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Suggest Medication For Trigeminal Neuralgia

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Posted on Mon, 23 Nov 2015
Question: Medication to treat trigeminal neuralgia.. these were the meds I was given. my email is YYYY@YYYY
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Answered by Dr. Dr. Erion Spaho (1 hour later)
Brief Answer:
Carbamazepine is the main drug used to control Trigeminal neuralgia.

Detailed Answer:
Hello and thanks for using HCM.

First line treatment drugs about Trigeminal neuralgia includes use of carbamazepine (Tegretol).

Lyrica also can be used to control symptoms, but 600 mg is the maximal dose that can be used for.

Prednisolone, Ibprofen, oxycodone are less effective in controlling Trigeminal neuralgia symptoms.

If you underwent brain MRI about your condition and this examination showed neurovascular conflict as the cause of neuralgia, and symptoms are not controlled by drugs, surgery (microvascular decompression) should be discussed as the next treatment step.

There is also a less invasive procedure than surgery (injection of the Trigeminal ganglion) that may be used prior to surgery.

Those issues should be discussed with your treating Doctor.

Hope you found the answer helpful.

Let me know if I can assist you further.

Greetings.


Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
Dr.
Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4502 Questions

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Suggest Medication For Trigeminal Neuralgia

Brief Answer: Carbamazepine is the main drug used to control Trigeminal neuralgia. Detailed Answer: Hello and thanks for using HCM. First line treatment drugs about Trigeminal neuralgia includes use of carbamazepine (Tegretol). Lyrica also can be used to control symptoms, but 600 mg is the maximal dose that can be used for. Prednisolone, Ibprofen, oxycodone are less effective in controlling Trigeminal neuralgia symptoms. If you underwent brain MRI about your condition and this examination showed neurovascular conflict as the cause of neuralgia, and symptoms are not controlled by drugs, surgery (microvascular decompression) should be discussed as the next treatment step. There is also a less invasive procedure than surgery (injection of the Trigeminal ganglion) that may be used prior to surgery. Those issues should be discussed with your treating Doctor. Hope you found the answer helpful. Let me know if I can assist you further. Greetings.