It is highly unlikely that drug or medication can provoke trigeminal neuralgia. What I really meant was some medications such as tegretol, anticonvulsants,for example,neuron tin are very promising to treat trigeminal neuralgia. In addition, surgical procedure known as microvascular decompression is promising and yields long term therapeutic effect. you do need to see a neurologist to be fully informed of all available treatment options.
I have typical Trigeminal Neuralgia and had a Gamma Knife treatment 6 months ago. I was told to begin weaning off my medication (Trileptal). Since reducing the medication by 150 mg, I am once again experiencing TN pain triggered by chewing, talking, washing my face, etc. Is this normal when weaning off anti-seizure medications used for TN?
In all probability, you are suffering from trigeminal neuralgia. For medical treatment of trigeminal neuralgia several types of drugs are tried either singly or in combination. These are anti-epilepsy drugs such as valproate, carbamazepine, lamotrigine, phenytoin, gabapentin, and pregabalin; muscle relaxants such as clonazepam and baclofen; tricyclic antidepressants such as carbamazepine, amitriptyline, and nortriptyline.
Trigeminal neuralgia can come and go but your statement suggests that you probably had some type of nasal surgery or what is called percutaneous stereotactic radiofrequency rhizotomy, an effective treatment for trigeminal neuralgia and one with lasting benefit. Thus the pain that you are now experiencing is unlikely to be related to the trigeminal neuralgia, as you yourself suggest.
I may have trigeminal neuralgia in the mandibular branch. Severe pain in the lower gum area but it is on both sides which has my PC doctor, my neurolgist, my pain management dr, my neurosurgeon and my accupuncturist all baffled. Meanwhile, I am on Lyrica, which is becoming ineffective, Vicodin, which does not help much, and Ambien to knock me out at night to get some sleep. Is anyone out there who has experienced such a problem that can head me in the right direction? I am losing hope.
I suffer from Trigeminal neuralgia since 2005. For first few years I didn't have to take any meadication. Since 2010 attacks were frequent. I am on Tegretol 50mg am & 50 pm. The side effects are terrible,feeling extremly tired & also feeling low.
Some times I have to increase the dose& it's unberable.Is there alternative?
Your symptoms do not exactly match the clinical picture of trigeminal neuralgia but you should continue with the treatment and do notgo in for complicated details.The treatment consists of medicines, surgery, and complementary approaches.
For more information refer http://www.ninds.nih.gov/disorders/trigeminal_neuralgia/detail_trigeminal_neuralgia.
Do you think this can still be Trigeminal Neuralgia? Is a neurologist the best type of Doctor to seek treatment from?
Thank you again.
Trigeminal neuralgia does explain your symptoms. Treatment is usually medication which reduces the frequency and intensity of attacks.
There are other potential causes which can usually be ruled out by a complete history and examination.
Do not start with a general dentist. You should begin with a Board Certified Oral and Maxillofacial Surgeon.
Without the medication I could not live with this pain, it does help but the pain never goes away, and I dread it when I know that I am going to have an attack, nobody seems to know exactly what is what is causing this, I have looked up Trigeminal Neuralgia and I have these symptoms along with other symptoms, can you please tell me if you think that I may have this or a combination of Trigeminal Neuralgia and Hemicrania Continua.
I live in the UK and would really appreciate your advice.
she is 29 and has been diagnosed with trigeminal neuralgia. could her tn be from the meningitis? maybe a sid effect?? she is on very strong medication and can not have the dosage increased anymore. she suffers alot with extreme pain. thank you, i need to find out as much as i can about this disease.
Could compression or stretching of the trigeminal nerve during surgery cause damage which is causing this neuralgia and head ache. I have no infection and normal blood counts. After trying two steriod dose packs and a Zpack suggested by my neurosurgeon, I went to a general practioner to make sure I had no infection or other cause. Except having high blood pressure, which I usually have low blood pressure, everything was within normal limits. I feel the BP is due to pain.
Carbamazepine (Tegretol) was first used to treat trigeminal neuralgia in the 1990s. Because of its success in treating that painful condition (which is very difficult to treat), it was then used to treat all kinds of neuropathic pain.
While it may be useful, there are more modern medications that may help if you have a neuropathic pain problem -- for instance, Neurontin (gabapentin) and Lyrica (pregabalin).
i have a reaserch on mangment of trigeminal neuralgia , but i cann't know until now which the best medical or surgical treatment and i couldn't found which have high rate of recurrance.
However, I had the same symptoms you were having and was diagnosed with Trigeminal Neuralgia. Its where one or more of the three main nerves in your face cause nerve pain, or neuralgia. The first nerve lays across the eyebrows, the second lays across your cheek bones and the third nerve lays across the chin. My doctor put me on Lyrica and Klonopin and it seems to help a little, although the pain does intensify and the pain medication does not work for it since it is nerve pain.
Does Trigeminal Neuralgia worsen with age. I've tried Tegretol but the pain has some back agaiin after about a year and is very, very intense. It is like a needle made of glass penetrating the right side of my nose and going into my head. What is the best treatment for this and can it be cured completely.
This discussion is related to <a href='/posts/show/894401'>Trigeminal neuralgia more help</a>.
Hello,
In your case, I think that it can be trigeminal neuralgia. Trigeminal neuralgia is very painful swelling (inflammation) of the nerve (trigeminal nerve) that delivers feeling to the face and "surface" of the eye. Trigeminal neuralgia causes severe, short-lasting (only a few seconds) facial pain on the side of the affected nerve even by slight touch. Mostly affects elderly females. May be caused in multiple sclerosis also.
Does anyone know an Acupuncturist who specializes on the relief of pain from Trigeminal Neuralgia in the UK/ France/Germany?Brussels?
Any feedback on this appreciated.
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