I've got trigeminal neuralgia it's been in remission I've got flare ups strong today. Will a pain pill help. I'm on 150 Trileptal 1 daily.?

Talk to personal doc. Trigeminal neuralgia flares can be exceedingly painful and often require medication to provide pain relief. The type of pain medication used for flares varies from physician to physician and also varies based on your other medical comorbidities. Call your personal physician for recommendations.
Trileptal is common. Trigeminal neuralgia is typically treated with anti-epileptic medications such as Oxcarbazepine (trileptal) or carbamazepine. Tn is often benign, but could be caused by a serious condition. Seek expert consultation.