Medical therapy is the universally accepted first treatment option with patients with trigeminal neuralgia. Medications are initially effective for many patients, but over a period of time, their effectiveness often times diminishes. Analgesics such as Aspirin, Tylenol, or even Morphine, are generally not helpful for this pain. The primary drug used to treat trigeminal neuralgia is Carbamazepine. This is a drug that is generally utilized to treat seizures. Other anti-seizure medications such as Trileptal and Neurontin are also commonly used. Unfortunately, many patients will suffer from persistence of their pain through medical therapy or suffer side effects from the medications and so need to stop them.
Written by Damon E. Smith, M.D. – Radiation Oncologist