Hi Everybody: I am new to this group. I have suffered with CHs for about 5 years, but didn't realize exactly what they were until last year. (I was first diagnosed with trigeminal neuralgia). My CHs are episodic, starting in July and lasting until the end of October. My neurologist wants me to start Carbamazepine (generic of Tegretol). I am apprehensive due to the possible side effects. I am prone to panic attacks, and have a low-dose prescription of Xanax if needed (I average 1-2 pills per month, during times of stress. Each pill is .025 mg). I have read mixed reviews for Carbamazepine. My concern is having panic attacks while on Carbamazepine, as well as the other possible side effects (drowsiness, not being able to concentrate). I feel there may be a better option as to what I could try. Right now the CHs are about every-other day, 2-3 episodes between 8:00 p.m. - 11:00 p.m., with the pain from a 5 with the first CH, to a 10 with the third CH (unbearable!!). Any advice / suggestions will be greatly appreciated! Thank you!