So i tried to get onto Trobalt, Dr was keen but med not yet available in this country, although approved for release, so until it is released by GSK i cannot access it. So was wondering if anyone had tried Carbamazepine, two reasons why i am thinking of trying it, one to improve my mood, very very low at the moment and this is used for this, and there are a few reports of it helping out as per below ? Any views please as i have not taken any sort of meds before for my mood and dont want to end up either taking something that will make me worse, or something that makes me a zombie after taking it, so hoping someone with experience of meds can help me out please ? My Dr is great and will discuss anything with me but if i had some advice from people who have used things that worked / didnt work it will make my discussion easier ? Thanks in advance for any replies, i will appreciate them. Carbamazepine Abstract Objectives: There is strong evidence in the literature about the effect of local anesthetics such as lidocaine in controlling tinnitus; these agents act by stabilizing hair cell membrane and cochlear nerve fibers. However, the effect of intravenous lidocaine is transient, and its oral analog (tocainide) does not have the same efficacy for long-term treatment in patients with tinnitus. Some oral anti-epileptic drugs (carbamazepine, for instance) have been used alternatively in several studies. The mechanism of action of carbamazepine and its derivatives is relatively well-understood. Carbamazepine stabilizes the inactivated state of Voltage-gated sodium channels, making fewer of these channels available to subsequently open. This leaves the affected cells less excitable until the drug dissociates. Carbamazepine has also been shown to potentiate GABA receptors made up of alpha1, beta2, gamma2 subunits. This mechanism may contribute to its efficacy in neuropathic pain and manic-depressive illness.