Drugs
Anticonvulsant drugs are the mainstay of treatment for trigeminal neuralgia .
There are many anticonvulsants, but the main one is carbamazepine or its analogues. The initial dose of carbamazepine is usually 200 mg per day. The dose of the drug is gradually increased after 3-4 days until the pain syndrome decreases. The maximum dose is 1200 mg per day.
Recently, new anticonvulsant drugs have appeared – pregabalin, which can be used both independently and in combination with carbamazepine. In the acute pain period, analgesics (dexalgin), nonsteroidal anti-inflammatory drugs (dicloberl, ksefokam) are prescribed.
Antidepressants are necessarily prescribed. In complex therapy, we use B vitamins (vitaxon), antispasmodics in the presence of muscle spasm.
Physiotherapy procedures
Physiotherapy procedures are also included in the treatment complex:
- electrophoresis with lidocaine,
- phonophoresis with hydrocortisone,
- UHF,
- laser therapy.
