Trigeminal neuralgia
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Trigeminal neuralgia: Essentials
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Key points about treatments

There are lots of different treatments for trigeminal neuralgia. But unfortunately there's not a lot of research to show which treatments work best. You'll probably be offered medication first. If that doesn't work, you may need surgery.

  • A drug called carbamazepine gives good relief from pain, but causes side effects. Many people find the drug no longer stops their pain after a few years.
  • We can't say for sure whether any of the other drugs prescribed for trigeminal neuralgia work. There hasn't been enough good-quality research. But doctors think another drug called oxcarbazepine is likely to work.
  • An operation called microvascular decompression is likely to work. There are no high-quality studies, but it is widely used. Some studies show it helps relieve pain.
  • We can't say for sure whether any of the other operations used for trigeminal neuralgia work. There hasn't been enough good-quality research.
  • There are some things you can do yourself that might help. For more information, see What can I do to help myself?

This information was last updated on Apr 09, 2009
BMJ Group
This information is for educational use only, and is not a substitute for prompt professional medical advice. Readers should always consult a physician or other professional for advice and treatment.
© BMJ Publishing Group Limited 2009. All rights reserved.
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