Commonly used drugs for facial muscle spasm are divided into oral drugs and injectable drugs, oral drugs preferred carbamazepine, oxcarbazepine, etc., alternative oral drugs are phenytoin sodium, clonidine, etc., and injectable drugs are commonly used for botulinum toxin. Clinically, drug treatment is preferred, and other treatments are considered when drug treatment is ineffective.
1. Oral medication: Carbamazepine and oxcarbazepine are preferred for oral medication, and alternative medications include phenytoin sodium and clonidine. It is suitable for patients in the early stage of the disease with significant drug efficacy. Note that drug treatment may cause liver and kidney function damage, drowsiness, tremor and other adverse reactions, the application of carbamazepine treatment and the risk of exfoliative dermatitis.
2. Injectable drugs: Botulinum toxin is commonly used as an injectable drug, which is suitable for patients who are ineffective in oral drug treatment and cannot tolerate surgery. In a few patients, Botox injections may carry a risk of tearing, photophobia, diplopia, and transient symptomatic dry eye. Repeated injections may present with crooked mouth, facial stiffness, and permanent eyelid weakness.
All of the above medications should be used under the supervision of a doctor and should not be self-administered. You should follow the doctor’s instructions to use the medication on time, do not change the dosage or change the medication without authorization, and if you have any adverse reaction after using the medication, you must go to the hospital immediately.