Trigeminal neuralgia

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
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.
© BMJ Publishing Group Limited 2009. All rights reserved.
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