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superior_oblique_myokymia [2017/05/17 03:37] – [Treatment] Scott Larsonsuperior_oblique_myokymia [2025/04/18 20:40] (current) – external edit 127.0.0.1
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 === Medical Treatment === === Medical Treatment ===
   * topical betaxolol (Betoptic 0.5%, Betoptic S 0.25%) BID- one report of success   * topical betaxolol (Betoptic 0.5%, Betoptic S 0.25%) BID- one report of success
-  * [[carbamazepine|Carbamazepine]] (tegretol) 100 mg BID or TID to start and moving to up to 200 mg TID as needed+  * [[carbamazepine|carbamazepine]] (tegretol) 100 mg BID or TID to start and move to up to 200 mg TID as needed
     * potential side effects including leucopenia, acute renal failure, thromboembolism, and arrhythmias     * potential side effects including leucopenia, acute renal failure, thromboembolism, and arrhythmias
-    * blood counts and hepatic and renal function needed to be monitored regularly+    * blood counts (CBC, including platelets and reticulocytes), serum iron, liver function and renal function (urinalysis an BUN) needed to be monitored regularly 
   * [[gabapentin|gabapentin]] 100mg QD or BID can titrate up to 300mg PO BID     * [[gabapentin|gabapentin]] 100mg QD or BID can titrate up to 300mg PO BID  
   * [[propranolol|propranolol]] 80 mg long acting   * [[propranolol|propranolol]] 80 mg long acting
   * phenytoin (dilantin) 100mg PO TID   * phenytoin (dilantin) 100mg PO TID
-  * baclofen 5 mg PO TID to start then up to max 20 mg PO QID 
   * propranolol plus valproic acid   * propranolol plus valproic acid
   * Medical treatment is often disappointing and fraught with side effects   * Medical treatment is often disappointing and fraught with side effects