Do Prolia Shots Help In Treating Trigeminal Neuralgia?

Posted on Mon, 18 Apr 2016

Question: wife hastrigeminal neuralgia she has being on forteo for 2 years her jaw is very painful
shoule she get on prolia

Answered by Dr. Indranil Ghosh (3 hours later)

Brief Answer:
these aren't for trigeminal neuralgia

Detailed Answer:
Hi
Thanks for your query.

Trigeminal neuralgia is a disorder of the nerve supplying the face causing too much pain. It needs medicines to suppress the nerve from being too much active, like amitryptilline, pregabalin or carbamazepine.

However, forteo and prolia are drugs to improve bone density in osteoporosis. So these would not help in trigeminal neuralgia. And I don't think jaw pain is due to osteoporosis.

You need to discuss with a neurologist regarding the proper meds for trigeminal neuralgia.

Hope this helps.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indranil Ghosh (12 hours later)

you did not answer my question one of the side effects of prolia isbad jaw pain would you put your patients that had bad jaw pain on this drug or is there a better treatment

Answered by Dr. Indranil Ghosh (1 hour later)

Brief Answer:
yes it can be administered

Detailed Answer:
Ok now I get the question.

Jaw pain due to trigeminal neuralgia is not a contraindication to prolia. We are only worried about dentition related chronic jaw problems because these patients do have higher risk of osteonecrosis of jaw with prolia. If osteonecrosis hapoens then there can be jaw pain. By itself prolua does not cause jaw pain.

Even then, if all dental procedures are completed before hand then prolia can be given in patients with dental problems.

So in her, I think prolia can be safely given.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar