Multiple. You can try traditional approach with tegretol, trileptal, neurontin, (gabapentin) etc., or alternative with acupuncture, homeopathy, herbs.
Common meds. The most common meds include tegretol, gabapentin, and oxcarbazapine.
Could the drugs being used to treat my trigeminal neuralgia be causing more odd sensations on my face?
Yes. Typically those drugs are not short on side effects.
Indirectly. If the medications are helping reduce your pain, then most likely the process causing the tn in the first place is causing signals that your brain is trying to relate to. But most of those medications work by changing nerve function, and so sensation may be altered to cause 'strange' feelings.
Yes. All medications have side effects.
Typical meds. Tegretol, neurontin, Lyrica (pregabalin) are standard first line treatment medications.
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.
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.
Not in my experience. Patients typically do not experience relief with acupuncture for this condition.
Yes. I've treated multiple patients with trigeminal neuralgia with acupuncture with good success. If you've had it for long time, acupuncture may not be able to eliminate pain completely, but still will provide significant relief. It's not a miracle, but does work for a lot of patients.
EastWest Integrative. Medication management is the first line of treatment. 60-70% of patients will be controlled with medications. The medication is titrated to the point of pain control or the inability of the patient to tolerate the side effects. At this point I use acupuncture/acupressure to ameliorate side effects and tapper down medications.
Is there any other medicine besides carbamazepine for trigeminal neuralgia because this medicine is not effective anymore! Plz suggest any other med..
Neurologist. The med usually works well for that disorder. There are other drugs. Make sure you are being treated by a neurologist. Also, make sure the diagnosis is right. I've seen patients with cancer misdiagnosed. Consider seeing an ENT doc for another opinion.
Oxcarbazepine. Oxcarbazepine (Trileptal), the keto-analogue of carbamazepine, is reported to be as effective as carbamazepine for trigeminal neuralgia and is considered a first line drug by some clinicians. Several neurosurgical procedures (MVD) are available to treat TN.
How do you treat a patient with occipital and trigeminal neuralgia and can it be a result of encephalitis?
Neuralgia. I would find out what is causing it and then the treatment will be more clear.