Signs & Symptoms

• Unilateral sharp shock-like pain
• Short-lived proximal attacks
• Pain triggered by:
• Facial touch
  o Cold winds
  o Vibration
  o Eating Treatment Plan

First line:

• Carbamazepine (anticonvulsant) Contraindications:
  • AV blocks
    o History of depression
    o Taking MAOIs
• Side effects:
  o Nausea
  o Vomiting
  o Sedation
  o Tiredness
  o Dizziness
  o Ataxia
  • Low sodium (symptoms: dizziness, drowsiness, confusion, muscle cramps, seizures)
  • Leukopenia Monitoring:
• LFTs and FBC before starting
• Periodic monitoring throughout treatment Red flags requiring immediate medical attention:
• Blood disorders: fever, sore throat, easy bruising/bleeding
• Hepatic disorders
• Skin disorders: rash, mouth ulcers