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Carbamazepine and Diving?

Discussion in 'Diving Medicine' started by Jim-SAR, Dec 10, 2015.

  1. Jim-SAR

    Jim-SAR Public Safety Diver

    # of Dives: 100 - 199
    Location: Kenosha, WI
    123
    87
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    What are the medical concerns for the following types of diving while taking Carbamazepine (Tegretol)?

    1. General/Deeper (100ft - 130ft) diving like the Florida Keys?

    2. Deeper (100ft - 130ft) diving in cold water (<40 degrees F)?

    3. Underwater Search/Recovery Operations?

    A few weeks ago (11/19), I was diagnosed with Trigeminal Neuralgia (Type-II/Atypycal), and I was prescribed Carbamazepine to control the nerve pain. I have titrated up to 400mg twice daily, and that is doing very well. I was also prescribed 600mg of Gabapentin as needed, but after taking that a few times, I've determined that the Gabapentin is an evil drub that just makes me sleep whenever IT decides I need to. I don't plan on taking the Gabapentin anytime soon. The Carbamazepine doesn't make me too drowsy at all, as I can still drive, and function at work.

    I'm primarily concerned with the Florida Keys diving for now, since we're supposed to be going to the Keys during the week of Christmas for a vacation, and it would be nice to dive then.

    The cold/deeper dives are for our local wreck dives here in Lake Michigan.

    My final concern is regarding my duties/responsibilities as a Public Safety Diver on the County Underwater Search/Recovery Team. Should I be responding to the staging area with lights/siren, or just driving normal, and then once I'm there, should I take on a role as an active diver, or a shore support person, or even respond at all? Maybe this question should be in the PSD forum area instead, but I thought I'd start here.

    I have several MRIs scheduled for this Saturday to help determine the cause of the Neuralgia, or at least rule out other potential causes such as tumors, or MS.


    * * * Yes, I performed a search for Carbamazepine, and found a thread from 2003, but it didn't address my specific concerns.

    Thanks In Advance :cool2:
     

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