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What treatments are most effective for muscle cramps and stiffness in Isaac's syndrome and other peripheral nerve hyperexcitability disorders?

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What treatments do you find most effective for muscle cramps and stiffness in Isaac's syndrome and other peripheral nerve hyperexcitability disorders?

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1 Answer
Mednet MemberInvited Expert
Neurology · University of Minnesota
Answered on

I believe that the most effective treatments for cramps and fasciculations/peripheral nerve hyperexcitability in Isaac's syndrome are (fast) sodium channel blockers such as carbamazepine and oxcarbazepine. We often prefer the latter due to fewer side effects. I have occasionally found mexiletine helpful. Phenytoin may be helpful but I rarely use it because of a less favorable SE profile.

Of the other options listed in the poll, magnesium oral or IV can also be effective (short term), and lacosam...

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