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Because of the variety of treatment options available, having trigeminal neuralgia doesn't necessarily mean you're doomed to a life of pain. Doctors usually can effectively manage trigeminal neuralgia with medications, injections or surgery.
I have had the pain, and not the cold sore, but always thought somehow it was part of that virus. Hi, pain related with trigeminal neuralgia is usually treated with carbamazepine, topiramate, phenytoin, gabapentin and opioids like methadone and tramadol. Before initiatation of therapy, diagnosis should be confirmed.