Gabapentin is another medication commonly used for pain of nerve origin, so a neuropathic pain. It can be tried as an alternative; some patients may need a combination of both carbamazepine plus Gabapentin for it to work. Especially if patients have a lot of side effects from carbamazepine where they may need to deal with dizziness or sleepiness.
Question
Can gabapentin be an alternative drug for trigeminal neuralgia?
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Who is at risk for Trigeminal Neuralgia?
If you look at what percentage of the population is bound to have Trigeminal Neuralgia, it estimates up to 0. 3% of the population. How many new patients have it per year? Maybe less than 0. 03% of people will have this per year. If you translate this to the population of Singapore, we are looking at about 800 patients with facial pain per year. We have no real statistics collected in Singapore for this disease. In terms of pre-deposition, it tends to affect people in their 50s and tends to affect females more than men.
Why is Trigeminal Neuralgia called “suicide disease”?
It is due to the nature and severity of the pain. The pain experienced by the patients is sometimes severe and it drives them to suicide. That is how this nickname is derived.