Trigeminal neuralgia, the pain is really killing me. So what should be done to treat it? Can I take medicine to get rid of it? Most of the trigeminal neuralgia is caused by the constant stimulation of the nerves, which makes the nervous system hyperactive, and the feedback to the brain is pain. So since it hurts, should we take painkillers? If the patient can tolerate the pain, he or she can carry it; once he or she finds it unbearable or it affects daily life, study or work, treatment should be started and medication is preferred. The main role of painkillers in the treatment of trigeminal neuralgia is to relieve spasm and analgesia, and the common ones are carbamazepine and gabapentin. These painkillers should be used consistently, usually one tablet each time, 2 to 3 times a day. If you still have pain after taking the medicine, you should consult your doctor if you can add more medicine. The early effect of taking painkillers is immediate, mainly to control the symptoms, and the fact that it does not hurt after taking the medicine means that it is effective. In addition, since trigeminal neuralgia is an episodic disease, the time, frequency and degree of episodes are different for each person, so patients are encouraged to adjust the dosage according to the episodes to try to achieve a better treatment effect. But taking painkillers for a long time, or taking too high a dose of painkillers, is prone to side effects; after all, these drugs can damage liver and kidney function and the hematopoietic system. Therefore, the process of taking medication should also regularly check the blood routine, liver and kidney function and other indicators. Some patients feel that the effect of painkillers is not enough and add drugs without authorization, even to 7 or 8 tablets, and do not check liver and kidney function and blood routine in time, and only when they are finally checked, they find that they have caused serious liver and kidney function damage. In addition to painkillers can damage liver and kidney function, hematopoietic system, some patients will also show symptoms of allergy, especially patients taking carbamazepine, easy to grow herpes after taking the drug, all over the skin, oral mucosa, etc.. This is the time to immediately stop the drug and find a doctor for symptomatic treatment. In addition to allergies, carbamazepine also tends to cause drowsiness, so it is not suitable for patients who work as drivers, or practitioners who need enough concentration to use it. To ensure good results with the medication, you should also try to avoid irritation of your face during treatment, such as washing your face with cold water, eating spicy foods, smoking and alcohol. Also, try to avoid these external stimuli even if your face does not hurt anymore.