Overview of Treatments


Your Complete Guide to Trigeminal
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Trigeminal neuralgia is initially treated with drugs called anti-convulsants, which include baclophen (Lioresel®), phenytoin (Dilantin®),  gabapentin (Neurotin®) and carbamazepine (Tegretol®)

     The vast majority of TN sufferers will initially find relief with specific medications such as carbamazepine (Tegretol®), oxycarbazepine (Trileptal), phenytoin (Dilantin®), and gabapentin (Neurontin®). These drugs, also used to control seizures in patients with epilepsy, reduce the trigeminal system hyperactivity that causes TN. Regular pain killers, including narcotics, generally do not reduce TN pain.

     As the severity and frequency of TN attacks increase over time, a higher drug dose may be required. Unfortunately, these medications may produce unpleasant or even intolerable side effects. Over half of TN sufferers develop pain that can no longer be controlled by medications alone, and various surgical treatment options should be considered.

            Continue to Microvascular Decompression Surgery.



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Prepared by A. M. Kaufmann & M. Patel
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