Trigeminal neuralgia

NICE CKS: Trigeminal neuralgia

Treatment of trigeminal neuralgia
Carbamazepine
Carbamazepine 100mg tablets

Initially 100mg 1-2 times a day, some patients may require higher initial dose, increase gradually according to response; usual dose 200mg 3-4 times a day, increased if necessary up to 1.6g daily.

Carbamazepine 200mg tablets

Initially 100mg 1-2 times a day, some patients may require higher initial dose, increase gradually according to response; usual dose 200mg 3-4 times a day, increased if necessary up to 1.6g daily.

Carbamazepine 400mg tablets

Initially 100mg 1-2 times a day, some patients may require higher initial dose, increase gradually according to response; usual dose 200mg 3-4 times a day, increased if necessary up to 1.6g daily.

Carbamazepine 100mg/5ml oral suspension sugar free

Initially 100mg 1-2 times a day, some patients may require higher dose, increase gradually according to response; usual dose 200mg 3-4 times a day, increased, if necessary, up to 1.6g daily.

Prescribing Notes:

  • Refer to national and local resources for more information on diagnosis, management, and referral criteria for trigeminal neuralgia. In NHS Lothian see neurology guidelines on facial pain on RefHelp.

History Notes

26/06/2025

Updated prescribing information, ERWG July 2025.

01/06/2023

New pathway approved (ERFC 29/03/2023)