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| Both sides previous revision Previous revision Next revision | Previous revision | ||
| superior_oblique_myokymia [2017/05/17 03:42] – [Treatment] Scott Larson | superior_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 | + | * [[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, | * potential side effects including leucopenia, acute renal failure, thromboembolism, | ||
| * blood counts (CBC, including platelets and reticulocytes), | * blood counts (CBC, including platelets and reticulocytes), | ||
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| * [[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 | ||