Management For Trigeminal Neuralgia?

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MANAGEMENT OF TN The pain responds at least partially to CARBAMAZEPINE. It is start with a low dose and increase gradually, according to its effect of drug. If patient who cannot tolerate CARBAMAZEPINE,steroids may be effective. Possibility of SURGICAL TREATMENT should be nessary especially where Response is incomplete while giving ANTICONVULSANT. The best line of Treatment of trigeminal neuralgia is MICROVASCULAR DECOMPRESSION is 90% Success rate.Folllowed by NEURECTOMY
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Age of the patient is a must while posting a case history. The main cause of trigeminal neuralgia is blood vessels pressing on the root of the trigeminal nerve. This makes the nerve transmit pain signals that are experienced as stabbing pains. Pressure on this nerve may also be caused by a tumor or multiple sclerosis (MS). The anti-convulsant drug most commonly prescribed for trigeminal neuralgia is carbamazepine (Tegretol), which can provide at least partial pain relief for up to 80 to 90 percent of patients. Other anti-convulsants prescribed frequently for trigeminal neuralgia include: Phenytoin (Dilantin) Gabapentin (Neurontin).
Tab gabapentin 300mg+nortryptiline 10mg 1od at bedtime You can add carbamazepine 200 mg once daily If surgical intervention prefered than that can solve the problem take opinion of neurosurgeon
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Carbamazepine(200)- ODPC. Gabaneuron NT- ODHS.
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Best is carbamazepine
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Gabaneuron
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Tab.carbamazepine 200mg tds

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