Thanks for replying

I did look up oxcarb. and while it's mostly a seizure med, it's also prescribed for "neuropathic pain."

I actually have an MRI of that next week. I had one years ago which is why my doctor put me on trileptal.

My main concern is how drastically my hands have started hurting as soon as I have lowered my dosage, and why my new doctor does not seem influenced by that fact.

What is confusing is she wants to replace trileptal with Effexor, but while I have anxiety issues I am not looking to be on an antidepressant. I don't understand how that is a suitable replacement when my main problem is hand pain in both hands.