Which medications in the drug class Anticonvulsants are used in the treatment of Trigeminal Neuralgia in Emergency Medicine?

Updated: Oct 23, 2019
  • Author: Mityanand Ramnarine, MD, FACEP; Chief Editor: Gil Z Shlamovitz, MD, FACEP  more...
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Answer

Anticonvulsants

These agents may help control paroxysmal pain by limiting the aberrant transmission of nerve impulses.

Carbamazepine (Tegretol)

Anticonvulsant effective in the treatment of psychomotor and grand mal seizure. DOC for TN. May reduce polysynaptic responses and block post-tetanic potentiation.

Once patient responds to therapy, attempt to reduce dose to minimum effective level, or attempt to discontinue at 3-mo intervals.


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