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Effects of Tegretol on mouth
Question
My child's gums seem to be swollen all the time. Is this common? Can this be from Tegretol? He is currently on 100mg Tegretol, three, sometimes four times, daily.
Answer of our experts
Yes, Tegretol does make gums look red and swollen and there is not much that can be done to change this other than to have medication switched to something that doesn't do this. You should have your child's teeth cleaned frequently, ideally every four months. You could consult with the neurologist or person who has your child on this medication to see if any other medication would be as effective without side effects.
DC/TK 7-13-10
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Recommendation(s)
Feeding and Dental Difficulties
R12
In every CdLS individual with prolonged and marked feeding difficulties, the multidisciplinary assessment (from healthcare workers across many disciplines) should consider (temporary) placement of a gastrostomy (surgical opening through the abdomen into the stomach) as a supplement to oral feeding.
R13
In individuals with CdLS who have recurrent respiratory infections, reflux and/or aspiration (breathing foreign objects into airways) should be ruled out.
R14
The palate should be closely examined at diagnosis. In case of symptoms of a (submucous) cleft palate, referral for specialist assessment is indicated.
R15
Dental assessment and cleaning should take place regularly; a more thorough dental examination or treatment under anaesthesia may be necessary.
