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Which drug treatments are best for trigeminal neuralgia?

http://dx.doi.org/10.1136/dtb.2019.000015

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    Review of: Yang FMM, et al. Efficacy of 8 different drug treatments for patients with trigeminal neuralgia: a network meta-analysis. Clin J Pain 2018;34:685–90.

    Key learning points

    • A comparison of drugs to treat trigeminal neuralgia found carbamazepine, lidocaine and botulinum toxin type A to be more effective than other treatments and placebo.

    • Lidocaine and botulinum toxin type A appeared to give a better response rate than carbamazepine but the reviewers did not take into account the safety profile of the drugs.

    • The analysis was based on a small number of studies and the estimates had large credible intervals, which suggests that the results should be interpreted with caution.

    Summary

    A network meta-analysis of drugs to treat trigeminal neuralgia found that lidocaine and botulinum toxin type A produced a slightly better response rate than carbamazepine but did not take into …

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    Footnotes

    • Provenance and peer review Commissioned; internally peer reviewed.

    • Contributors DTB Team.