as I mentioned is £10.40, it is so worth doing this.

      x

    • Posted

      Meant to add consider yourself kicked! ;-) But nearly got flooded out with massive deluge of rain and had to clear out the drains!!

      My cats are out and hiding at the mo, I expect some drowned rats later!

      x

    • Posted

      We had that weather too on Weds evening, it flooded our dining room inside the front door, we are hoping it doesn't bring up the flooring as it dries out. I had one cat sat with me on the sofa in front of the fire and the other younger cat hiding out in the shed! X
    • Posted

      Hope your floor is ok, very expensive otherwise! One of our cats doesn't go out much, she was scared by some dogs a few years ago. Our newest one is like a yo-yo! The boy, well, he loves it outside, he will sit outside and watch lightning or fireworks for hours, but if it rains he turns into a wussy-pussy!!

      Keep well.

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