Your Burning Mouth Check Up

After nearly eighteen years of this round of Burning Mouth, I usually know what is going on. Mastering the BMS Support Website helps, as well. However, no one should skip checking in regularly with their doctor or neurologist to let them know how they are doing, and, more importantly, to see if there is any new information, medications, or coping strategies they should know about.

Please keep in mind that many images, graphics, etc. on the Internet that show you gnarly looking tongues with cracks and lesions are NOT Burning Mouth. If you have Burning Mouth, there are no visible symptoms. It is one of the things that makes it a challenge to diagnose!

My checkups have gone to an annual schedule since I have had this for so long, and it was great to get a chance to share the physical therapy coping strategy and ask if there was anything new I should try. Unfortunately, it looks like I have tried most meds available, and the ones that worked the best had that pesky head twitch side effect, so I could not continue them.

Have you tried anything lately that worked for you?
I am still getting relief from 1 mg daily of Orally Dissolving Tablet Clonazepam (Klonopin) and staying well hydrated and rested. I find that stress, lack of sleep, or lack of adequate hydration are predictable triggers for me, so I work to avoid them as much as possible.

Year nineteen will start next month for me, and as I told Dr. Thaera in our appointment, “I don’t see an end to this road. I fear I will burn until I die.” He was encouraging and pointed out how much I enjoy my life and family, and that will last just as long. Good advice from a good advocate.

I hope you are finding ways to cope, staying in touch with your medical professionals, and giving yourself grace to do what you need to do to take care of yourself. Alone time, staying quiet, avoiding trigger foods, whatever! It isn’t selfish. It’s self-saving, and the people who love you will understand your needs if you take the time to explain them.

The Honeymoon is Over – Burning Mouth Syndrome

Well, we knew it could happen. The combination of Clonazepam ODT and Cymbalta gave me a good long run, but the tingling has gradually morphed back into my usual burning cycle, and it is time for me to discuss next steps with my Neurologist. Luckily, I have our annual checkup coming up soon.

A higher dosage of Cymbalta?

My magic eight ball says “Doubtful.” I have started getting some minor muscle tremors similar to what I experienced on Effexor XR, and I think a higher dose of Cymbalta would probably make that worse.

Ramp off of Cymbalta?

This sounds like what he may suggest, but I will wait and see.

Is there anything else we can try?

Not that I have heard about, but this is why I go to a Neurologist. He keeps an eye out for me and others who suffer from Burning Mouth, and I am blessed to have such an open-minded and professional advocate.

I will let you all know what I find out at my checkup in early November.

Take care out there, and keep using your coping strategies as holidays approach and stress can increase. Remember, one of the best things you can do for your body and your pain is hydration. Keep that water or other drink handy and stay as comfortable as possible.

I Keep Rolling Along – Burning Mouth Syndrome

I haven’t posted for a while since there has been no change in my Burning Mouth or the meds I use to control it. The combination of Clonazepam and Cymbalta is still keeping my pain at bay almost all of the time, and I have been focusing on other projects and my overall health.

On another topic…

Weight has been a challenge for me since my teens, and I have yo-yo dieted like many of us with the same disappointing results. Nothing I did, whether exercise, fad diets, cleansing fasts, or anything else, worked long-term. None ever got me precisely where I wanted to be, and the outcome over time was always the same…the weight came back, and I felt like a failure once again.

Over the last year or two, I started hearing about the GLP-1 weight loss drugs. I was over 200 pounds, pre-diabetic, and teetering on the precipice of Type 2 diabetes that eventually destroyed my mother’s kidneys and caused her death last year. It was time to take action, and with the help of my doctor and nurse practitioner, we researched the new options and what would be the safest and most effective for me. I am very blessed. My husband’s insurance is good, and I was not automatically priced out of the market.

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Another Mother’s Day – Another Year of Burning Mouth

Every year at this time, I look back over the year behind me and forward to the future. This is the conclusion of my 17th year of continuous Burning Mouth and the beginning of what I hope will not be the 18th. I always have hope, and this past year has fulfilled at least some of them regarding this chronic pain we deal with daily.

As I have indicated in previous posts, the combination of 1 mg of Clonazepam ODT and 40 mg of Cymbalta has given me a new lease on life. I still tingle at times, and yes, dental work continues to be a challenge, but daily life is pretty awesome.

Would this work for you?

I honestly don’t know. This disorder is highly individual, and I have lost count of all of the meds, testing, and coping strategies I have tried over the last 17 years. Clonazepam has always been the most effective, and when I switched to the ODT (orally dissolving tablet), it was even more so. However, it did not completely control the burning, no matter how often I took it.

