TN is known as "tic delouroux" in French, meaning the suicide disease. The pain is horrific! I take 600 mg. gabapentin 3x/day and also have 100 mg. capsules for any breakthrough pain. My neuro put me on this rather than some of the other meds as it does not negatively affect the liver. So far, it controls my pain TG.

MSF 27 MS and Trigeminal neuralgia (TN)
I hope this helps.
What Causes Trigeminal Neuralgia?
The pain associated with trigeminal neuralgia represents an irritation of the nerve. The cause of the pain usually is due to contact between a healthy artery or vein and the trigeminal nerve at the base of the brain. This places pressure on the nerve as it enters the brain and causes the nerve to misfire.
Other causes of trigeminal neuralgia include pressure of a tumor on the nerve or multiple sclerosis, which damages the myelin sheaths that insulate and help conduct electrical impulses across nerve cells. Development of trigeminal neuralgia in a young adult suggests the possibility of multiple sclerosis.
Secondary Symptomatic Trigeminal Neuralgia (STN): Pain resulting from multiple sclerosis.
The pain is often described as an excruciating sensation, similar to an electric shock. The attacks can be so severe that you are unable to do anything during them, and the pain can sometimes bring you to your knees.
Trigeminal neuralgia usually only affects one side of your face. In rare cases it can affect both sides, although not at the same time. The pain can be in the teeth, the lower jaw, upper jaw, cheek and, less commonly, in the forehead or the eye.
You may feel aware of an impending attack of pain, though these usually come unexpectedly.
After the main, severe pain has subsided, you may experience a slight ache or burning feeling. There may also be a constant throbbing, aching or burning sensation between attacks.
You may have episodes of pain lasting regularly for days, weeks or months at a time. It is possible for the pain to then disappear completely and not recur for several months or years (a period known as “remission”). However, in severe cases, attacks may occur hundreds of times a day, and there may be no periods of remission.
Symptom triggers
Attacks of trigeminal neuralgia can be triggered by certain actions or movements, such as:
• talking
• smiling
• chewing
• brushing your teeth
• washing your face
• a light touch
• shaving or putting on make-up
• swallowing
• kissing
• a cool breeze or air conditioning
• head movements
• vibrations, such as walking or a car journey
However, pain can occur spontaneously with no triggers whatsoever.
Diagnosis:
Trigeminal neuralgia usually is diagnosed based on the description of the symptoms provided by the patient.
Treatment with Medications:
Anticonvulsant medications, which slow down the nerve’s conduction of pain signals, are usually the first treatment option.

I had it last year. I waited for the episodes to pass. I had just seen my neuro, but he said I had to go for a blood test, which is not easy for me. I usually take Naproxen, but took Tylenol to help. I also had a topical pain ointment that I put on that cheekbone. I'm not sure there's much to do except wait for it to pass. I hope it does soon.

What about if it affects your tongue? If I stick out my tongue hear comes excruciating pain. I'm glad it works for you and you are right, mind set does help!

Thank you! I am almost to the same dosage. Did you ask for the little extra for the breakthrough pain and is it also Gabapentin. I actually asked to be put back on this as Lyrica didn't even come close. I definitely can understand why they named it the suicide disease! Very helpful thanks again😊 have a great day!