Nervous system disorders

Trigeminal neuralgia

(Tic douleureux)

About Trigeminal neuralgia

Trigeminal neuralgia (TN) is a type of chronic pain that affects your face. It causes extreme, sudden burning or shock-like pain. It usually affects one side of the face. Any vibration on your face, even from talking, can set it off. The condition may come and go, disappearing for days or even months. But the longer you have it, the less often it goes away.

TN usually affects people over 50, especially women. The cause is probably a blood vessel pressing on the trigeminal nerve, one of the largest nerves in the head. Tumors and multiple sclerosis can also cause TN, but in some cases the cause is unknown.

There is no single test to diagnose TN. It can be hard to diagnose, since many other conditions can cause facial pain. Treatment options include medicines, surgery, and complementary techniques.

NIH: National Institute of Neurological Disorders and Stroke

Top Medications for Trigeminal neuralgia according to our users

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All Medications for Trigeminal neuralgia

  • Tegretol
    Prescription only

    Tegretol (Carbamazepine) is useful for preventing seizures and relieving certain types of nerve pain, but interacts with many drugs.

    • Available dosage forms:
    • Pill
    • Extended release
    • Chewable tablet
    • Oral suspension
  • Alcaine

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    • Available dosage forms:
    • Eye drops
  • baclofen
    Prescription only

    Lioresal (baclofen) is a first choice treatment for muscle spasticity caused by multiple sclerosis or spinal cord injuries, but it's not recommended for other types of muscle spasms.

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    • Available dosage forms:
    • Pill
  • Lamictal
    Prescription only

    Lamictal (Lamotrigine) is most useful for treating severe seizure disorders, and for bipolar disorder with more depression symptoms than manic symptoms. Just be careful to increase your dose slowly to avoid skin rash.

    • Available dosage forms:
    • Pill
    • Extended release
    • Chewable tablet
    • Dissolving tablet

Tips, success stories, and coping strategies for Trigeminal neuralgia

What tip would you give someone like me who was just diagnosed?
  • Get a neuro doctor that has experience in Trigeminal . Also join the online support group
What’s your best coping strategy?
  • Keep moving. Don't give into the pain. Learn to pray / mediate or talk yourself through the pain
Besides medications, what else has worked for you?
  • I take Gabenpentin.