Relief Through Medications
Below is a list of most commonly prescribed medications for trigeminal neuralgia:
- Antispasmodic Agents. Antispasmodic agents are used to ease pain sensations caused by trigeminal neuralgia attacks. These agents may also be used in conjunction with anticonvulsant medications.
- Anticonvulsant Medications. Anticonvulsant medications are one of the most commonly prescribed medications for this condition. Your doctor may prescribe one or more anticonvulsants until he or she determines which medication is the most beneficial in reducing your pain symptoms.
- Botox injections. If you become unresponsive to anticonvulsants, tricyclic antidepressants, and antispasmodic drugs, your doctor may consider putting you on a regimen of Botox. Botox has been shown to be effective for pain management in a high percentage of patients with trigeminal neuralgia, especially those with rapid muscle twitching.
- Nonsteroidal Anti-Inflammatory Drugs (NSAID’s) & Analgesics. NSAID’s and analgesics can be purchased without a prescription and are very efficient in reducing the inflammation and pain associated with trigeminal neuralgia. Your doctor may recommend an anticonvulsant medication before starting a NSAID or analgesic because these may not be as effective at blocking the electrical signals from the misfiring neurons that are causing the sensations of pain. Also, be sure to talk to your doctor before beginning a NSAID or analgesic for they do pose a risk for developing ulcers.
- Tricyclic Antidepressants (TCA’s). Tricyclic antidepressants are commonly used to manage symptoms of depression, but they can also be prescribed to manage chronic pain. Tricyclic antidepressants are often effective in managing chronic pain conditions, such as atypical facial pain, but may not be useful in classical trigeminal neuralgia.