I have Trigeminal  Neuralgia, I am trying to manage it as well as possible by taking Amitripyline 10 mg one or two at night before going to sleep and also Codine for the pain, today though I feel quite good, which is a change.                         Cheers, Graeme
Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern... As per your complaint it is good that you are managing pain caused due to Trigeminal Neuralgia by taking Amitriptyline which is a tricyclic antidepressant and codeine which is an opioid pain medicine, although both are not first line Chat Doctor. . But in case if you are being managed well by taking these medicines you can continue with the same. In case if the pain does not improve by taking them then you should consult a NEUROPHYSICIN and get evaluated and he/she can advise you to take Carbamazipine that is the first line 