What medications do I take for trigeminal neuralgia? What are the best medications for trigeminal neuralgia? There are many options for trigeminal neuralgia medication, so let’s take a look at them together. 1, carbamazepine common adverse reactions are: dizziness, ataxia, especially the incidence of women is higher. Long-term use of the drug should pay attention to the detection of changes in blood and liver function. In addition, carbamazepine can cause allergy, leading to exfoliative necrotizing dermatitis, so the initial use of the drug must be observed for rash. It is contraindicated in pregnant women. Carbamazepine is the most efficient drug reported for the treatment of trigeminal neuralgia, and its efficiency can reach 70%~80% according to domestic and international reports. Phenytoin sodium can also be used as a drug for trigeminal neuralgia, but its efficiency is much lower than that of carbamazepine. As reported in domestic and foreign literature, its efficiency is 20%~64%. The dose of phenytoin sodium is 0.1g, orally, 3/d. The dose can be increased if the effect is not good, usually by 0.05g daily. the maximum dose is not more than 0.6g. common adverse effects of phenytoin sodium include dizziness, ataxia, liver function impairment and gingival hyperplasia, etc. 3.Tutai, common adverse reactions include dizziness, loss of appetite and weight loss. There are also reports at home and abroad, some patients with sweating disorders after the drug. 4, clonazepam (clonidine), usually used as an alternative drug. Common adverse reactions are dizziness, drowsiness, ataxia, especially in the first few days of use. 5, clonazepam, the drug has a high incidence of adverse reactions: common adverse reactions are sleepiness, hobbling, drug rash and granulocytopenia. Sometimes liver function damage is seen. Application of the drug treatment should be every 2 months for blood tests. 6.Gabapentin, there are side effects such as drowsiness and vertigo, side effects will gradually subside over time, pregnant women are prohibited from this drug. 7, Pregabalin, there are side effects such as dizziness and drowsiness must not be stopped suddenly. As you can see, there are still many drugs for trigeminal neuralgia, but many of them have side effects and are not suitable for pregnant women. The efficacy is relatively good is carbamazepine, but the efficiency is still not optimistic. More importantly, medication for trigeminal neuralgia is suitable for the early stage, with the prolongation of the course of the disease and the prolongation of the time of taking medication, the effect of medication will be much less than before, and can not be very good to relieve the pain. Therefore, a better treatment for trigeminal neuralgia is surgery – microvascular decompression. Microvascular decompression is the best way to treat trigeminal neuralgia. It is a surgical procedure that addresses the root cause of trigeminal neuralgia by separating the nerve from the blood vessels that are connected to it. The surgical treatment of trigeminal neuralgia, also known as “microvascular decompression”, is the most effective surgical treatment in clinical practice. The principle of surgical treatment for trigeminal neuralgia is to separate the compressed nerve vessels under the operation of a microscope. This will release the compression of the nerve root and restore the normal function of the nerve. The pain disappears immediately after surgery in the majority of patients. Microvascular decompression is currently known to treat trigeminal neuralgia and completely preserve the function of the nerve without affecting the quality of life. It is the best treatment for the relief of trigeminal neuralgia. The procedure is performed by taking a surgical incision in the hairline behind the ear under general anesthesia to release the compression of the blood vessels on the nerve root, restore the normal function of the trigeminal nerve, and make the pain disappear. The procedure has the advantages of short time, less bleeding, fewer complications, less pain, and quicker results, and the whole procedure is performed under a microscope. The surgery has gradually matured and is widely used in the treatment of trigeminal neuralgia and other diseases. The clinical results are good, the surgery has a high cure rate and quick recovery, and is well received by patients.