What can be done for episodic manifestations (a series of attacks?
Episodic electric-like pain such as trigeminal neuralgia can be treated with different types of antiepileptic (anti-seizure) drugs (carbamazepine, gabapentin, topiramate, phenytoin and pregabalin), anti-spasticity agents (baclofen) or with some of the antidepressants proven to be useful in chronic pain (amitriptyline, nortriptyline, duloxetine). If medical treatment fails to control the symptoms, more invasive treatments such as injecting phenol or ethanol to block nerve conduction or surgery to ablate (cut) nerve roots can be considered.
