Medication to lessen or block pain is the first line of treatment for trigeminal neuralgia. NYU Langone physicians work with you to find the type of medication and dose that best alleviate your symptoms, so you can go about your daily activities without pain.
Several types of medications, including antiepileptic medications and muscle relaxants, are effective at relieving pain associated with trigeminal neuralgia. You and your doctor decide on a medication plan based on your symptoms and the results of the diagnostic tests, with the goal of eliminating any pain.
Medication is typically used on a long-term basis to manage the symptoms of trigeminal neuralgia. Most people need to take medication indefinitely, but some are able to eventually taper off treatment and live without pain. Because these medications can cause side effects, such as tiredness, upset stomach, dizziness, or blurred vision, your neurologist monitors your treatment closely.
Over time, trigeminal neuralgia could progress to the point where medication is no longer effective, and surgical treatment may then be necessary.