Different uses of antiepileptic drugs In recent times, the use of antiepileptic drugs in Brain and Nerve Surgery has increased. However, this increase has brought some problems in the Ministry of Health, doctors, patients and Pharmacy.
For example, when a Brain and Nerve Surgeon prescribes antiepileptic medicine to a patient, do you have epilepsy (Sara) by a pharmacist or his assistant, why do you use this medicine, why did a doctor prescribe these drugs to you, do you have epilepsy (Sara) questions are encountered. However, medicine is developing day by day. And the areas where some drugs can be used are increasing.
After the second half of the 1990s, it was determined that antiepileptic drugs were good in pain treatment in researches.
However, at that time, it was not known how these drugs were effective in the treatment of pain.
Studies have revealed the mechanisms of action of neuroprotective effects on nerve cells in the treatment of pain. Although their use in the type of pain called neuropathic pain has emerged, the use of these drugs is still limited to this area.
However, the reasons for using these drugs are the gain of the patients. This use has brought a new breath to the stereotypical treatment protocols. Today, every physician knows which drugs can be used in diseases such as low back pain and lumbar hernia, lumbar stenosis.
It is not understood why these drugs, which are tried when used, are faced with so much judgment and why their indications are so narrow.
The reliability of antiepileptic drugs that have been used for years and new generation antiepileptic drugs are increasing day by day.
With newly developed antiepileptic drugs, the side effects of antiepileptic drugs decrease, while their positive effects on quality of life increase. The concept of neuropathic pain is included in the concept of chronic pain in the medical literature.
As medical science develops, it is seen that neuropathic pain does not only cause diseases related to diabetes and hepes virus. At the same time, it can cause neuropathic pain in any condition that can cause stenosis in the spinal canal. However, strangely enough, physicians who use these drugs for the patient’s gain are also judged by physicians who are thought to make an effort for the patient’s gain. The only basis for the evaluation made outside of scientific requirements is the physician’s interest.
However, the facts are not always like this. Because it is wrong to place all physicians in this group. Among these drugs, the most preferred drugs among neurosurgeons are drugs with gabapentin active ingredient, drugs with carbamazepine molecule and drugs with oxycarbamazepine molecule.
These drugs are used in cancer-related pain, pain after lumbar hernia surgery, migraine prophylaxis, fibromyalgia rheumatica, problems that can cause neuropathic pain, bipolar disorder, etc. It is now stated in the medical literature that they find use.
Medical science is a dynamic science. It is not wrong to use developments for the patient. On the contrary, gains should be kept in the foreground. The purpose of its use in Brain and Nerve Surgery is the patient’s gain.
