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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What oral medications are effective at treating hemifacial spasm?

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Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 3499 Questions

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Posted on Mon, 10 Sep 2018 in Brain and Spine
Question: I've been diagnosed with hemifacial spasm. I am on botox injections but it does distort my mouth and eye. Is there a medicine I can take orally that would help this problem?
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Answered by Dr. Erion Spaho 47 minutes later
Brief Answer:

Surgery is the best option.

Detailed Answer:

Hi,

Besides Botox injections, drugs that may be used to control hemifacial spasm include Carbamazepine, Clonazepam, and Baclofen.

Anticonvulsive drugs, such as Gabapentin.

However, drugs are prescribed only for mild cases, best treatment way is considered surgical microdecompression of the facial nerve.

Hope I have answered your query.

Take care

Regards,
Dr. Erion Spaho, Neurologist, Surgical
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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