Question 1

i am taking amitriptyline for facial nerve pain but this is of no use & taking amitriptyline for last 2 weeks. i am trigeminal neuralgia paitent.

Accepted Answer

See a neurologist: Tegretol (carbamazepine) is commonly used to treat patients with trigeminal neuralgia. See a neurologist to discuss your symptoms and undergo a full neurological examination. http://www.nlm.nih.gov/medlineplus/druginfo/meds/a682237.html , http://www.ninds.nih.gov/disorders/trigeminal_neuralgia/detail_trigeminal_neuralgia.htm

Question 2

if carbamazepine isn't working to treat my trigeminal neuralgia, what is a good drug to try next?

Accepted Answer

Varies: Carbamazepine used to be the main agent in treatment of trigeminal neuralgia years ago.  We now have a multitude of anti-neuropathic agents with better side effect profile. To list a few, we have lyrica, (pregabalin) neurontin, topamax, etc.  The choice is based on coexisting medical issues and other medications on which patient is placed.  The physician can make this determination on a case by case basis.

Question 3

how is trigeminal neuralgia diagnosed?

Accepted Answer

Clinical exam: Trigeminal neuralgia is a condition where sharp, electrical pain affects the face along one or more of the three branches of the trigeminal nerve. There is typical and atypical types of trigeminal neuralgia. Your neurosurgeon or neurologist should be able to examine you and make a diagnosis. Brain MRI scans are usually done to make sure there are no tumors or ms.

Question 4

what are symptoms of trigeminal neuralgia?

Accepted Answer

Trigeminal Neuralgia: Good Day;
  Trigeminal Neuralgia is a chronic pain affecting the trigeminal nerve ( fifth cranial nerve) in the face. One notices mild to severe facial and frequent muscle spasms. you may even notice  extreme, sporadic, sudden burning; the pain episodes could vary from a few seconds to a few minutes.

Question 5

are there complications of trigeminal neuralgia?

Accepted Answer

No: Simple answer is no, though rarely it can get bad enough to consider neuro  surgery (eg janetta procedure) which does have a risk of complications.

Question 6

what is the best procudure  for trigeminal neuralgia ?

Accepted Answer

COMPLEX: There are several surgical approaches, but success may be dependent on whether there is vascular or bony compression of the trigeminal nerve at the base of the brain.  This is a relatively safe procedure these days.  Medical treatment may work, and many choices exist.  I have had success with lyrica, (pregabalin) cymbalta, oxcarbezine, gabapentin, baclofen, and sporadically, patches of Butrans or fentanyl.

Question 7

is migraineous neuralgia a component of trigeminal neuralgia?

Accepted Answer

Neuralgia: No they are not related, trigeminal neuralgia is it own specific disorder and not related to a migraineous form of neuralgia.

Question 8

how to treat trigeminal neuralgia?

Accepted Answer

Trigeminal neuralgia: Tegretol, Klonopin, gabapentin, botox, microsurgical decompression, gamma Knife, radiofrequency  therapy, balloon compression, glycerol injection. Best to start with medications first, proceed to more invasive treatment if unresponsive to more conservative treatment.

Question 9

what is the cure for trigeminal neuralgia?

Accepted Answer

Difficult: Trigeminal neuralgia is what conventional medicine calls unusual and severe face pain.
Contrary to this idea is that the pain is myofascial, not neuralgia, and it is due to injury to muscle and fascia. In addition to medicine, we treat it with infrared light, dry needling, trigger point injections, prolotherapy, PRP injections, and anti-inflammatory diet.
www.blatmanhealthandwellness.com

Question 10

is it possble that a toothache cause trigeminal neuralgia?

Accepted Answer

Yes: A toothache can mimic the pain of trigeminal neuralgia, but depending on where the infection is located and how much it has spread, it could cause an inflammatory reaction around branches of the trigeminal nerve and cause trigeminal neuralgia. I wouldn't say that it's a typical cause for trigeminal neuralgia though.

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Doctor answers about:

Amitriptyline for trigeminal neuralgia

A member asked:

I am taking amitriptyline for facial nerve pain but this is of no use & taking amitriptyline for last 2 weeks. i am trigeminal neuralgia paitent.

A member asked:

If carbamazepine isn't working to treat my trigeminal neuralgia, what is a good drug to try next?

A member asked:

How is trigeminal neuralgia diagnosed?

A member asked:

What are symptoms of trigeminal neuralgia?

A member asked:

Are there complications of trigeminal neuralgia?

A member asked:

What is the best procudure for trigeminal neuralgia ?

A member asked:

Is migraineous neuralgia a component of trigeminal neuralgia?

A member asked:

How to treat trigeminal neuralgia?

A member asked:

What is the cure for trigeminal neuralgia?

A member asked:

Is it possble that a toothache cause trigeminal neuralgia?

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