Have you found sumatriptan to be an effective bridging therapy for trigeminal neuralgia exacerbations until a new maintenance prophylaxis dose becomes effective?
I.e., carbamazepine or gabapentin dose increases with sumatriptan bridging.
Community PollStarted
Would you use sumatriptan to bridge a trigeminal neuralgia flare while a carbamazepine or gabapentin dose increase takes effect?
Join Mednetto vote and see how they answered.
2 Answers
Mednet MemberInvited Expert
Neurology · UPMC
Answered on
I do not have experience with using sumatriptan in the treatment of trigeminal neuralgia. It would not be part of a standard treatment. I have never had a patient who has tried this.
Join for free or sign in to see the full answer
Mednet MemberInvited Expert
Neurology · Greater Boston Headache Center at Boston Advanced Medicine
Answered on
I do not have experience with this kind of use of sumatriptan, and I also do not see a rationale for it to work. My preferred treatment for trigeminal neuralgia is botulinum toxin, especially because of its great tolerability in older patients.
Join for free or sign in to see the full answer