12 doctors weighed in:
What medications treat trigeminal neuralgia?
12 doctors weighed in

Dr. Paul Grin
Pain Management
6 doctors agree
In brief: TN medications
In spite of vast improvements in the medical or surgical management of TN, there is still no treatment modality available.
Carbamazepine, trileptal, neurontin, (gabapentin) baclofen and Dilantin are the most common medications for TN.

In brief: TN medications
In spite of vast improvements in the medical or surgical management of TN, there is still no treatment modality available.
Carbamazepine, trileptal, neurontin, (gabapentin) baclofen and Dilantin are the most common medications for TN.
Dr. Paul Grin
Dr. Paul Grin
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Dr. Tung Nguyen
Neurosurgery
2 doctors agree
In brief: Typical meds
Tegretol, neurontin, Lyrica (pregabalin) are standard first line treatment medications.

In brief: Typical meds
Tegretol, neurontin, Lyrica (pregabalin) are standard first line treatment medications.
Dr. Tung Nguyen
Dr. Tung Nguyen
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1 comment
Dr. Stephen Rodrigues
Hello, I’ve been in medicine for 30 yrs and doing pain therapy for 15 yrs. Therapy meaning it is possible to treat pain issues with a combination of techniques used over decades and millennial. This awareness started out as a journey on how to help patients with Fibromyalgia studying Acupuncture. The acupuncture guru, Joe Helms, MD suggested reading the text of Janet G. Travell, MD and C. Chan Gunn, MD. These 2 pioneers in pain treatments have textbooks on the subject. Their protocols can treat and possibly cure complex pain issues from headaches/lower back pain to Fibromyalgia to neuropathy. They see pain as in the muscle tissues and NOT in the nerves proper. Travell and Gunn calls this therapy myofascial release therapy. MRT is focused on painful “errors of repair” in muscle tissues called “trigger points.” The myofascial pain patterns are a little different and less precise than the nerve patterns but have to be considered in the work up. They should explain the vast majority of pain issues in the early stages of pain issues. So consider, flesh and muscles and not nerves or bone or joints in myofascial pain patterns. One can began MRT early because it is already in use today in regular physical therapy, massage therapy, sports medicine and in chiropractic medicine. Self-care is a mandatory part of the therapy, so stretching, yoga Pilates, soaking and exercise are vital. For chronic pain suffers a Wellness Program of Vitamins and minerals (esp. Magnesium glycinate) sleep hygiene, exercise, self Massage, yoga, heat, Epsom tub soaking, stretching all are needed.
Dr. Jeffrey Cohen
Neurology
In brief: Multiple
Tn pain is neuropathic pain.
Best response rate has been reported with Oxcarbazepine and carbamazepine. Faily high response rates have been reported with Gabapentin and pregabalin. More importantly, is the proper use of these medications. Problems of under and overdosing occur. Side effects, or fear of side effects often limit their effectiveness. Sometimes combination therapy is needed.

In brief: Multiple
Tn pain is neuropathic pain.
Best response rate has been reported with Oxcarbazepine and carbamazepine. Faily high response rates have been reported with Gabapentin and pregabalin. More importantly, is the proper use of these medications. Problems of under and overdosing occur. Side effects, or fear of side effects often limit their effectiveness. Sometimes combination therapy is needed.
Dr. Jeffrey Cohen
Dr. Jeffrey Cohen
Thank
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