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Trigeminal Neuralgia

Trigeminal neuralgia is a long-term facial pain condition involving the trigeminal nerve, which carries facial sensation to the brain. It causes sudden, severe bursts of pain in the face. People often compare it to electric shocks or stabbing jolts.

Medicine used to treat Trigeminal Neuralgia

Carbamazepine

Carbamazepine

100 · 200 · 400mg

Carbamazepine tablets contain carbamazepine and are used for epilepsy, trigeminal neuralgia and bipolar disorder. You can choose from several strengths and pack sizes. You see the price per tablet for each option.

FromUS$0.48/ tabletView

Key points

  • The trigeminal nerve has three branches: forehead, cheek and jaw.
  • Cases are more common after age 50, and women are affected somewhat more often.
  • A smaller number of cases are due to multiple sclerosis or a tumour.

What sets off an attack

Chewing, speaking or a light breeze on the face can trigger pain. Even light touch may be enough. An attack lasts between a few seconds and two minutes.

Why it happens

A blood vessel lying against the nerve root close to the brainstem can wear down the protective myelin sheath over time. The nerve then sends abnormal pain signals.

Treatment options

The first treatment approach is anticonvulsant medicine. Carbamazepine helps steady nerve membranes; for most people it makes attacks less frequent and less intense. It comes as 100, 200 and 400mg tablets. For the ingredient, see carbamazepine. It belongs to the neurology group. When medicine alone cannot control the pain, a specialist may discuss surgery such as microvascular decompression or stereotactic radiosurgery. Orders are shipped to Malaysia by pharmacy partners in India in discreet packaging.

When to seek review

Prompt medical review is important if attacks suddenly worsen, if numbness, weakness or another new neurological symptom appears, or if treatment does not control the pain.

Further reading

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