Thank you for posting your query.
I can understand the extent of discomfort in your sister, on account of facial pain
due to trigeminal neuralgia
Neurontin has been tried but is causing side effects.
The best medication to be used in trigeminal neuralgia is tegretol (carbamazepine
). I use it in initial doses of 200 mg twice daily, and depending on the response, the dose can be gradually increased to 600 mg twice daily. It is a generally safe medication, however, it may cause drowsiness
in some cases.
Some patients may not respond to tegretol. They should undergo MRI and MR angiogram to find out the underlying reason for trigeminal neuralgia. Such refractory cases may require a surgery called as microvascular decompression (MVD).
I hope it helps.
Please get back if you require any additional information.
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/