Hi. I take 200mg Tegretol ER on a daily basis, and then up the dose considerably when having an episode. When I take the higher dose I get sleepy, but that's ok as I plan for it. I've tried several different drug cocktails for the TN so far, but this regime of taking the extended release dose every day has proven the most effective for me. Plus now having a neurologist who understands the condition! I have a liver panel done every 6 months to make sure my liver is handling the stress of a daily med, and I also take natural liver supplements (milk thistle, etc) just to give it that extra boost.
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