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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Long Does Gabapentin Taken To Cure Trigeminal Neuralgia?

I am taking gabapentin for trigeminal neuralgia, just got it up to 1800 per day, (600 3 x per day) am wondering if it takes a while (days?) to start working as so far it is not helping much. And if it does not take a while to kick in, is there another drug that works for it. NOT amitriptyline, tried that, worked for pain but too many side effects (have had radiation to mouth in past, too much dry mouth)
Wed, 14 Dec 2016
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Dentist 's  Response
Hi..
Welcome to HEALTHCARE MAGIC..

As per your question it seems that you are suffering from neurotic pain like Trigeminal Neuralgia or Tic Doloreux..
Trigeminal neuralgia can occur due to disturbances associated with the fifth cranial nerve that is the Trigeminal nerve..
You need to consult a Neurophysician and get evaluated for the exact cause of the nerve induced pain as there can be some causes like the most common one is a large artery impinging over the nerve causing damage of the Myelin Sheath [ a protective cover over the nerve] leading to severe electric shock like pain..

Other causes are disorders like Multiple sclerosis, tumour compressing the nerve, physical trauma etc..

The common drugs given to relieve neurotic pain are Carbamazipine that is the first line drug while others like Gabapaentin, baclofen, oxycarbazipine etc but in case if the pain does not subside then a detailed evaluation and tests like MRI SCAN can be done to rule out the underlying cause and treatment of the same can relieve..

If there is any artery impinging the nerve Microvascular decompression in which the compression over the artery is surgically removed is done..
Other procedures like Balloon decompression,gama knife radiosurgery, glycerol injection etc can be done to relieve pain..

Hope this information helps..

Thanks and regards.
Dr.Honey Arora.
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How Long Does Gabapentin Taken To Cure Trigeminal Neuralgia?

Hi.. Welcome to HEALTHCARE MAGIC.. As per your question it seems that you are suffering from neurotic pain like Trigeminal Neuralgia or Tic Doloreux.. Trigeminal neuralgia can occur due to disturbances associated with the fifth cranial nerve that is the Trigeminal nerve.. You need to consult a Neurophysician and get evaluated for the exact cause of the nerve induced pain as there can be some causes like the most common one is a large artery impinging over the nerve causing damage of the Myelin Sheath [ a protective cover over the nerve] leading to severe electric shock like pain.. Other causes are disorders like Multiple sclerosis, tumour compressing the nerve, physical trauma etc.. The common drugs given to relieve neurotic pain are Carbamazipine that is the first line drug while others like Gabapaentin, baclofen, oxycarbazipine etc but in case if the pain does not subside then a detailed evaluation and tests like MRI SCAN can be done to rule out the underlying cause and treatment of the same can relieve.. If there is any artery impinging the nerve Microvascular decompression in which the compression over the artery is surgically removed is done.. Other procedures like Balloon decompression,gama knife radiosurgery, glycerol injection etc can be done to relieve pain.. Hope this information helps.. Thanks and regards. Dr.Honey Arora.