my heart goes out to both you and your husband. multiple sclerosis is enough to deal with on its own without adding trigeminal neuralgia (tn) into the mix. for others who may not know what tn is it's an extremely painful condition usually caused by pressure on a nerve at the base of the skull. this nerve extends into the frontal portion of the face. when the nerve becomes irritated it may cause painful facial spasms. as you know the first-line treatment for tn usually involves taking the medication tegretol. however other medications are available to try either alone or in combination with tegretol if the medication doesn't work or stops working. i suggest your husband go back to his doctor for further advice on how to manage the pain of his tn. wishing you both well!
if tegretol doesnt work for trigeminal neuritis what next. husband has m. s. developed trigeminal now very bad. trying upped dose of baclofen. would steroid shots be the next step. tegretol did work wellbut didi have a fainting episode that he has had many times before trigeminal. dr took him off tegretol but hes desperate enogh to go back on with a half dose thanks