Trigeminal Neuralgia Drugs

What are the medications used for trigeminal neuralgia? which is the most effective? which is the safest? which is the most dangerous? What are the maximum dosages?

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The anti-seizure drugs gabapentin and carbamazepine are most commonly prescribed. They can be effective, but they also have a sedating, dulling effect, and less commonly more serious side effects. Some people have found topical ketamine to be effective; in low, topical doses it is probably fairly safe, but topical ketamine has not been in clinical trials. There are some anecdotal reports of the skin product Gallixa being highly effective with no side effects.

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Safety and efficacy are actually purely relative, since not every medication affects every person that takes it in the same way. What works for one person may not work for you and you may experience great results from something that they had a very bad reaction to that landed them in the ER.

The drug studies that are required by the FDA have to show as certain level of safety and effectiveness, but that's never expected to be 100% for everyone that tries any given medication, because that is impossible.

The only thing you can really do is try medications, as suggested by your doctor, and see how they work for you.

What medications has your doctor suggested you try?

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