1. Rx
1.1. Supplements
1.1.1. High Dose B12
1.1.1.1. "Vitamin B12 in Trigeminal Neuralgia management" (article)
1.1.1.2. "Neuropathic Facial Pain, Vitamin B-12 & Myelin" (article)
1.1.2. Kratom
1.1.3. CBD Oil
1.1.4. Anti-inflamatory
1.1.4.1. Turmeric
1.1.4.2. Meriva
1.1.5. Capsaicin cream
1.1.5.1. "Topical application of capsaicin for treatment of neuropathic pain and trigeminal neuralgia"(study)
1.1.5.2. "Systematic review of topical capsaicin for the treatment of chronic pain " (research)
1.1.5.3. "Topical medication for pain inside the mouth" (story)
1.1.5.4. "Analgesic effects of topical 0.075% capsaicin with oral carbamezipine in idiopathic trigeminal neuralgia" (study)
1.1.5.5. "The Treatment of Periocular and Facial Pain with Topical Capsaicin" (NT only mentioned in this study)
1.1.6. Kava Kava
1.1.7. Licorice root & Peony
1.1.8. fatty acids
1.1.9. Calcium, Phosphonium, Magnesium
1.1.9.1. "The Study of Calcium, Phosphonium, Magnesium, and Ferrum Concentration in Serum of Patients With Primary Trigeminal Neuralgia." (study)
1.1.10. Coenzyme Q10, CoQ10
1.1.10.1. "Effect of coenzyme Q10 on mitochondrial respiratory proteins in trigeminal neuralgia." (study)
1.2. Prescription
1.2.1. Baclofen (Lioresal)
1.2.1.1. "Treatment of trigeminal neuralgia: use of baclofen in combination with carbamazepine" (study)
1.2.2. Anticonvulsant
1.2.2.1. Carbamazepine (Tegretol, Carbatrol, Epitol, Equetro, and Tegretol XR)
1.2.2.1.1. "Phenytoin and carbamazepine in trigeminal neuralgia: marketing-based versus evidence-based treatment" Study
1.2.2.1.2. "Long-term treatment of trigeminal neuralgia with carbamazepine", Study
1.2.2.1.3. "Is carbamazepine less effective in the treatment of trigeminal neuralgia when prescribed by oral and maxillofacial surgeons?", Study
1.2.2.2. Baclofen
1.2.2.2.1. "Treatment of trigeminal neuralgia: use of baclofen in combination with carbamazepine." (study)
1.2.2.2.2. User Reviews for Baclofen
1.2.2.3. Lamotrigine ( Lamictal)
1.2.2.3.1. "Lamotrigine for trigeminal neuralgia: efficacy and safety in comparison with carbamazepine.", study
1.2.2.4. Oxcarbazepine (Trileptal)
1.2.2.4.1. "Oxcarbazepine for neuropathic pain." (study)
1.2.2.5. Topiramate (Topamax, Qudexy XR, Trokendi XR)
1.2.2.5.1. "Topiramate versus carbamazepine for the treatment of classical trigeminal neuralgia: a meta-analysis." PubMed , Study
1.2.2.5.2. "Treatment of trigeminal neuralgia with low doses of topiramate." PubMed, Study
1.2.2.6. Levetiracetam (Keppra, Spritam, Keppra XR)
1.2.2.6.1. "Pilot study to evaluate the efficacy and tolerability of levetiracetam (Keppra) in treatment of patients with trigeminal neuralgia." PubMed, Study
1.2.2.7. Gabapentin
1.2.2.7.1. "Defining the role for gabapentin in the treatment of trigeminal neuralgia: a retrospective study."
1.2.2.8. Pregabalin, Lyrica
1.2.2.8.1. "Efficacy of pregabalin in the treatment of trigeminal neuralgia." PubMed Study
1.2.2.9. Phenytoin (Dilantin-125, Phenytek)
1.2.2.9.1. "Treatment of refractory trigeminal neuralgia with intravenous phenytoin."
1.2.3. Tricyclic antidepressants
1.2.3.1. Amitriptyline
1.2.3.1.1. "Management of Trigeminal Neuralgia using Amitriptyline and Pregablin combination Therapy" (Study, link to PDF)
1.2.4. Narcotics
1.2.4.1. Tapentadol (Nucynta)
1.2.4.1.1. "Tapentadol for treating pain associated with trigeminal neuralgia " (patent)
1.2.4.2. Methadone (Methadose, Diskets, Dolophine)
1.2.4.2.1. "Methadone for neuropathic pain in adults" (study)
1.2.4.3. Buprenorphine ( Belbuca)
1.2.4.3.1. "Buprenorphine for neuropathic pain in adults" (study)
2. Alt.Therapies
2.1. Acupuncture
2.1.1. 'Successful Treatment of a Resistance Trigeminal Neuralgia Patient By Acupuncture" (Study, PubMed)
2.1.2. "Acupuncture for the treatment of trigeminal neuralgia: A protocol for the systematic review of randomized controlled trials." (study)
2.1.3. "Acupuncture treatment for idiopathic trigeminal neuralgia: A longitudinal case-control double blinded study." (study)
2.2. Neuromodulation Unit
2.2.1. "Neuromodulation and Devices in Trigeminal Neuralgia." (article)
2.3. Heat Therapy
2.3.1. "if I heat a bean bag up as hot as I can stand it or hotter, and place it on the pain (mine is on my right side kind of in the ear) and sit down for about 10 minutes with the bean bag on the pain area…..IT GOES AWAY" (personal experience)
2.4. Chinese
2.4.1. "Traditional Chinese medicine for treating trigeminal neuralgia caused by hyperactivity of yang due to yin deficiency" (grant)
2.4.2. "Preparation method of treating migraine, trigeminal neuralgia Chinese medicinal composition " (grant)
2.4.3. "Medicine for curing trigeminal neuralgia " (grant)
2.4.4. "Trigeminal neuralgia treatment traditional Chinese medicine composition " (grant)
2.4.5. "External compound oil for treating trigeminal neuralgia and preparation method of external compound oil " (grant)
2.4.6. "Drugs for the treatment of primary trigeminal neuralgia " (grant)
2.5. Capsaicin therapy
2.5.1. "Capsaicin a Quick Fix for Trigeminal Neuralgia" (video)
2.5.2. "Analgesic effect of capsaicin in idiopathic trigeminal neuralgia." (Study)
2.5.3. "Topical medication for pain inside the mouth" (personal story)
