Here are some frequently asked questions that Dr. Friedman receives from his patients and others.
- What are the typical features of classic trigeminal neuralgia?
- Unilateral facial pain
- Intermittent lightening like pain
- Trigger points – touching that spot brings on the pain
- Good response to carbamazepine.
- What is the best medication for trigeminal neuralgia?
- The answer is CARBAMAZIPINE. This medication is so effective at treating trigeminal neuralgia that a negative response may indicate that TN is not the correct diagnosis. This is a VERY safe medication which has been used on millions of patients. Unfortunately, it is commonly prescribed at too high a dose, which leads to confusion, imbalance, etc. The starting dose should be 100mg twice a day. This can be gradually increased and will often result in years of pain control. Only if the meds are causing side effects should surgery be considered.