By the way, I swish until it is completely dissolved and then swallow it. I have read on other sites that people are spitting it out, and I wonder if they are getting the full benefit.

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Is Burning Mouth Over? No.

Image by Tumisu from Pixabay

I have been keeping all of you in the loop as I have been combining a dosage of Clonazepam ODT with a dose of Cymbalta each day. The good news is that it is continuing to work for my primary BMS/BMD (Burning Mouth Syndrome/Burning Mouth Disorder)

I consistently have some tingling in my tongue, particularly in the front third, but it is just that—a tingle. This combination of medicines has greatly lessened the fierce burning I have dealt with over the past seventeen years (yes, May 2025 will be the 17th anniversary!).

Some may say, “Doesn’t that mean you are cured?”

No. It means I have found a combination of medicines and coping strategies that are allowing me to live a nearly normal life. That is a fabulous thing, but it is not a cure.

If you have read some of this blog, you know what a slog it was to get here and that I do not take it for granted. There have been other medications that helped until they didn’t, and I just hope this is not one of those. However, for us, there is no guarantee.

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Using Clonazepam for Burning Mouth? You Should Know This.

Clonazepam is also called by the brand name Klonopin and the form I use is the Orally Dissolving Tablets (ODT). A sharp-eyed reader named Susan O’Brien called this alert to my attention. Even though I read the New York Times fairly regularly, I missed this one and received no other alert about it. I hope the same is not true for you!

The NYT article is at F.D.A: Some Clonazepam Pills Recalled Over Incorrect Dosages on the Label.

The article came out just a few days ago, and once I was alerted, I immediately checked my current stock of Clonazepam ODT for any disagreement between what the box said and what the multi-tablet packs inside said.

No problem here. They match perfectly, but as you read through the article, you will see how dangerous it could be if you were taking multiple tablets and it turned out they were larger doses than you thought.

So, please take a moment and do what I did. Check your box against your multi-tablet or blister pack and make sure those dosages match up.

Wishing you all a very Happy Harvest Holiday Season and some wonderful get-togethers with those you love.

Clonazepam ODT and Cymbalta for Burning Mouth

Photo by Karolina Grabowska of Pexels

Another month began and I am still getting the best symptom relief I have ever had without annoying side effects.

Clonazepam ODT at 1 mg and Cymbalta at 40 mg once a day is doing the trick for me. I try not to get too excited about it because I have been fighting this dragon for almost seventeen years, and I know things can change, flares can happen, and medicines can simply stop working.

Meanwhile, I am going to enjoy this respite. I am traveling with my family to Maine for a couple of weeks and then to Amsterdam with my husband. He will be working, but I will take long walks, look at beautiful old things, and enjoy the coolness that is sadly lacking in Texas right now.

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Cymbalta and Burning Mouth

As promised, here is an update on my Burning Mouth Journey and the latest thing I am trying.

You may remember my experience with Effexor XR/Venlafaxine and the muscular tic side effects that forced me to abandon it even though it had been very effective at reducing my burn to a tingle.

My primary Doctor suggested that I talk with my Neurologist about compounds similar to Effexor XR but that may have fewer side effects. My Neurologist listened, did some research, and we decided to try Cymbalta/Duloxetine at a very low dose and see if it made a difference. This was in addition to the Klonopin/Clonazepam ODT at .50 to 1 mg daily that I take to control the burning escalation.

I must admit that at 20 mg per day of Cymbalta/Duloxetine, I noticed no change at all. I passed this information back to my Neurologist and he prescribed 30 mg per day.

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Not So Sweet Sixteen with Burning Mouth

Photo by solod_sha on Pexels.com

Every year in May now, I join Great Strides for Cystic Fibrosis, fundraising and supporting my oldest grandson in his fight with CF.

I celebrate Mother’s Day with my family…

And I mark off yet another year of Burning Mouth Syndrome/Disorder. This year marks the sixteenth anniversary and the beginning of the seventeenth year because there is no cure or even a reliable treatment in sight.

Sounds a bit melodramatic, doesn’t it? Believe me, if you felt what we feel every single day, you might slip a bit into the dramatic side yourself!

I have described Burning Mouth Syndrome/Disorder in this blog several times over the years, so I won’t make you read that again, but you can definitely find the definition here in prior posts.

Today I made my yearly pilgrimage to the Neurologist to check in, renew my Aimovig prescription (For migraines – VERY effective), renew my Clonazepam ODT prescription (helps me deal with the daily burn), and to talk about any other options that may have come up in the past year.

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