2.5.4. Where to buy
2.5.4.1. Amazon. 9.6 million SHU -$77
2.5.4.2. Amazon: 13 million SHU -$96
3. How it was diagnosed
3.1. Fiesta MRI
3.2. MRI with contrast
4. Surgery & Injections, Therapies
4.1. Microvascular Decompression (MVD)
4.1.1. About + Links to studies
4.1.2. Full Endoscopic Vascular Decompression in Trigeminal Neuralgia: Experience of 230 Patients (study).
4.1.3. "Evaluation of microvascular decompression as rescue therapy for trigeminal neuralgia in patients with failed gamma knife surgery." (study)
4.1.4. "Efficacy and safety of microvascular decompression and gamma knife surgery treatments for patients with primary trigeminal neuralgia: A prospective study." (study)
4.2. radiofrequency thermorhizotomy
4.2.1. "Bi-modal radiofrequency treatment for coexisting neuralgia and neuropathy in adjacent divisions of the trigeminal nerve." (study)
4.2.2. "Pulsed Radiofrequency for Treating Trigeminal Neuralgia." (study)
4.3. gamma knife surgery (GSK)
4.3.1. Evaluation of CyberKnife Radiosurgery for Recurrent Trigeminal Neuralgia
4.3.2. "Gamma Knife Surgery in Trigeminal Neuralgia." (study)
4.4. Percutaneous Procedures
4.4.1. Percutaneous radiofrequency trigeminal gangliolysis (PRTG)
4.4.2. Percutaneous retrogasserian glycerol rhizotomy (PRGR)
4.4.3. Percutaneous Balloon Microcompression (PBM)
4.4.3.1. "Results of Percutaneous Balloon Compression in Trigeminal Pain Syndromes." (study)
4.4.3.2. "Percutaneous balloon compression for persistent or recurrent trigeminal neuralgia after microvascular decompression: personal experience of 28 patients." (study)
4.5. Ozone Injection
4.5.1. "Computed tomography-guided percutaneous ozone injection of the Gasserian ganglion for the treatment of trigeminal neuralgia" (study)
4.6. Ketamine infusion
4.7. Stem Cells Therapy
4.7.1. "Stem Cell Therapy for Trigeminal Neuralgia" (service)
4.8. Sphenopalatine Ganglion Block
4.8.1. "Sphenopalatine Ganglion Block for the Treatment of Acute Migraine Headache." (study)
4.8.2. What is SphenoCath?
4.9. Lidocaine medicated plaster
4.9.1. "Efficacy of lidocaine 5% medicated plaster (VERSATIS®) in patients with localized neuropathic pain poorly responsive to pharmacological therapy." (study)
4.10. Lidocaine nerve injections
4.11. Transcranial magnetic stimulation
4.11.1. "Time course of the response to navigated repetitive transcranial magnetic stimulation at 10 Hz in chronic neuropathic pain." (study)
4.11.2. "Radial Extracorporeal Shock Wave Therapy in an Individual With Primary Trigeminal Neuralgia: A Case Report and Literature Review."
4.12. Botulinum toxin
4.12.1. "Botulinum toxin in the treatment of trigeminal neuralgia" PubMed, Study
4.12.2. "Efficacy and Safety of Botulinum Toxin Type A in Treating Patients of Advanced Age with Idiopathic Trigeminal Neuralgia." (Study)
4.12.3. "Efficacy of Botulinum Toxin Type A in Trigeminal Neuralgia in a South Asian Cohort." (study)
4.12.4. "A new target for the treatment of trigeminal neuralgia with botulinum toxin type A" (study)
4.12.5. "Botulinum toxin in the treatment of trigeminal neuralgia: 6-Month follow-up." (study)
4.12.6. "Single-dose botulinum toxin type a compared with repeated-dose for treatment of trigeminal neuralgia: a pilot study." (study)
4.12.7. "Method for treating a trigeminal neuralgia by peripheral administration of a neurotoxin " (patent)
4.12.8. "Role of Botulinum Toxin Type-A (BTX-A) in the Management of Trigeminal Neuralgia" (study)
5. Things to avoid / Triggers
5.1. Coffee, Caffeine
5.2. Smoking
5.2.1. "Influences of smoking and caffeine consumption on trigeminal pain processing" (study)
5.3. Sugar, Carbs
5.4. Sour and Spicy Foods
5.4.1. "Trigeminal Neuralgia Induced by Sour and Spicy Foods: What Is the Underlying Mechanism? A Case Report."