What medications are used for trigeminal neuralgia?

Mar 18, 2025 Source: Cainiu Health
Dr. Lv Zhiqin
Introduction
Trigeminal neuralgia is usually associated with cold exposure, food stimulation, varicella-zoster virus infection, hypertension, and atherosclerosis. Cold exposure and food stimulation can be relieved through warmth and dietary improvements. For viral infections, hypertension, and atherosclerosis, medications such as antiviral drugs and antihypertensive agents should be used according to medical advice based on the underlying causes.

Generally, trigeminal neuralgia is commonly associated with cold stimulation, food irritation, varicella-zoster virus infection, hypertension, atherosclerosis, and other factors. Specific medication should be determined based on the underlying causes. If symptoms are severe, medical attention is required. Detailed analysis is as follows:

1. Cold Stimulation

Stimulation of the nerves by cold air or wind may trigger trigeminal neuralgia. This condition does not require medication. Usually, appropriate rest and keeping warm can gradually relieve symptoms, such as wearing more clothing or using heating devices.

2. Food Stimulation

Consumption of irritating foods such as chili peppers, Sichuan peppercorns, ginger, and garlic may also cause trigeminal neuralgia after stimulating the trigeminal nerve. This situation requires timely improvement of dietary habits. A bland diet is recommended, and usually no drug treatment is necessary.

3. Varicella-Zoster Virus Infection

Varicella-zoster virus infection is usually related to low immunity. When the virus enters the body and stimulates the nervous system, it may cause the aforementioned discomfort, often accompanied by skin rashes and pain. In such cases, medications such as acyclovir tablets, valacyclovir hydrochloride capsules, and famciclovir granules should be used according to medical advice.

4. Hypertension

Hypertension is associated with genetic factors and unhealthy lifestyle habits. When blood pressure continues to rise, it may compress the trigeminal nerve, causing trigeminal neuralgia. Symptoms often include dizziness and headaches. In such cases, doctors may recommend medications such as carbamazepine tablets, oxcarbazepine tablets, and phenytoin sodium tablets to alleviate symptoms.

5. Atherosclerosis

Atherosclerosis is usually associated with improper diet, genetic factors, and others. When the condition worsens and causes cerebrovascular disease, it may induce trigeminal neuralgia, accompanied by symptoms such as dizziness and palpitations. During treatment, it is recommended to follow medical advice and use medications such as mecobalamin tablets, vitamin B12 injections, and warfarin sodium tablets.

It should be noted that patients with trigeminal neuralgia should choose appropriate medications and treatment methods based on their individual conditions. Additionally, adequate rest and avoiding excessive fatigue are important during treatment.

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