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Always seek the advice of your physician or qualified health provider with any questions regarding your health. Do not disregard professional medical advice or delay seeking it because of something you read on this site.
First take a deep breath, then call the National Suicide Prevention Hotline immediately. 1-800-273-TALK for members in the United States.
For international members, please visit http://www.suicide.org/international-suicide-hotlines.html for information on where to call.
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If you or a loved one is suffering from Trigeminal Neuralgia, this is the place for you. We are here for information, support, and friendship!
* Please keep in mind we are not doctors and don't treat TN. We are here for comfort and support. You should be consulting a doctor for treatment and advice.
** For members in the United States, IF YOU ARE THINKING OF SUICIDE AND IN IMMEDIATE NEED OF HELP, please feel free to call 1-800-273-TALK to get a referral. For international members, please visit http://www.suicide.org/international-suicide-hotlines.html for information on where to call in your country.
For information on Trigeminal Neuralgia
Type 1 and 2, see Fact Sheet.
A very useful two-hour film: Dr Ken Casey speaks for an hour to a TN support group: See Vimeo.
TN Patient Survey
A patient to patient survey of TN sufferers has been announced on Facebook [Tnnme Trigeminal Neuralgia]. To participate, please just fill it out ONCE. Be sure to SUBMIT your answers at the end.
"I Get By With A Little Help From My Friends"
Ben's Friends and Living With TN are featured in an editorial on Rxisk, a UK website concerned with risks and side effects of medication. As written at the conclusion of the article, "support sites are about the members, not the moderators. The model is collaboration, not authority or control – a model profoundly different from much of mainstream medicine and mental health. Doctor-patient collaboration and mutual learning are the model of the future. And Ben’s Friends are pointing the way.
- See more at:[link]
Survey of Patients Referred to Psychiatrists and Psychologists.
The Ben's Friends support communities conducted a survey in February 2013. We wanted to learn about your experiences (positive and negative), if you have been sent by a medical doctor to a psychiatrist, psychologist, or other mental health professional. Detailed results of this survey are posted for Ben's Friends membership and the public. A summary of findings was published in the blog of Dr Allen Frances, MD, on Psychology Today.
Posted by medphysicsRB on May 7, 2015
I am very confused about ATN, I truly need to speak to someone because I have no one to turn to for questions.
Posted by anxious on April 30, 2015
Posted by kayli on April 22, 2015
Posted by Cara on May 8, 2015
Posted by LB on May 21, 2015
Anticonvulsants such as carbamazepine, oxcarbazepine, topiramate, phenytoin, or gabapentin are overall the most effective medications for Trigeminal Neuralgia. Anti-convulsant effects may be potentiated with moderate to high levels of adjuvant therapies such as baclofen and/or clonazepam. Baclofen may also help some patients eat more normally if jaw movement tends to aggravate the symptoms.
Low doses of some antidepressants are known to be effective in treating neuropathic pain and atypical trigeminal neuralgia. These drugs have been acknowledged in practice standards advocated by such organizations as the International Association for the Study of Pain (IASP).
Botox can be injected into the nerve by a physician, and has been found helpful using the "migraine" pattern adapted to the patient's special needs. Stellate ganglion block or other nerve blocks with Lidocaine, Xilocaine, or cortico-steroids are also used for short-term relief. Some patients may also find relief by having their neurologist implant a neuro-stimulator.
If anticonvulsants do not help and surgical options have failed or are ruled out, the pain may be treated long-term with an opioid such as methadone, oxycodone or Duragesic in patch form. Opiate-based analgesics are not effective for many patients, but may be helpful for others. Opioid drugs do not directly address the neurological mechanisms which cause Trigeminal Neuralgia attacks, but may decrease the pain sensation that is experienced by the patient.
Many patients cannot tolerate medications for years with acceptable side effects. An alternative treatment is to take a drug such as gabapentin in an externally applied cream base, after processing by a pharmacist who compounds drugs. .
For extended information - click here.
or select the "Face Pain Info" tab in the top menu of any page on the site.
Reminder: unless a person states otherwise, we are not doctors but do have the same goals. Always consult your doctor about medications.
This site is not intended to diagnose, prescribe, or replace the service of your physician, but solely to provide information to help enable you to make informed decisions about your health care, with the guidance of licensed health care professionals.