Hello! I read your answer and understand your concern. Regarding pregnancy neurontine is not a safe drug and it can cause harm to the baby. I would recommend switching to lamotrigine, another antiepileptic drug safe in pregnancy. Although lamotrigine may not be as successful as gabapentine in trigeminal neuralgia. I would like to know if you have had a brain MRI. At your age trigeminal neuralgia is not typical and we must find out the underlying cause. It may be a an anatomical problem involving a vein which compresses the nerve, a cyst, a demyelinating lesion etc. I would recommend a MRI for the above reasons. Surgical procedures may be needed if the problems persist or a lesion is found in MRI. Hope to have been helpful. Thank you for using HCM! Best wishes Dr Abaz